Health inspection·April 10, 2025

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to monitor output of foley catheters (FC - a thin, flexible tube that drains urine from the bladder into a bag) per facility policy and physician orders for three of three sampled residents (Resident 1, 2, 3). This failure had the potential to endanger the residents and cause complications due to inaccuracies in fluid balance monitoring. Findings: A record review of facility policy Catheter – Care of dated 6/10/21 indicated Nursing staff will assess urinary drainage for signs and symptoms of infection, noting cloudiness, color, sediment, blood, odor, and amount of urine. A record review of Resident 1 ' s admission record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included obstructive and reflux uropathy (here there's a blockage in the urinary tract, preventing the normal flow of urine), atrial fibrillation (a type of irregular heartbeat where the upper chambers of the heart beat out of sync and very rapidly), and metabolic encephalopathy (a brain dysfunction caused by problems with the body's metabolism or other systemic illnesses). A record review of facility physician orders dated 3/5/25 indicated staff were to assess urinary drainage for signs and symptoms of infection, noting cloudiness, color, sediment, blood, odor and amount of urine output, every shift. A record review of Resident 1 ' s Intake and Output record dated 3/5/25 to 3/26/25 indicated no output from Resident 1 was documented. A record review of Resident 1 ' s Bladder Report dated 2/26/25 to 3/26/25 indicated no output from Resident 1 was documented. A record review of Resident 2 ' s admission record indicated Resident 2 was admitted to the facility on [DATE] with diagnoses that included retention of urine (the inability to completely empty the bladder, either suddenly (acute) or over time (chronic), metabolic encephalopathy, congestive heart failure (a condition where the heart can't pump enough blood to meet the body's needs), and benign prostatic hyperplasia (where the prostate gland grows larger than normal). (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 056258 Printed: 05/15/2026 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 056258 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE River Valley Healthcare & Wellness Centre, LP 2490 Court Street Redding, CA 96001 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)