Riverton Rehabilitation And Healthcare Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility policy review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of six sampled residents. (Resident 1) Findings include: Review of the facility policy entitled, Administering Medications, dated December 1, 2025, revealed that staff should check the medication label three times to verify the right resident, right medication, right dosage, right time, and the right route before the medication was administered. Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses that included heart failure, hypertension (high blood pressure), and atrial fibrillation (irregular heart rhythm). Review of a physician's progress note dated February 28, 2026, revealed that staff had administered a medication used to prevent and treat anxiety disorders and seizures (clonazepam), an antidepressant medication (trazadone), and a medication used to treat high cholesterol…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and staff interview, it was determined that the facility failed to store, prepare, and serve foods in a sanitary manner in the food service department to prevent the potential for foodborne illness. Findings include:Observation during the initial kitchen tour on December 3, 2025 at 10:30 a.m., revealed the following:Inside the stand up freezer, there were two plastic bags of French fries and three additional paper bags of French fries that were not labeled or dated. There was one bag of chicken fingers that was not labeled or dated. There were two containers of ice cream in a plastic bag that were not labeled or dated. There was a white plastic bag of a food item in this same freezer that was not labeled or dated. In this stand up freezer, there was an accumulation of crumbs on the bottom of the freezer. The convection ovens were very soiled with grease on the doors and the racks. There was an accumulation of burnt crumbs on the bottoms of both of the ovens. There was an area of a black substance stained on the right side of the back splash of the stove next to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on a clinical record review and staff interview, it was determined that the facility failed to implement physicians' orders for two of 21 sampled residents. (Residents 7 and 109)Findings include: Clinical record review revealed that Resident 7 had diagnoses that included diabetes mellitus. A physician's order dated October 9, 2025, directed staff to weigh the resident every two weeks. A review of the Medication Administration Record (MAR) for October 2025 and November 2025 revealed that there was no evidence that staff weighed Resident 7 as ordered. Clinical record review revealed that Resident 109 had diagnoses that included hypertension (high blood pressure) and chronic systolic (congestive) heart failure. On November 6, 2025, the physician ordered that staff weigh Resident 109 daily for four weeks, ending December 5, 2025, and every Monday, Wednesday, and Friday thereafter, for treatment of congestive heart failure, and notify the physician if the resident gained more than two pounds (lbs.) in 24 hours or five pounds in a week. Review of Resident 109's MAR for November and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation, and staff interview, it was determined that the facility failed to implement an intervention to promote wound healing for one of two sampled residents with skin impairments. (Resident 120)Findings include: Clinical record review revealed that Resident 120 was admitted to the facility on [DATE], with diagnoses that included end stage renal disease, anemia, and cirrhosis of the liver. The resident had a stage three pressure ulcer on the right heel. A physician's order dated December 1, 2025, directed staff to apply a heel boot to the right foot every shift. On December 3, 2025, at 10:30 a.m., 11:58 a.m., and 1:00 p.m., the resident was observed in bed; the heel boot was not in place. On December 4, 2025, at 10:45 a.m. and 12:45 p.m., the resident was observed in bed; the heel boot was not in place. In an interview on December 5, 2025, at 10:25 a.m., the Assistant Director of Nursing (ADON) stated that the heel boot should have been applied as ordered. 28 Pa. Code…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on clinical record review, observation, and staff interview, it was determined that the facility failed to provide physician ordered nutritional supplements for three of 21 sampled residents. (Residents 19, 64, 86)Findings include:Clinical record review revealed that Resident 19 had diagnoses that included brain compression, cerebral infarction (ischemic stroke), and dysphagia (difficulty swallowing). A physician's order dated November 24, 2025, directed staff to provide a regular diet with nutritional supplementation. Review of the care plan revealed an intervention for staff to provide the resident's diet as ordered which included nutritional supplementation three times per day. On December 3, 2025, at 12:18 p.m., the resident was observed eating lunch in the dining room. The meal ticket indicated that the resident was to receive a Mighty Shake, a nutritional supplement, with his meal. There was no Mighty Shake observed. On December 4, 2025, at 12:27 p.m., the resident was observed eating the lunch meal in the dining room. The meal ticket again indicated that the resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation, and interview, it was determined that the facility failed to ensure that residents were served preferred food items and items listed on the menu for three of 21 residents. (Residents 19, 79, 86) In addition, based on review of the current menu, it was determined that the facility failed to serve the residents a food item listed on the menu for one meal on two of three nursing units. (Second and Third floor nursing units) Findings include: Clinical record review revealed that Resident 19 had diagnoses that included brain compression, cerebral infarction (ischemic stroke), and dysphagia (difficulty swallowing). The Minimum Data Set (MDS) assessment, dated October 1, 2025, revealed the resident had no cognitive impairment. A review of Resident 19's care plan revealed he was at risk for malnutrition due to brain compression, cerebral infarction, and dysphagia; and weight changes with an intervention for staff to honor food preferences as able. Review of a nutrition…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on clinical record review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of five sampled residents. (Resident 1)Findings include:Clinical record review revealed that Resident 1 was admitted to the facility with diagnoses that included heart failure, chronic kidney disease, and hypertension. On July 1, 2025, a physician ordered staff to administer a medication to control high cholesterol (simvastatin) daily. Documentation provided by the facility revealed that on July 16, 2025, a nurse administered a cholesterol controlling agent (atorvastatin) to the resident. The medication was not ordered by the physician. In an interview on August 6, 2025, the Assistant Director of Nursing confirmed that the medication administered was not ordered by the physician.28 Pa. Code 211.12(d)(1)(5) Nursing services.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation, and staff and resident interviews, it was determined that the facility failed to ensure that a call bell was answered in a timely manner for one of ten sampled residents. (Resident 6) Findings include: Clinical record review revealed that Resident 6 had diagnoses that included heart disease, the presence of a left artificial hip and spinal stenosis. The Minimum Data Set assessment dated [DATE], revealed that the resident was not cognitively impaired, required assistance from staff with transfers and mobility, and was able to make her needs known. Review of Resident 6's care plan revealed that staff were to provide assistance with transfers and toileting. Observation on December 30, 2024, from 11:20 a.m. through 11:55 a.m. revealed that the resident had her call bell activated and was calling aloud for assistance while in the bathroom. Staff were observed at the nurses' station and in the hallways where the call signal could be clearly seen. Staff were observed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on facility policy review, observation, and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department and in one of three country kitchens. (Second floor) Findings include: Review of the facility's policy entitled, Food Receiving and Storage, last reviewed March 9, 2023, revealed all foods stored in the refrigerator and freezer were to be labeled and dated and items were to be discarded after the use-by date. Observations during the kitchen tour on January 9, 2024, at 8:45 a.m., revealed the following: In the protein cooler, there was a package of opened lunch meat that was not dated. In the freezer, there was an opened box of muffins that was not dated. In the produce cooler, there was a package of opened whipped topping that was not dated. There were four large bins of cut melons, three had a use-by date of January 4, 2024, and one had a use-by date of January 5, 2024. In the dry storage room, the top of the portable air conditioning unit had a layer of white food debris. In the meat cooler in second floor…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on clinical record review and staff interview, it was determined that the facility failed to ensure physicians' orders were implemented for two of 22 sampled residents. (Residents 26 and 83) Findings include: Clinical record review revealed that Resident 26 had diagnoses that included hypertension (high blood pressure). On June 19, 2023, the physician ordered that staff administer a medication (metoprolol tartrate) two times a day for hypertension. Staff was not to administer the medication if the resident's systolic blood pressure (SBP, the first measurement of blood pressure when the heart beats and the pressure is at its highest) was less than 100 millimeters of mercury (mm/Hg). Review of Resident 26's medication administration record (MAR) revealed that staff administered the medication nine times in December 2023, when the resident's SBP was less than 100 mm/Hg. Clinical record review revealed that Resident 83 had diagnoses that included hypertension. On November 14, 2023, the physician ordered that staff administer a medication (amlodipine besylate) one time a day for…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.