Health inspection·April 14, 2025

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview and record review, the facility failed to ensure residents' rooms were maintained clean and comfortable when: 1. room [ROOM NUMBER] had adhesive residue, chipped paint and black horizontal lines across the wall in front of the residents' bed, chipped baseboards and the floor had yellow and black stains; and 2. room [ROOM NUMBER] had adhesive residue, chipped paint and black horizontal lines across the wall in front of the residents' bed. This failure had the potential to negatively impact the psychosocial well-being of Residents 1, 2, 3, 4, 5 and 6. Findings: On March 27, 2025, at 10:54 a.m., during an observation in room [ROOM NUMBER], there were three residents, Residents 1, 2 and 3. The wall in front of them had adhesive residue, chipped paint, black horizontal lines and chipped baseboard. The floor had yellow and black stains. On March 27, 2025, at 10:58 a.m., during an observation in room [ROOM NUMBER], there were three residents, Residents 4, 5 and 6. The wall in front of them of them had adhesive residue, chipped paint and black horizontal lines. On March 27, 2025, at 11:35 a.m., during a concurrent interview with the Maintenance Director (MTD) and observation of room [ROOM NUMBER], the MTD stated the black horizontal lines and chipped baseboard were from when the residents' bed or wheelchair touched the wall. The MTD stated the chipped paint and adhesive residue were from when he moved the electrical outlets up behind the televisions. The MTD stated the floor was old, had stains on it and was not clean. The MTD stated they tried to clean the floor, but the stains were not removed. The MTD stated the floor should be changed. On March 27, 2025, at 11:40 a.m., during a concurrent interview with the MTD and observation of 49, the MTD stated there were adhesive residue, chipped paint and black horizontal lines on the wall. The MTD stated the black horizontal lines were from when the residents' bed or wheelchair touched the wall; and the chipped paint and adhesive residue were from when he moved the electrical outlets up behind the televisions. The MTD stated they started renovating the facility including residents' rooms three years ago. There are still some rooms that needed to be renovated including rooms [ROOM NUMBERS], but the residents did not want to move out. The MTD stated he cannot do any repairs or Page 1 of 2 555017 555017 04/14/2025 Riverwalk Post Acute 4000 Harrison Street Riverside, CA 92503

F 0921 renovations if there are residents in the rooms. Level of Harm - Minimal harm or potential for actual harm On March 27, 2025, at 12:06 p.m. during an interview with the Director of Nursing (DON), the DON stated they have started renovating the residents' rooms little by little but there are residents and their families who did not want to be moved. The DON stated they must explain to the resident and their families why they need to do room changes so that the rooms can be renovated. Residents Affected - Few On March 27, 2025, at 2:48 p.m., during a telephone interview with the ADM, the ADM stated maintaining residents' rooms is a team effort but is mainly the responsibility of the MTD and he oversee it. The ADM stated the stained floor, adhesive residue and black lines should not be in the residents' rooms. The ADM stated every resident should be comfortable in their rooms and the rooms should be well kept. The ADM stated the condition of rooms [ROOM NUMBERS] may be off-putting to the residents. A review of the facility's policy and procedure titled Maintenance Service dated December 2009 indicated .Maintenance service shall be provided to all areas of the building, grounds, and equipment .The Maintenance Department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times .Functions of maintenance personnel include .maintaining the building on compliance with current federal, state and local laws, regulations, and guidelines .maintaining the building in good repaired and free from hazards . 555017 Page 2 of 2