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Complaint Investigation

Riverside Health & Rehab Center

Inspection Date: September 9, 2025
Total Violations 2
Facility ID 395719
Location MCKEESPORT, PA
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Inspection Findings

F-Tag F0655

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

review of clinical records, facility policy, and staff interviews, it was determined that the facility failed to develop a baseline care plan that included dialysis care and interventions needed to provide effective and person-centered care for three of seven residents (Resident Resident R1, Resident R2, and Resident R3).Based on review of clinical records, facility policy, and staff interviews, it was determined that the facility failed to develop a baseline care plan that included dialysis care and interventions needed to provide effective and person-centered care for three of seven residents (Resident Resident R1, Resident R2, and Resident R3). Findings include: The facility policy Interim/Baseline-Care Plans reviewed 1/13/25, indicated a baseline care plan to meet the resident's immediate needs shall be developed within forty-eight hours of the resident's admission. Review of the admission record indicated Resident Resident R1 was originally admitted to the facility on [DATE REDACTED], with the diagnosis of chronic kidney disease, stage 4 (severe kidney damage requiring dialysis). Review of Resident Resident R1's orders dated 8/15/25, included dialysis at [dialysis center] three times a week. Review of Resident Resident R1's baseline care plan completed on 8/7/25 with most recent revision date of 8/25/25, indicated the resident has not been care planned for dialysis services. Review of the admission record indicated Resident Resident R2 was originally admitted to the facility on [DATE REDACTED], with the diagnosis of end stage renal disease (kidney failure requiring dialysis). Review of Resident Resident R2's orders dated 2/3/25, included dialysis at [Dialysis Center] three times a week. Review of Resident Resident R2's baseline care plan completed on 2/4/25, indicated the resident has not been care planned for dialysis services. Review of the admission record indicated Resident Resident R3 was originally admitted to the facility on [DATE REDACTED], with the diagnosis of end stage renal disease (kidney failure requiring dialysis). Review of Resident Resident R3's orders dated 9/9/25, included dialysis at [Dialysis Center] three times a week. Review of Resident Resident R3's baseline care plan completed on 11/12/24 with most recent revision date of 8/20/25, indicated the resident has not been care planned for dialysis services. During an interview

on 9/9/25, at approximately 9:00 a.m. the Director of Nursing confirmed that the baseline care plan for Residents (Resident R1, Resident R2, and Resident R3) did not accurately include their immediate care needs. 28 Pa. Code: 211.11 (a)(c)(d) Resident care plan. 28 Pa. Code 211.12 (d)(1)(5) Nursing services.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/09/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Riverside Health & Rehab Center

100 8th Street McKeesport, PA 15132

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0698

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

review of facility policy, clinical records, and staff interviews it was determined that the facility failed to make certain consistent dialysis communication was maintained for three of six residents (Residents Resident R1, Resident R3, and Resident R4).Findings include: Review of the facility policy Hemodialysis Care Policy dated 1/13/25, indicates pre -dialysis process includes document assessment in the dialysis communication tool. Post-dialysis process includes receive report from dialysis provider and/or review dialysis communication tool documentation by dialysis provider.Review of the admission record indicated Resident Resident R1 was originally admitted to the facility on [DATE REDACTED].Review of Resident Resident R1's Minimum Data Set (MDS - periodic assessment of resident care needs) dated 8/8/25, diagnosis of chronic kidney disease, stage 4 (severe kidney damage requiring dialysis), hypertension, and heart failure. Review of Resident Resident R1's physician orders dated 8/15/25, indicated dialysis: at [Dialysis Center], Monday, Wednesday, and Friday. Chair time scheduled for 10:30 a.m .Review of Resident Resident R1's baseline care plan completed on 8/7/25 with most recent revision date of 8/25/25, indicated the resident has not been care planned for dialysis services.Review of Resident Resident R1's dialysis communication forms indicated the following: 8/29/25, and 9/2/25 dialysis communication forms were incomplete, absent of any information from the dialysis center. Review of the admission record indicated Resident Resident R3 was originally admitted to the facility on [DATE REDACTED]. Resident Resident R3 has been receiving dialysis since admission to the facility. Review of Resident Resident R3's Minimum Data Set (MDS - periodic assessment of resident care needs) dated 8/7/25, diagnosis of end stage renal disease (kidney failure requiring dialysis), hypertension, and diabetes (too much sugar in the blood). Review of Resident Resident R3's physician orders dated 9/9/25, indicated dialysis: at [Dialysis Center], Monday, Wednesday, and Friday. Chair time scheduled for 6:15 a.m .Review of Resident Resident R3's baseline care plan completed on 11/12/24 with most recent revision date of 8/20/25, indicated the resident has not been care planned for dialysis services. Review of Resident Resident R3's dialysis communication forms indicated the following: 8/6/25, 8/8/25, 8/11/25, 8/13/25, 8/15/25, 8/18/25, 8/22/25, 8/25/25, 8/27/25, 8/29/25, 9/1/25, 9/3/25, 9/5/25, and 9/8/25 dialysis communication forms were incomplete, absent of any information from the dialysis center. Review of the admission record indicated Resident Resident R4 was originally admitted to the facility on [DATE REDACTED].Review of Resident Resident R4's Minimum Data Set (MDS - periodic assessment of resident care needs) dated 8/20/25, diagnosis of chronic kidney disease, stage 4 (severe kidney damage requiring dialysis), hypertension, and dementia. Review of Resident Resident R4's physician orders dated 8/15/25, indicated dialysis: at [Dialysis Center], Tuesday, Thursday, and Saturday. Chair time scheduled for 6:45 a.m .Review of Resident Resident R4's baseline care plan of 3/24/25 with a revision date of 6/13/25, indicated the resident requires dialysis services.Review of Resident Resident R4's dialysis communication forms indicated the following: 8/26/25 dialysis communication form was incomplete, absent of any information from the dialysis center. On an undocumented/unknown date the dialysis communication from was incomplete, absent of any information from the facility. During an interview on 9/9/25, at 2:00 p.m. the Director of Nursing confirmed the facility failed to make certain consistent dialysis communication was maintained for three of six residents (Residents Resident R1, Resident R3, and Resident R4). 28 Pa. Code: 211.5(f) Clinical records28 Pa. Code: 211.12(d)(2)(3) Nursing services

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

RIVERSIDE HEALTH & REHAB CENTER in MCKEESPORT, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MCKEESPORT, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from RIVERSIDE HEALTH & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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