Health inspection·September 25, 2025

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview, policy review, observation, and medical record review, the facility failed to develop a care for the resident's care and services for the diagnosis of seizure disorder. This affected one (#2) of 21 residents reviewed for care plans. The facility census was 79. Findings include:Review of the medical record for Resident #2 revealed an admission date of 06/05/25. Diagnoses included epilepsy and vascular dementia. Review of the physician orders dated 09/2025 revealed an order for Levetiracetam (anti-convulsant medication) 500 milligrams (mg) by mouth daily for treatment of seizure disorder and for Resident #2 to wear soft side helmet to protect the head if resident falls. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had cognitive impairment with physical and verbal behaviors toward others that put the resident at significant risk for physical illness or injury, significantly interfered with resident care, intruded on privacy of others, and significantly disrupted care or the living environment of others. Review of the plan of care initiated on 06/09/25 and last revised on 09/24/25 revealed no plan of care addressing seizure disorder. Observations of Resident #2 on 09/23/25 at 10:06 A.M. and 09/24/25 at 3:12 P.M. revealed no signs and symptoms of seizure activity. Resident #2 was wearing a soft helmet. An interview on 09/25/25 at 12:45 P.M. with Certified Nursing Assistant (CNA) #150 revealed the CNA was not aware Resident #2 had a seizure diagnosis. CNA #150 confirmed there was not any instructions in the nursing's kardex or plan of care to address Resident #2 seizure disorder and what to do if resident had a seizure. An interview on 09/25/25 at 12:49 P.M. with Licensed Practical Nurse (LPN) #174 revealed Resident #2 had not had any recent seizure activity. An interview on 09/25/25 at 12:54 P.M. with Unit Manager #159 confirmed Resident #2 had a diagnosis of seizure disorder, received medication for seizure disorder and there was not a plan of care addressing Resident #2 seizure disorder. Review of the facility policy titled Seizures and Epilepsy-Clinical Protocol dated 11/2018 revealed the nursing staff should assess, document and report the following: vital signs, neurological assessment, change in level of consciousness, any seizure activity in detail (location duration, severity and reoccurrence), any injury occurring with a seizure, whether the resident has a known seizure disorder or history of actual seizure activity, date of most recent actual seizure activity, how current seizure activity relates to usual patterns and last blood level of any anti-convulsant medication being administered. 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 3 Event ID: 365620 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 365620 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverview Post Acute 7743 County Road 1 South Point, OH 45680 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)