Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Riverview At The Park Care And Rehabilitation Cent during CMS and state inspections, most recent first.
Nursing staff failed to notify a physician when a resident experienced a significant decline in condition over several days, despite a facility policy requiring physician notification for major changes. The resident, who was previously cognitively intact and able to feed themself with only setup assistance and ambulate with help, became confused, unable to feed themself or bear weight, required a Hoyer lift, became incontinent with dark, strong-smelling urine, and appeared pale. The following day, the resident was lethargic, remained in bed with eyes closed, responded only to painful stimuli, was not eating or drinking, had an elevated temperature, and could not swallow medications, which were held. The next morning, the resident was found unresponsive and was sent to the ER. Interviews with an LPN, the PCP, and the DON confirmed there was no physician notification during the period of decline, even though they all indicated they would have expected immediate notification of such changes.
The facility failed to maintain an effective pest control program, as evidenced by observations of flies and ants affecting multiple residents, including a quadriplegic resident unable to shoo flies away. Despite a contract with a pest control company and staff reporting procedures, the presence of pests persisted, impacting residents' quality of life.
The facility failed to maintain a safe and homelike environment, with residents using stained and damaged linens, and experiencing issues like cracked wheelchair arms and non-latching doors. Staff interviews revealed communication gaps in addressing maintenance requests, despite a policy in place. The facility's leadership acknowledged the need for a well-maintained environment, yet deficiencies persisted.
The facility failed to complete NA Registry checks for four employees before their employment start date and did not ensure its policy covered all employees. Additionally, a CBC, EDL, or FCSR check was not completed before the hire date for one employee. The Administrator and DON acknowledged these lapses.
The facility failed to notify residents and their representatives in writing about hospital transfers and did not inform the State LTC Ombudsman. This affected six residents, with the last ombudsman notification sent in December 2023. The facility's policy lacked procedures for these notifications, and staff could not produce the required transfer notices.
The facility failed to provide written notification of the bed hold policy to residents and/or their representatives at the time of hospital transfer, as required by their policy. This deficiency was identified for three residents, with no documentation of written notification during multiple hospital transfers. The facility's leadership acknowledged the expectation for such notifications.
The facility failed to ensure three nurse aides completed their training within four months of employment, as required by policy. This was due to the resignation of the CNA instructor, leaving the facility without an instructor to complete the training. The Administrator noted that one aide had medical issues affecting attendance, and another could not complete classes due to the lack of an instructor.
Failure to Notify Physician of Resident’s Significant Change in Condition
Penalty
Summary
Facility nursing staff failed to notify the physician in a timely manner when a resident experienced a significant change in condition that ultimately resulted in hospitalization. The facility’s policy on Change in Resident’s Condition or Status, revised 02/2021, required nurses to notify the attending or on-call physician when there was a significant change in a resident’s physical, emotional, or mental condition that was not self-limiting and affected more than one area of health status. Despite this policy, there was no documentation that the physician or on-call physician was notified on the days when the resident’s condition notably declined. The resident involved was cognitively intact per the 12/09/25 Quarterly MDS and required partial to moderate assistance with ADLs, including ambulation and transfers, with only meal setup assistance for eating and partial assistance with toileting. The resident’s diagnoses included coronary artery disease, anemia, cancer, hypertension, orthostatic hypotension, peripheral arterial disease, diabetes with polyneuropathy, depression, and dysphagia. The care plan dated 12/10/25 indicated the resident required substantial assistance with ambulation using a wheeled walker, partial assistance with tray setup, and partial assistance with toileting, with occasional bowel and bladder incontinence. Progress notes documented a clear decline beginning on 12/13/25, when the resident, previously able to feed self and bear weight, became alert only to self, generally confused, unable to comprehend how to feed self or cut food, stared blankly at food or others eating, was no longer bearing weight and required a Hoyer lift for transfers, was incontinent of bowel and bladder with dark amber, strong-smelling urine, and had pale skin color. On 12/14/25, the resident was described as lethargic, remained in bed with eyes closed, responded only to painful stimuli, was not eating or drinking, had a temperature of 99.7, and was unable to swallow medications, which were held. On the morning of 12/15/25, the resident was noted to be unresponsive and was sent to the emergency room after a new order was received. Interviews with an LPN, the PCP, and the DON confirmed that no physician notification occurred regarding the changes on 12/13/25 or 12/14/25, and all stated they would have expected physician notification based on the documented changes in the resident’s condition.
Deficiency in Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple observations of pests affecting residents. Flies were observed buzzing around and landing on several residents, including one who was quadriplegic and unable to shoo them away. Ants were also seen in various locations, including on a bedside table and crawling up walls. Dead gnats were found on a sink, and residents reported ongoing issues with pests in their rooms. These observations were made over several days, affecting both sampled and non-sampled residents, indicating a widespread issue within the facility. Interviews with residents and staff revealed that the pest problem was known, with residents expressing concerns about the presence of flies and ants. Staff members, including a CNA and an LPN, stated they would report pest issues to maintenance, who would then address them. The Maintenance Supervisor confirmed that a pest control company visits monthly, and additional visits can be requested if needed. Despite these measures, the presence of pests persisted, affecting the quality of life for the residents and indicating a deficiency in the facility's pest control program.
Deficiencies in Facility Maintenance and Resident Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple observations and interviews. Several residents were found to be using bedsheets that were stained, had holes, or were tattered, indicating a lack of proper linen maintenance. Specifically, one resident was observed over several days with the same stained and damaged fitted sheet, while others had bedsheets with multiple tiny holes. Additionally, issues with the physical environment were noted, such as cracked and missing vinyl on wheelchair arms, broken toilet paper holders, and missing thresholds at flooring transitions. Further observations revealed that room conditions were substandard, with doors that would not latch properly, walls with holes and scuff marks, and air conditioning units missing front vents. Residents expressed dissatisfaction with these conditions, having reported some issues weeks prior without resolution. Interviews with staff, including a laundry aide, CNA, LPN, and the maintenance director, highlighted a lack of effective communication and follow-up on maintenance requests. The maintenance director indicated that requests are typically addressed by priority, but the persistence of these issues suggests a breakdown in the process. The facility's policy on maintenance work orders, revised in April 2010, outlines a procedure for prioritizing and addressing maintenance needs, but the observations and interviews suggest that this policy is not being effectively implemented. The administrator and nursing leadership acknowledged the expectation for a well-maintained environment, yet the deficiencies observed indicate a failure to meet these standards, affecting both the sampled and non-sampled residents and potentially impacting the entire facility population.
Failure to Complete Required Background Checks and Registry Verifications
Penalty
Summary
The facility failed to ensure that Nurse Aide (NA) Registry checks were completed prior to the employment start date for four employees out of a sample of ten. Additionally, the facility's policy did not address checking the NA Registry for all employees prior to employment, only for Certified Nursing Assistants (CNAs). This oversight led to the hiring of Licensed Practical Nurses (LPNs) and other staff without verifying their status on the NA Registry, which is crucial for identifying any findings of abuse, neglect, mistreatment, or theft associated with the applicants. Furthermore, the facility did not adhere to its policy of completing Criminal Background Checks (CBC), Employee Disqualification List (EDL), or Family Care Safety Registry (FCSR) checks before the employment start date for one employee. Specifically, the FCSR check for a Registered Nurse (RN) was completed after the hire date. These lapses in following established procedures for background checks and registry verifications were acknowledged by the facility's Administrator and Director of Nursing, who stated that they expected these checks to be completed for new hires.
Failure to Notify Residents and Ombudsman of Transfers
Penalty
Summary
The facility failed to provide written notification to residents and their representatives regarding transfers to the hospital, as well as failing to notify the Office of the State Long-Term Care Ombudsman. This deficiency was identified for six residents, both within and outside the sampled group, who were transferred to the hospital on multiple occasions. The facility's policy on discharging residents, revised in December 2016, did not include procedures for notifying residents or their representatives in writing, nor did it address notifying the ombudsman. Interviews with the facility's administration and nursing staff revealed that transfer/discharge logs had not been sent to the ombudsman at all in the current year, with the last known submission occurring in December 2023. The Administrator and Director of Nursing acknowledged the lack of written notifications and ombudsman notifications, and they were unable to produce the necessary transfer notices for the residents in question. This oversight affected the facility's compliance with regulatory requirements for resident transfers and discharges.
Failure to Provide Written Bed Hold Policy Notification
Penalty
Summary
The facility failed to inform residents and/or their representatives in writing about the bed hold policy at the time of transfer to the hospital, as required by their own policy and regulations. This deficiency was identified for three residents out of a sample of 20, with the facility's total census being 99. The facility's policy, revised in October 2022, mandates that residents and their representatives be informed in writing about the bed hold policy both in advance of any transfer and at the time of transfer, or within 24 hours if the transfer was an emergency. For Resident #7, there were multiple transfers to the hospital on specific dates, yet there was no documentation indicating that the resident or their representative was informed in writing about the bed hold policy at the time of these transfers. Similarly, Resident #66 was transferred to the hospital on two occasions, and Resident #201 on one occasion, with no written notification provided to them or their representatives regarding the bed hold policy. During an interview, the facility's Administrator, Director of Nursing, and Assistant Director of Nursing acknowledged the expectation that residents discharging to the hospital should be notified of the bed hold policy in writing, as per the regulation.
Failure to Complete Nurse Aide Training Within Required Timeframe
Penalty
Summary
The facility failed to ensure that three nurse aides completed a nurse aide training program within four months of their employment, as required by the facility's policy. The policy mandates that nurse aides must complete a training program and competency evaluation within four months of hire, or they may be reassigned to non-nursing roles. However, the facility did not adhere to this policy for three nurse aides, identified as NA I, NA K, and NA P. NA I had completed the nurse aide program but had not taken the test, while NA K and NA P were still attending the program without completion. The deficiency was partly due to the resignation of the facility's CNA instructor, which left the facility without an instructor to complete the training. The Administrator acknowledged the issue, noting that NA K had medical issues affecting their attendance, and NA P was unable to complete the classes due to the lack of an instructor. The facility was in the process of hiring a new instructor, but the delay resulted in the failure to meet the training requirements within the specified timeframe.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sainte Genevieve
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Genevieve Nursing | 1.8 mi | — | 0 | 0 |
| Three Springs Sr Living & Rhab | 13.8 mi | — | 8 | 0 |
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| Estates Of Perryville, Llc, The | 19 mi | — | 14 | 1 |
| St Francois Manor | 21.9 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.