Inspection·June 13, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to follow their weight management policy for one of five residents (Resident 2), when Resident 2 was not weighed weekly after severe weight loss was noted on January 8, 2025. Residents Affected - Few This failure had the potential to lead to continued unmonitored weight loss which could negatively impact Resident 2's health condition. Findings: On April 29, 2025, at 8:45 a.m., an unannounced visit was conducted at the facility to investigate a quality care concern. A review of Resident 2's, admission Record, indicated the resident was admitted to the facility on [DATE], and re-admitted to the facility on [DATE], with diagnoses which included muscle wasting and atrophy (a breakdown of muscle tissue). A review of Resident 2 ' s, Weights and Vitals Summary, indicated the following: 12/10/2024 139 lbs., (pounds) 01/08/2025 122 lbs., (17 lbs. weight loss in a month); and 02/04/2025 109 lbs. (13 lbs. weight loss in a month). A review of eInteract SBAR summary for Providers, dated February 2, 2025, indicated, .The change in Condition .Food and/or fluid intake .Weight: W 122.0 lb. – 1/8/2025 . A review of the weight and vital summary did not indicate documentation of weekly weight monitoring after the resident had a weight loss of 17 lbs. on January 8, 2025, and 13 lbs. on February 4, 2025. On April 29, 2025, at 2 p.m., an interview was conducted with the Director of Nursing (DON). The DON stated that, per policy, Resident 2 should have been weighed, at least, weekly after the severe weight loss from December 2024-January 8, 20252025, was observed. A review of the facility ' s policy titled, Weight Assessment and Intervention, indicated, .The nursing staff will measure resident weights on admission, the next day, and weekly for two weeks (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: 555017 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 555017 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/13/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverwalk Post Acute 4000 Harrison Street Riverside, CA 92503 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)