Riverview Healthcare Center
RIVERVIEW HEALTHCARE CENTER in FLANDREAU, SD — inspection on February 27, 2025.
Found 3 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
F-F686, findings 14 through 27 regarding resident 12.
3.
Observations and interviews throughout the survey revealed that resident 49 was experiencing consistent pain with repositioning.
There were several instances where he was heard moaning and shouting out in pain. He was seen grimacing in pain.
Record review revealed that he had orders for as needed pain management, but that had not been administered due to pain assessment documentation showing as a 0 out of 10 on three separate occasions on 2/25/25.
Interviews with hospice staff revealed that they had concerns about previous residents and their pain, which was to be managed by the provider. By not recognizing that the resident was experiencing increased pain and not administering the prescribed pain medication, resident 49 experienced pain with personal cares and repositioning.
Refer to
Observation on 2/25/25 at 10:08 a.m. of resident 10 revealed:
*He was in his room and lying on the bed with a nursing home gown on.
*He was laying mostly on his back with a pillow placed underneath of his right arm.
-His body was positioned and was facing towards the wall with the upper portion of his body towards the left of the bed.
-From his waist down his body was laying on the right side of the bed.
-His buttocks and thighs laid directly on the mattress.
*There was a heel lift device underneath the lower part of his legs to help decrease pressure from the mattress on his heels.
-He had been positioned low in the bed and his left foot was flat up against the footboard.
*His left ankle was laying directly on the edge of the mattress and his right heel was laying directly on the mattress.
-There was no pressure relief for his left ankle from the edge of the mattress or his foot from the footboard.
*He had been awake and watching television.
2.
Random observations on 2/25/25 from 11:10 a.m. through 2:20 p.m. and interview with resident 10 revealed:
*He had been lying in the same position as observed above.
*He was either sleeping or watching television during those observations.
*He had a towel placed underneath his chin that had a brown stain on it from some type of liquid.
*He was not observed getting out of bed for breakfast or lunch.
435086
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 435086 B.
Wing 02/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Riverview Healthcare Center 611 East 2nd Ave Flandreau, SD 57028
Observation during the initial kitchen tour on [DATE] from 8:28 a.m. through 9:09 a.m. revealed in the storage room where the emergency food supply was stored:
*There was a layer of dust, dirt, and cobwebs on the emergency food supply.
*Most of the food in the emergency supply was delivered on [DATE] and was past the manufacturer's best by date.
5.
Observation on [DATE] from 12:54 p.m. to 1:38 p.m. during the lunchtime meal service revealed:
*An unidentified staff person wore the same pair of gloves throughout the meal service and did not wash his hands.
With those gloved hands he:
-Pushed a cart of drinks and served them to residents.
-Pushed a resident in their wheelchair to her designated table.
-Grabbed coffee mugs and plastic cups, poured drinks into them, and served them to residents.
-Grabbed a tray of drinks from the fridge.
-Grabbed a stack of plastic cups and poured multiple juices and set them on the tray of drinks.
-Put the tray of drinks back in the fridge and covered them with another tray.
-Grabbed dessert cups by the rim and scooped a blueberry dessert into them.
435086
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 435086 B.
Wing 02/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Riverview Healthcare Center 611 East 2nd Ave Flandreau, SD 57028