Riverview Healthcare Center
RIVERVIEW HEALTHCARE CENTER in FLANDREAU, SD — inspection on November 18, 2025.
Found 2 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
impairment identified with admission (abrasion, bruise, burn, excoriation, pressure sore, rash, skin tear, surgical wound, etc.), the LN completes the following: A.
Documents skin impairment that includes measurements of size, color, presence of odor, exudates, and presence of pain associated with the skin impairment in the ‘Weekly Wound Evaluation' for surgical, pressure, burns, and venous stasis ulcer.C.
Notifies the medical provider and, if needed, obtains a treatment order and documents on the TAR [treatment administration record] after [the] order is implemented. D.
Notifies resident/representative of skin condition and treatment plan. E.
Evaluates environment, mobility equipment, functional and cognitive ability, medications, and labs to identify interventions to promote healing/resolution of skin impairment. 6. If skin impairment is noted after admission (in addition to the above steps), the LN: A.
Initiates alert charting. B.
Completes (and documents) notifications to the medical provider and resident or resident representative. C.
Implements new interventions as needed.
Documents on the resident's care plan. D.
Notifies Food and Nutrition Services Manager (FANS) and/or Registered Dietitian of new pressure injury or worsening wound condition for nutritional needs evaluation. E.
Notifies Director of Nursing Services (DNS) of skin impairments that indicate potential significant change in condition (Stage II or greater Pressure Ulcer, surgical wound dehiscence, hematoma, or bruise on an area of the body not usually vulnerable to trauma (e.g. head, breasts, inner thighs, groin). F.
The DNS and/or designee complete a comprehensive review of the resident's medical record to evaluate if the pressure injury was avoidable or unavoidable.
This evaluation is documented in the nurse's notes.8.
Wounds are evaluated weekly by facility clinicians.
Arterial, pressure, stasis, and venous ulcers, significant surgical wounds, and burns are evaluated, measured, and findings [are] documented in the medical record.
This evaluation includes pain associated with the wound during wound care. If a wound condition fails to improve after 2 weeks of treatment or the condition of the wound deteriorates, the medical provider and Resident's Representative are notified. If a new treatment order is obtained the LN: A. Re-evaluates plan of care and resident's condition (e.g. off-loading pressure from skin impairment area, nutritional intake, blood sugars, and lab values).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverview Healthcare Center
611 East 2nd Ave Flandreau, SD 57028
SUMMARY STATEMENT OF DEFICIENCIES
through 11/5/25.
Bathing documentation was reviewed for completeness in the electronic medical record.
Those audits revealed some missing documentation in the EMR, and the bath aide was coached to document baths given in each resident's EMR.
Observational audits were performed to ensure staff were following the correct bathing procedures, including the use of the safety belt.
Those audits revealed breaks in infection control, and staff not fully explaining the bathing process to residents.
Coaching and education were provided to staff members who assisted residents with bathing.10.
The provider's 10/9/25 implemented actions to ensure the deficient practice does not reoccur was confirmed on 11/18/25 after record review revealed the facility had followed their quality assurance process, education was provided to nursing care staff regarding proper bathing techniques and the use of the whirlpool bath chair safety belt, interviews revealed staff understood the education provided regarding those topics, observations revealed that the safety belts were available and in good condition, and a review of the provider's follow-up audits revealed substantial compliance.Based on the above information, noncompliance at F-F689 was determined on 10/9/25, and the provider's 10/9/25 implemented corrective actions for the deficient practice confirmed on 11/18/25, the noncompliance is considered past noncompliance.
Facility ID: