Riverstreet Manor
RIVERSTREET MANOR in WILKES-BARRE, PA — inspection on October 21, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on October 21, 2025, at 3:00 P.M., the Nursing Home Administrator acknowledged that all facility areas are expected to be always maintained in a clean and sanitary condition.28 Pa.
Code 201.18 (e)(1) (2.1) Management 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
395691 10/21/2025
Riverstreet Manor 440 North River Street Wilkes-Barre, PA 18702
was suspended on October 9, 2025, pending investigation and was terminated on October 14, 2205.
two staff members for safe bed mobility.
Employee 3 rolled Resident 1 in bed by herself at 10:20 PM
the floor and sustaining a forehead laceration and subdural hematoma. An interview with the Director of Nursing on October 21, 2025, at 3:00 PM revealed that facility documentation reflected the internal investigation substantiated neglect related to the failure to provide care with two-person assistance as required by the plan of care.
The substantiated neglect resulted in actual physical harm to Resident 1, including multiple subdural hematomas, a facial laceration, and a closed nasal fracture. 28 Pa.
Code 201.18 (b)(1) Management 28 Pa.
Code 201.29 (a) Resident Rights 28 Pa.
Code 211.10 (c)(d) Resident care policies 28 Pa.
Code 211.12 (d)(5) Nursing Services.
395691 10/21/2025
Riverstreet Manor 440 North River Street Wilkes-Barre, PA 18702
During an interview on October 21, 2025, at 3:15 PM, the Nursing Home Administrator, the above observations were reviewed. 28 Pa code 201.18(b)(1) Management
395691 10/21/2025
Riverstreet Manor 440 North River Street Wilkes-Barre, PA 18702
[DATE], with a diagnosis of COPD. A quarterly MDS dated [DATE], revealed a BIMS score of 15
smoking materials, secure them at the reception desk, educate family and visitors about smoking
admitted [DATE], with COPD. A quarterly MDS dated [DATE], revealed a BIMS score of 15 (cognitively intact). A smoking assessment dated [DATE], identified her as an independent smoker. A care plan initiated May 3, 2024, included, remove oxygen to smoke, reapply when done smoking, check resident room for smoking materials (cigarettes, matches, lighters, etc.) at the lobby reception desk.
Educate family and visitors not to leave smoking materials in resident room, educate resident to interventions and facility smoking policy and procedures and to secure smoking materials (cigarettes, matches and lighters at the front lobby desk. Resident 6 was admitted on [DATE], with emphysema.
An annual MDS dated [DATE], revealed a BIMS score of 15 (cognitively intact). A smoking assessment dated [DATE], identified her as an independent smoker.
Her care plan, initiated September 13, 2023, instructed staff to check her room for smoking materials, secure them at the reception desk, and educate residents and visitors regarding smoking procedures. Resident 7 was admitted [DATE], with a diagnosis of hypertension (elevated blood pressure). An annual MDS dated [DATE], revealed a BIMS score of 14 (cognitively intact). A smoking assessment dated [DATE], identified her as an independent smoker. A care plan initiated May 12, 2024, instructed staff to check her room for smoking materials, secure them at the reception desk, and educate the resident and family on smoking policy expectations. Resident 8 was admitted [DATE], with COPD. A quarterly MDS dated [DATE], revealed a BIMS score of 14 (cognitively intact). A smoking assessment dated [DATE], identified her as an independent smoker. A care plan initiated May 12, 2024, directed staff to remove oxygen before smoking, reapply it after, check for smoking materials in her room, and secure them at the reception desk. Resident 9 was admitted [DATE], with COPD. A quarterly MDS dated [DATE], revealed a BIMS score of 15 (cognitively intact). A smoking assessment dated [DATE], identified her as an independent smoker. A care plan initiated May 14, 2025, directed staff to remove oxygen before smoking, reapply after, check her room for smoking materials, and secure them at the reception desk. Resident 10 was admitted [DATE], with chronic respiratory failure (a long-term condition where the lungs cannot adequately exchange oxygen and carbon dioxide). A quarterly MDS dated [DATE], revealed a BIMS score of 15 (cognitively intact). A smoking assessment dated [DATE], identified her as an independent smoker. A care plan initiated July 9, 2025, directed staff to check her room for smoking materials, secure them at the reception desk, educate family and visitors not to leave smoking materials in the room, and ensure adherence to the smoking policy. An interview conducted with the Director of Nursing (DON) and Nursing Home Administrator (NHA) on October 21, 2025, at 2:00 PM, revealed that residents maintained smoking materials such as cigarettes and lighters in their rooms and that the smoking policy was posted only outside the smoking-area exit door.
The DON and NHA indicated that the facility's current practices for securing smoking materials and posting the policy were not consistent with the facility's written smoking policy. 28 Pa.
Code 201.18 (b)(1)(3) Management 28 Pa.
Code 209.3 (a) Smoking. 28 Pa Code 211.10 (c) (d)Resident care policies
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.