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Complaint Investigation

Rivers Edge Nursing And Rehab

July 10, 2024 · Muscoda, WI · 1000 N. Wisconsin Ave.
Citations 2
CMS Rating 1/5
Beds 58
Provider ID 525321
Healthcare Facility
Rivers Edge Nursing And Rehab
Muscoda, WI  ·  View full profile →
Inspection Summary

Rivers Edge Nursing and Rehab in Muscoda, WI — inspection on July 10, 2024.

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.

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Inspection Findings

FF609
Minimal harm or On 6/27/24 at 10:00 AM, R7 informed staff he had been Raped by two black women. Few R7's allegation of being raped by two black women. NHA A stated she had consulted with Corporate Staff affected

The facility failed to provide supervision to prevent resident-to-resident incidents from occurring.

Evidenced by:

The facility's policy and procedure, Abuse/Neglect/Exploitation, undated, documents in part, the following: It is the policy of this facility to provide protections for the health, welfare, and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation, and misappropriation.

Definitions:

Abuse: means the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain, or mental anguish.

Abuse also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being.

Instances of abuse of all residents, irrespective of any mental or physical condition, causes physical harm, pain, or mental anguish. It includes verbal abuse, sexual abuse, physical condition, cause physical harm, pain, or mental anguish

Willful means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm.

Physical Abuse includes, but is not limited to, hitting, slapping, punching, biting, and kicking

Employee Training: Prohibiting and preventing all forms of abuse, neglect, misappropriation of resident property, and exploitation; Identifying what constitutes abuse .; Recognizing signs of abuse ., Understanding behavioral symptoms of residents that may increase the risk of abuse and neglect such as: Aggressive and/or catastrophic reactions of residents; Resistance to care; Outbursts or yelling out; Difficulty in adjusting to new routines or staff.

Prevention of abuse: .The identification, ongoing assessment, care planning for appropriate interventions, and monitoring of residents with needs and behaviors which might lead to conflict or neglect.

525321

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 525321 B.

Wing 07/10/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Riverdale Health Care Center 1000 N Wisconsin Ave Muscoda, WI 53573

Investigation Report, dated 7/3/24, includes date of incident 7/3/24 .

Facility was notified via hospital that resident had a left humerus fracture facility-initiated investigation.

Timeline of events: 7/3/24 the facility notified that resident had a humerus fracture and investigation initiated. 7/3/24 employee statements were reviewed. 7/3/24 skin assessments on residents with BIMS (Brief Interview for Mental Status) of 12 or less completed. 7/3/24 resident interviews completed .

Summary of critical information: Grievance was regarding CNA N being rough during cares on 6/29/24. CNA N suspended 7/3/24 .

Conclusion: resident was admitted to the facility 6/12/24 post hospitalization from a fall from his truck.

Resident had reported left arm pain since admission to facility. On 6/28/24 the nurse practitioner ordered an X-ray of resident's left arm for complaints of chronic pain. X-ray was not obtained as resident was transferred to the hospital for hypoglycemia.

Upon return to the facility an interview was completed with the resident. He stated that he felt safe at the facility.

When interviewed about CNA N being rough with cares resident reported although she was rough with cares it did not worsen his arm pain. A pain assessment was completed upon return and resident did not report any discomfort.

Resident has as needed Tylenol available. No new concerns identified during investigation per residence and staff interviews.

Primary care physician reviewed X-ray results and stated that the fracture was most likely spontaneous and pathological as there was no major injury.

This is suggestive there may be a possibility of underlying cancer.

Although resident reports that staff were rough with cares, indicating poor customer service, I am unable to substantiate abuse at this time based on the investigation completed .

On 7/9/24 at 10:25 AM during an interview, CNA M indicated when a resident voices concern such as staff being rough, or staff threw me on the bed are allegations of abuse and should be reported immediately.

525321

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 525321 B.

Wing 07/10/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Riverdale Health Care Center 1000 N Wisconsin Ave Muscoda, WI 53573

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 Muscoda, WI, (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 Rivers Edge Nursing and Rehab or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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