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Inspection visit

Health inspection

RIVER VIEW NURSING AND REHABILITATION CENTERCMS #39514817 citations on this visit
17 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 17 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

395148 06/14/2024 River View Nursing and Rehabilitation Center 1555 East End Boulevard Plains Twp Wilkes Barre, PA 18711
F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a review of clinical records, CDC (centers for disease control) infection control guidance, facility's infection control policy and COVID-19 testing logs, and staff interview it was determined he facility failed to promptly implement infection control practices for cohorting like respiratory infections and testing for COVID-19 to prevent the spread of COVID-19 infections in the facility placing at least 12 residents (Residents 4, 6, 8, 10, 14, 16, 2, 20, 22, 24, 26 and 28) at increased risk for contracting COVID-19 and failed to implement effective interventions to prevent the spread of COVID-19 virus. Residents Affected - Many Findings include: A review of the Pennsylvania Department of Health 2023-PAHAN-694-5-11-2023 update: Interim Infection Prevention and Control Recommendations for COVID-19 in healthcare settings dated May 11, 2023, revealed, this PA HAN (Pennsylvania Health alert Network) provides comprehensive information regarding infection prevention and control for COVID-19 in healthcare settings based on changes made by the Centers for Disease Control and Prevention (CDC) on May 8, 2023. There was no facility specific COVID-19 policy's and procedures available to the survey team at the time of the survey. During an interview August 12, 2024 at 11:00 AM, the Nursing Home Administrator stated the facility follows CDC (Centers for Disease Control) guidelines and recommendations. According to the COVID-19 Infection Control and Outbreak Response for Long-Term Care update as of February 2024 published by the Pennsylvania Department of Health; If a resident develops signs and symptoms of COVID-19:· Implement empiric transmission-based precautions while results are pending. Do not place a person with suspected COVID-19 into a COVID-19 Care Unit prior to confirmation of infection by positive test result Identify a COVID-19 Care Unit Dedicated to Monitor and Care for Residents with Confirmed COVID-19 Dedicating an area within the facility to cohort residents on isolation for confirmed COVID-19 during their infectious period is best practice for decreasing the likelihood of transmission. Components of a COVID-19 Care Unit ideally include the following: Physical separation from other rooms and spaces where residents are not Page 1 of 3 395148 395148 06/14/2024 River View Nursing and Rehabilitation Center 1555 East End Boulevard Plains Twp Wilkes Barre, PA 18711
F 0880 confirmed with COVID-19; Level of Harm - Minimal harm or potential for actual harm Single-person room(s) with designated bathroom(s); Place a resident with suspected or confirmed COVID-19 in a single- person room. Residents Affected - Many The door should be kept closed, if safe to do so. The resident should have a dedicated bathroom. If limited single rooms are available, or if numerous residents are simultaneously identified to have symptoms concerning for COVID-19, residents may remain in their current location until cause of symptoms is determined. If cohorting, only residents with the same pathogen should be housed in the same room. Multidrug-resistant organism (MDRO) colonization or infection status, and/or presence of other communicable disease should also be taken into consideration during the cohorting process. Residents testing positive on July 18, 2024, and continued to reside with roommates who were COVID-19 negative during the quarantine period: Resident 3, a COVID-19 positive resident, cohorted with Resident 4, who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2, Cypress unit. Resident 4 tested positive on August 13, 2024, after cohorting with Resident 3,(COVID -19 positive). Resident 5, a COVID-19 positive resident,cohorted with Resident 6 who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2, Cypress unit Resident 6 tested positive on August 1, 2024, after cohorting with Resident 5, (COVID-19 positive). Resident 7, a COVID-19 positive resident, cohorted with Resident 8, who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2, Aspen unit. Resident 8 tested positive on July 25, 2024 after cohorting with Resident 7, (COVID-19 positive). Resident 9, a COVID-19 positive resident, cohorted with Resident 10 who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2, Aspen unit, Resident 10 tested positive on August 1, 2024 after cohorting with Resident 9, (COVID-19 positive). Residents testing positive on July 25, 2024, continued to reside with roommates who were COVID-19 negative during the quarantine period: Resident 13, a COVID-19 positive resident, cohorted with Resident 14, who was COVID-19 negative, in 395148 Page 2 of 3 395148 06/14/2024 River View Nursing and Rehabilitation Center 1555 East End Boulevard Plains Twp Wilkes Barre, PA 18711
F 0880 room [ROOM NUMBER] bed 1 and 2, Aspen unit. Level of Harm - Minimal harm or potential for actual harm Resident 15, a COVID-19 positive resident, cohorted with Resident 16 who was COVID -19 negative, in room [ROOM NUMBER] bed 1 and 2, Aspen unit. Residents Affected - Many Resident 17, a COVID-19 positive resident, cohorted with Resident 2, who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2, Aspen unit. Resident 19, a COVID-19 positive resident, cohorted with Resident 20, who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2, Birch unit. Resident 21, a COVID-19 positive resident, cohorted with Resident 22, who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2, Birch unit. Residents testing positive on August 1, 2024, and at the time of the survey beginning on August 12, 2024, continued to reside with roommates who were COVID-19 negative: Resident 23, a COVID-19 positive resident, cohorted with Resident 24 who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2 Aspen unit. Resident 25, a COVID-19 positive resident, cohorted with Resident 26 who was COVID-19 negative, in room [ROOM NUMBER] bed 1 and 2 Aspen unit. Testing logs were requested at the time of the survey ending August 12, 2024, to which the facility provided a sheet of paper entitled COVID Positive Residents testing dates were between July 18, 2024, and August 6, 2024. It could not be determined that all staff working on the affected second floor were COVID-19 tested as per CDC guidelines. No COVID-19 testing logs for staff were provided to the survey team during the survey. The facility's infection control logs did not identify any signs or symptoms displayed by any of the residents or staff. At the time of the survey, there was no documentation of any contact tracing for residents or staff. There was no evidence at the time of the survey the facility followed their COVID-19 policy and CDC guidance for COVID-19 testing, contract tracing and cohorting residents positive or exposed to the COVID-19 virus. During an interview July 26, 2024, at 9:00 AM, the Nursing Home Administrator and the Director of Nursing confirmed the facility did not move any of the COVID-19 positive residents, or their COVID-19 negative roommates on the second floor unit because they were under the assumption that cohorting COVID-19 positive residents was no longer recommended. 28 Pa Code 211.12 (c)(d)(1)(5) Nursing services 28 Pa. Code 211.10 (a)(c) Resident care policies 395148 Page 3 of 3

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Citations

17 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0583GeneralS&S Dpotential for harm

    F583 - Privacy and Confidentiality

    Keep residents' personal and medical records private and confidential.

  • 0600GeneralS&S Epotential for harm

    F600 - Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0622GeneralS&S Dpotential for harm

    F622 - Transfer and discharge-

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  • 0623GeneralS&S Bno actual harm

    F623 - Transfer and discharge-

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • 0625GeneralS&S Epotential for harm

    F625 - Transfer and discharge-

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • 0640GeneralS&S Dpotential for harm

    F640 - Automated data processing requirement-

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  • 0656GeneralS&S Dpotential for harm

    F656 - Comprehensive Care Plans

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0688GeneralS&S Epotential for harm

    F688 - Mobility

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  • 0694GeneralS&S Epotential for harm

    F694 - Parenteral Fluids

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  • 0698GeneralS&S Dpotential for harm

    F698 - Dialysis

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0868GeneralS&S Epotential for harm

    F868 - Quality assessment and assurance

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  • 0880GeneralS&S Fpotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

  • 0550GeneralS&S Epotential for harm

    F550 - Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • 0554GeneralS&S Dpotential for harm

    F554 - The right to self-administer medications if the interdisciplinary team, as

    Allow residents to self-administer drugs if determined clinically appropriate.

  • 0690GeneralS&S Dpotential for harm

    F690 - Incontinence

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0692GeneralS&S Dpotential for harm

    F692 - Assisted nutrition and hydration

    Provide enough food/fluids to maintain a resident's health.

  • 0732GeneralS&S Cno actual harm

    F732 - Nurse Staffing Information

    Post nurse staffing information every day.

FAQ · About this visit

Common questions about this visit

What happened during the June 14, 2024 survey of RIVER VIEW NURSING AND REHABILITATION CENTER?

This was a inspection survey of RIVER VIEW NURSING AND REHABILITATION CENTER on June 14, 2024. The surveyor cited 17 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at RIVER VIEW NURSING AND REHABILITATION CENTER on June 14, 2024?

Yes, 17 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Keep residents' personal and medical records private and confidential."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.