Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens 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 Estates Rehab And Senior Living Center during CMS and state inspections, most recent first.
The facility failed to have an RN on duty for at least 8 hours a day, 7 days a week, as required. On two weekends, there were no RNs on duty for any shift. Despite claims from the administration that RNs were always present, staffing reports and schedules showed otherwise, violating the facility's staffing policy.
The facility failed to timely respond to a consultant pharmacist's recommendations for two residents. One resident's medication administration time was not updated for several months, and another resident did not receive recommended lab tests while on Depakote. The Director of Nursing acknowledged the delay, which contradicted the facility's policy for timely implementation of pharmacist recommendations.
Surveyors identified deficiencies in food handling and storage practices, including a dented can of pizza sauce, improperly stored frozen puree moldings, and wilted coriander in the kitchen. Additionally, an unlabeled and undated food item was found in a resident pantry refrigerator. The facility's policies on food receiving, storage, and monitoring were not followed, as confirmed by the FSD and an LPN.
A facility failed to document wound care for a resident with dementia, depression, and diabetes, as required by professional standards. The resident's TAR had blank spaces for treatments on two days, indicating they were not documented as administered. The DON confirmed that treatments were completed but not signed off by the nurse, violating the facility's documentation policy.
The facility failed to follow physician orders for PRN oxygen use and did not implement proper infection control measures for respiratory equipment. A resident's nebulizer mask was left uncovered, and records showed oxygen use without documentation of need. Staff interviews revealed inconsistencies in equipment storage practices, contrary to facility policy.
A facility failed to properly label, store, and date medications, as observed during a survey. A medication cart contained a sticky substance, loose tablets, and improperly stored lorazepam liquid that required refrigeration. The LPN acknowledged the issues, and the LPN Unit Manager and DON confirmed the need for proper storage and cleanliness according to facility policy.
A facility failed to maintain proper infection control during wound care for a resident with open wounds. An LPN did not wear a gown, change gloves, or perform hand hygiene as required by facility policies. The resident, with dementia and diabetes, had specific wound care orders that were not followed correctly. Additionally, Enhanced Barrier Precautions were not implemented for the resident, despite having chronic wounds, due to unclear guidelines from the Infection Preventionist and DON.
Failure to Ensure RN Coverage 7 Days a Week
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least 8 consecutive hours a day, 7 days a week, as required by regulations. This deficiency was identified during a review of the Nurse Staffing Report sheets and interviews with facility staff. Specifically, on two weekends reviewed, there were no RNs on duty for the entire day, evening, and night shifts. On December 9, 2023, the Nurse Staffing Report showed zeros for all shifts under the RN column, and the daily nursing schedule confirmed the absence of an RN. Similarly, on August 31, 2024, the RN scheduled to work called out, resulting in no RN coverage for that day. Interviews with the Licensed Nursing Home Administrator and the Director of Human Resources/Staffing revealed a discrepancy between their statements and the staffing records. Both individuals claimed that an RN was on duty every day, yet the staffing reports and schedules indicated otherwise. The facility's policy on staffing, last reviewed in December 2023, mandates that RNs be available 8 hours a day to provide clinical oversight and care planning. However, the facility did not adhere to this policy on the specified dates, leading to the identified deficiency.
Delayed Response to Pharmacist Recommendations
Penalty
Summary
The facility failed to respond to the consultant pharmacist's (CP) medication regimen review recommendations in a timely manner for two residents. For one resident, the CP recommended updating the administration time of Pantoprazole Sodium to 9 AM, which was not implemented until several months later, despite the recommendation being made in May. This delay in updating the medication administration time was observed in the Medication Administration Records (MAR) for several months. For another resident, the CP recommended periodic monitoring of valproic acid levels and baseline liver function tests, coagulation, and complete blood count with differential while the resident was on Depakote. The recommendation was made in May, but the practitioner did not respond until late July, and no laboratory studies were ordered since June. The practitioner did not document whether they agreed or disagreed with the CP's recommendation, which was noted as a deficiency in the facility's process. The Director of Nursing (DON) acknowledged responsibility for ensuring timely completion of CP recommendations and stated that a timely manner would be within a couple of days to a week, depending on the order. However, the recommendations made in May were not completed within this timeframe. The facility's policy requires the DON to act upon CP recommendations by notifying the attending physician and ensuring timely implementation, which was not adhered to in these cases.
Deficient Food Handling and Storage Practices
Penalty
Summary
The facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner, as observed by surveyors. In the dry storage room, a can of Pizza Sauce with Basil was found with a dent on the upper seam, which the Food Service Director (FSD) acknowledged needed to be moved to a designated dented can area. In the walk-in freezer, a quarter pan containing frozen puree moldings was improperly stored on top of cardboard boxes, with the plastic wrap covering it torn, leaving the contents exposed to air. Additionally, in the walk-in refrigerator, a pan containing fresh coriander was found to be brown and wilted, dated from several weeks prior, and was subsequently discarded by the FSD. In the designated resident pantry, an unlabeled and undated red Wawa cloth bag containing an unidentified food item was found in the refrigerator. An LPN confirmed that nursing staff was responsible for labeling and dating foods brought in from outside the facility and removed the item, suspecting it had arrived the previous night. The facility's policies on food receiving, storage, and monitoring of cooler/freezer temperatures were not adhered to, as evidenced by the presence of dented cans, improperly covered and stored food, and unlabeled items in the resident pantry.
Failure to Document Wound Care in TAR
Penalty
Summary
The facility failed to adhere to professional standards of practice for documenting wound care on the Electronic Treatment Administration Record (TAR) for a resident. This deficiency was identified during a survey, which included interviews, medical record reviews, and examination of facility documentation. The resident involved had multiple diagnoses, including unspecified dementia, major depressive disorder, and diabetes, and was assessed to have severely impaired cognition. The survey revealed that there were blank spaces on the TAR for specific treatment orders on two separate days, indicating that the treatments were not documented as administered. These treatments included the use of a low air loss scoop mattress and wound care for the resident's right posterior shoulder and right lateral foot. The facility's Director of Nursing (DON) confirmed that the expectation was for nurses to document treatments in the Electronic Medical Record (EMR) on the TAR, and any blank spaces should have a documented reason for the omission. Further investigation showed that the treatments were later documented as administered on a different date, suggesting a lapse in timely documentation. The DON explained that the nurse responsible for the resident on the days in question had completed the treatments but forgot to sign the TAR. The facility's policy on charting and documentation requires that all treatments and services be documented accurately and completely, including the date, time, and the name and title of the individual providing care.
Failure to Follow Respiratory Care Protocols
Penalty
Summary
The facility failed to adhere to a physician's order for PRN oxygen use for a resident with chronic obstructive pulmonary disease (COPD). During an initial tour, a surveyor observed a nebulizer mask dated several days prior, left uncovered and exposed in the resident's room. The resident's electronic medical record indicated a physician's order for oxygen to be administered as needed for shortness of breath or when oxygen saturation levels fell below 93%. However, the medication administration records for several months showed no documentation that the resident required oxygen, despite records indicating oxygen use on multiple occasions when the resident's oxygen saturation was above 93%. Additionally, the facility failed to implement proper infection control measures for the handling and storage of respiratory equipment for two residents. One resident's nebulizer mask was observed uncovered and exposed on a bedside table after use. The facility's policy required that respiratory equipment be cleaned and stored in a plastic bag between uses to prevent contamination. Interviews with facility staff revealed inconsistencies in the understanding and implementation of these procedures, with some staff unsure of the exact protocol for storing respiratory equipment. The facility's Director of Nursing and Licensed Nursing Home Administrator confirmed the expectation that nebulizer masks should be cleaned and bagged between treatments. However, observations by surveyors indicated that this practice was not consistently followed, as evidenced by the uncovered nebulizer masks found in residents' rooms. The facility's policy on nebulizer administration outlined the steps for cleaning and storing equipment, but these procedures were not adhered to, leading to potential contamination risks for the residents involved.
Improper Medication Storage and Labeling
Penalty
Summary
The facility failed to properly label, store, and date medications in accordance with manufacturer recommendations, as observed during a survey of medication carts. In one of the medication carts inspected, a brown sticky substance was found at the bottom of a drawer, and seven and a half loose tablets were discovered. Additionally, a lorazepam liquid, which required refrigeration, was improperly stored on the medication cart instead of in a refrigerator. The LPN present during the inspection acknowledged awareness of the sticky substance but had been unsuccessful in removing it. The LPN also admitted to not noticing the loose tablets during her shift check and confirmed that the lorazepam should have been refrigerated. The LPN Unit Manager confirmed that the lorazepam should have been stored in a locked refrigerator in the medication room and acknowledged the presence of loose tablets and the need for immediate cleaning of the spillage. The Director of Nursing reiterated that spills should be cleaned immediately and that maintenance should be contacted if further cleaning is needed. The facility's policy on medication storage emphasized maintaining medication areas in a clean, safe, and sanitary manner, with medications requiring refrigeration to be stored in a secured refrigerator.
Infection Control Deficiency in Wound Care
Penalty
Summary
The facility failed to maintain appropriate infection control practices during wound care for a resident with open wounds. During an observation, a Licensed Practical Nurse (LPN) did not wear a gown while performing wound care on the resident. The LPN also failed to change gloves after removing dirty dressings and before cleaning the wounds, and did not perform hand hygiene before or after applying skin prep to the resident's ankles. These actions were contrary to the facility's infection control policies, which require changing gloves and performing hand hygiene between handling contaminated and clean items. The resident involved was admitted with diagnoses including unspecified dementia and diabetes, and was at risk for pressure ulcers. The resident's medical orders included specific wound care instructions for the right posterior shoulder and right lateral foot, as well as preventative skin care for the ankles. Despite these orders, the LPN did not follow proper infection control procedures, which were observed by the surveyor during the wound care process. Additionally, the facility did not implement Enhanced Barrier Precautions (EBP) for the resident, who had open wounds. The Infection Preventionist (IP) and Director of Nursing (DON) were unclear about when EBP should be applied, despite the facility's policy stating that EBP should be used for residents with chronic wounds, regardless of their MDRO status. The lack of signage and proper use of personal protective equipment (PPE) further demonstrated the facility's failure to adhere to its own infection control policies.
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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 Riverton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wynwood Rehabilitation And Healthcare Center | 1.9 mi | — | 13 | 0 |
| Immaculatemarycenter For Rehabilitation&healthcare | 3 mi | — | 26 | 1 |
| Sterling Manor | 3.1 mi | — | 0 | 0 |
| River's Edge Rehabilitation & Healthcare Center | 3.1 mi | — | 18 | 0 |
| Transitional Care Unit At Nazareth Hospital | 3.3 mi | — | 0 | 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.