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 Riverside during CMS and state inspections, most recent first.
A resident with severe cognitive impairment was left vulnerable to further abuse after a CNA witnessed another CNA strike the resident and left to report the incident. The facility failed to immediately remove the alleged abuser, leading to a finding of immediate jeopardy. The police observed physical signs of abuse, and the CNA admitted to the act, resulting in arrest.
The facility failed to provide adequate pressure ulcer care and prevention for four residents, leading to the development and worsening of pressure injuries. Residents were not repositioned as required, and there was a lack of documentation regarding refusals to reposition. This resulted in new and worsening pressure injuries, despite existing care plans and interventions.
The facility did not follow food safety protocols during meal preparation and distribution. A CNA prepared and served breakfast without changing gloves after touching contaminated surfaces, and another CNA delivered uncovered meal trays to residents, exposing food to potential contamination.
During a COVID-19 outbreak, a facility failed to adhere to CDC guidelines for PPE use, particularly in a dementia unit. Staff were observed not changing N95 masks after leaving precaution rooms, not using eye protection, and neglecting hand hygiene between glove changes. Residents with COVID-19 were seen wandering without masks, and staff entered rooms with contact precautions without proper PPE. The infection preventionist admitted the facility had modified CDC guidance without a supply issue justification.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to protect a resident from physical abuse by a staff member, which resulted in a finding of immediate jeopardy. On the night of January 6, 2025, a Certified Nursing Assistant (CNA) witnessed another CNA strike a resident across the face. The witnessing CNA left the resident alone with the alleged abuser to report the incident to the nursing staff, leaving the resident at risk for further abuse. The resident, who had severe cognitive impairment and a history of physical and verbal agitation, was left vulnerable during this time. The incident was reported to a Registered Nurse (RN) who attempted to contact the Nursing Home Administrator and Director of Nursing but was unable to reach them. The RN then called the police to report the incident. Upon entering the unit, the RN found the alleged abuser still with the resident, indicating a delay in removing the staff member from the situation. The police arrived and observed physical signs of abuse on the resident, including redness and cuts on the lips. The CNA admitted to hitting the resident and was subsequently arrested. The facility's policy required immediate protection of residents from alleged offenders, which was not followed in this case. The delay in removing the alleged abuser and ensuring the resident's safety contributed to the finding of immediate jeopardy. The facility's failure to act promptly and protect the resident from further harm was a significant factor in the deficiency identified by the surveyors.
Inadequate Pressure Ulcer Care and Prevention
Penalty
Summary
The facility failed to provide adequate pressure ulcer care and prevention for four residents, leading to the development and worsening of pressure injuries. Resident 58, who was admitted with multiple pressure injuries and at risk for further development, was not repositioned for several hours, resulting in an unstageable pressure injury. Despite having a care plan that included regular repositioning and the use of pressure-relieving devices, the facility did not adhere to these protocols consistently. Observations showed that Resident 58 was left in a wheelchair for extended periods without repositioning, and there was a lack of documentation regarding any refusals to reposition. Resident 89, also at risk for pressure injuries, was not repositioned for four hours, and the facility failed to evaluate the effectiveness of the interventions in place. The resident was observed lying in bed with heels directly on the bed, and staff did not offer or perform repositioning during multiple observations. The facility missed a weekly skin assessment, and there was a lack of further assessment for a suspected deep tissue injury on the resident's heel, attributed to staffing issues. Residents 9 and 28, both with existing pressure injuries, were not repositioned as required to promote healing and prevent further injuries. Resident 9 was observed sitting in a chair for extended periods without repositioning, leading to an increase in the size of an existing pressure injury. Resident 28, with a deep tissue injury, was not offloaded during observations, and there were documented refusals of repositioning. The facility's failure to adhere to repositioning protocols and adequately document refusals contributed to the deficiencies observed.
Food Safety Protocols Not Followed During Meal Preparation and Distribution
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. A Certified Nursing Assistant (CNA) was seen preparing and serving breakfast without following proper hygiene protocols. The CNA did not wash hands or use hand sanitizer before putting on gloves and proceeded to touch various surfaces in the kitchenette with the same gloves. These gloves were then used to handle ready-to-eat food, such as toast, which was served to two residents. The Culinary Services Manager confirmed that the CNA did not follow safe food handling practices, as gloves should be changed after touching potentially contaminated surfaces. Additionally, another CNA was observed delivering hot lunch meal trays to residents in their rooms without maintaining proper food safety standards. The CNA removed covers from the main course plates and cold drinks, then carried the uncovered trays down the hallway, exposing the food to potential contamination. This practice was observed for several residents, indicating a lapse in maintaining food safety protocols during meal distribution.
Inadequate Infection Control Practices During COVID-19 Outbreak
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program during a COVID-19 outbreak, as observed by surveyors over a four-day period. Staff were repeatedly seen not adhering to CDC guidelines for PPE use, particularly in the dementia unit where 18 residents were at risk. Staff were observed wearing surgical masks over N95 respirators and not changing the N95 masks after leaving rooms designated for droplet and contact precautions. Additionally, staff did not consistently use eye protection or sanitize goggles after use, and there was a lack of hand hygiene between glove changes during resident care. Specific incidents included a resident with Alzheimer's disease and COVID-19 who was seen wandering and touching surfaces without wearing a mask, and staff not performing hand hygiene after glove changes while providing care. Another resident with vascular dementia and COVID-19 was observed moving around the facility without a mask, and staff were seen assisting residents without proper PPE. The facility's infection preventionist acknowledged that the staff's practices did not align with CDC guidance and that the facility had modified the guidance for their outbreak unit without a supply issue justification. Further observations revealed that staff, including CNAs and food service aides, were not following proper PPE protocols, such as not using hand sanitizer between mask changes and not wearing appropriate PPE when entering rooms with contact precautions. The facility's policy required gowns and gloves for contact precautions, but staff were seen entering and exiting rooms without the necessary PPE. Interviews with staff indicated a lack of recent training on infection control practices, contributing to the observed deficiencies.
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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 La Crosse
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Benedictine Manor Of Lacrosse | 0.8 mi | — | 1 | 0 |
| Bethany St Joseph Care Ctr | 1.8 mi | — | 0 | 0 |
| Hillview Health Care Ctr | 2.1 mi | — | 15 | 0 |
| La Crescent Health Services | 4.4 mi | — | 25 | 1 |
| Onalaska Care Center | 7 mi | — | 1 | 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.