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 Health Services during CMS and state inspections, most recent first.
The facility did not ensure menus were followed to meet residents' nutritional needs, as meals were substituted without prior approval from the RD. The Dietary Manager reported changing menu items twice weekly due to budgeting concerns, with the RD approving these changes up to 30 days later. This practice could impact the nutritional value of meals for all 38 residents.
The facility failed to ensure proper sanitization and food handling practices, risking foodborne illness for all residents. The dietary staff did not measure the dishwasher's internal temperature, and logs were incomplete. Additionally, a dietary aide did not fully cover his hair or facial hair, violating the facility's policy on staff attire.
A facility failed to ensure proper insulin administration procedures were followed when an RN attempted to administer insulin to a resident without priming the pen. The RN was observed preparing a 22-unit dose for a resident using a Glarigine insulin pen without performing the required safety test. The facility's policy mandates priming the needle with at least 2 units before administration, which the RN did not initially follow.
A resident with dementia and Pick's disease was prescribed risperidone for food aggression, but the facility failed to monitor the specific behaviors the medication was intended to treat. Staff interviews confirmed the absence of these behaviors in monitoring records, leading to an inaccurate assessment of the medication's necessity.
A CNA failed to perform hand hygiene during care for a resident who was incontinent, leading to potential cross-contamination. The CNA did not sanitize hands after removing soiled items and before handling clean items, contrary to the facility's policy. The lapse was attributed to the lack of readily available hand sanitizer.
Failure to Follow and Approve Menu Changes
Penalty
Summary
The facility failed to ensure that menus were followed to meet the nutritional needs of all 38 residents. Meals were not provided as listed on the menu, and changes were made without consulting the Registered Dietitian (RD) to ensure nutritional adequacy. The Dietary Manager (DM) reported that menu items were being changed approximately twice weekly due to budgeting concerns, substituting planned meals with soup and sandwiches. These substitutions were logged and approved by the RD only when she was on-site monthly, which could be up to 30 days after the changes were made. The RD confirmed that the facility's menus were approved by corporate dietitians and that she was on-site monthly to review and sign off on the log of substituted food items. However, she acknowledged that menu substitutions could impact the nutritional value of meals, as they were not approved prior to being served. This practice had the potential to affect the nutritional needs of all residents, as the substitutions could alter the intended nutritional value of the meals.
Deficiencies in Food Handling and Sanitization Practices
Penalty
Summary
The facility failed to ensure proper sanitization and food handling practices, which could potentially lead to foodborne illness for all 38 residents. The deficiency was observed when the dietary staff did not measure the internal temperature of the dishwasher, a requirement according to the FDA Food Code. The dishwasher's temperature log was incomplete for two consecutive days, and the dietary aide admitted to forgetting to complete it. Additionally, the dietary staff were not using test strips or a data logger to verify that the dishwasher was reaching the necessary sanitization temperatures. Furthermore, the facility did not adhere to its policy regarding staff attire in the kitchen. During an observation, a dietary aide was seen with a hairnet that did not fully cover his hair, and his facial hair was not restrained, contrary to the facility's policy. The dietary manager was unaware of this non-compliance, indicating a lack of oversight in ensuring that all kitchen staff adhered to the required standards for hair restraint.
Failure to Prime Insulin Pen Before Administration
Penalty
Summary
The facility failed to ensure proper procedures were followed for the administration of insulin, specifically regarding the priming of insulin pens. During an observation, a Registered Nurse (RN) was seen preparing to administer insulin to a resident using a Glarigine insulin pen without performing the necessary safety check. The manufacturer's instructions clearly state that a safety test must be conducted before each injection to ensure the pen and needle are functioning correctly and to remove air bubbles. The RN initially did not prime the needle, stating it was unnecessary unless the pen was new, which contradicts the facility's policy. The incident involved a resident identified as R3, who was prescribed a 22-unit dose of insulin. The RN was stopped by the surveyor before administering the dose and was reminded of the need to prime the needle. Upon questioning, the Director of Nursing (DON) confirmed that the facility's policy requires all nurses to prime the needle with at least 2 units until insulin is visible before dialing the pen to the prescribed dose. The RN's failure to follow this procedure was acknowledged by the DON, who indicated that the RN would be educated on the correct procedure immediately.
Inadequate Monitoring of Antipsychotic Medication Use
Penalty
Summary
The facility failed to ensure appropriate monitoring and indication for the use of an antipsychotic medication for one resident. The resident, who was diagnosed with dementia with behavioral disturbance, depression, and Pick's disease, was prescribed risperidone for dementia with behaviors. However, the behavior monitoring did not include the specific behaviors the medication was intended to treat, such as food aggression, which was reported by the resident's daughter and POA as a significant issue prior to admission. The facility's policy requires that psychotropic drugs should only be administered if necessary to treat a specific condition, with documented evidence of the medication's benefit through monitoring and documentation of the resident's response. Interviews with facility staff, including a registered nurse, the director of nursing, and a nurse practitioner, revealed that the resident did not exhibit the behaviors listed in the behavior monitoring records, such as itching, picking at skin, restlessness, and aggression. The nurse practitioner confirmed that the resident was receiving risperidone due to a diagnosis of Pick's disease with food aggression, yet this behavior was not included in the monitoring records. Consequently, the behavior monitoring was not an accurate assessment to determine the necessity of the risperidone medication for the resident.
Failure to Perform Hand Hygiene During Resident Care
Penalty
Summary
The facility failed to perform proper hand hygiene during resident care, as observed by a surveyor. Certified Nursing Assistant (CNA) C did not perform hand hygiene after providing peri care to a resident, identified as R10, who was incontinent of bladder and bowel. After removing the resident's soiled bedding and brief, CNA C changed gloves without performing hand hygiene and continued to handle clean items, including applying barrier cream and placing a clean brief on the resident. This action was contrary to the facility's hand hygiene policy, which requires hand hygiene before and after glove use, especially when transitioning from dirty to clean tasks. The surveyor's observation was confirmed through interviews with CNA C and the Director of Nursing (DON) B. CNA C acknowledged the lapse in hand hygiene and attributed it to not having hand sanitizer readily available at the bedside. The DON also confirmed that staff should carry hand sanitizer in their pockets to facilitate hand hygiene at the bedside, emphasizing the importance of performing hand hygiene to prevent cross-contamination and the spread of infection.
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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 Tomahawk
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tomahawk Health Services | 2.2 mi | — | 15 | 1 |
| Friendly Village Nursing And Rehab Center | 17.9 mi | — | 6 | 0 |
| Pine Crest Health And Memory Care | 20.3 mi | — | 0 | 0 |
| Rennes Health And Rehab Center-rhinelander | 21.4 mi | — | 8 | 1 |
| Rib Lake Health Services | 25.7 mi | — | 9 | 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.