Riverview Healthcare Center
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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).
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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
11/18/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverview Healthcare Center
611 East 2nd Ave Flandreau, SD 57028
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)
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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.
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RIVERVIEW HEALTHCARE CENTER in FLANDREAU, SD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 FLANDREAU, SD, (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 RIVERVIEW HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.