Emergency Preparedness Deficiency Due to Outdated Succession Plan
Penalty
Summary
Riverview Nursing and Rehabilitation Center was found to be non-compliant with the emergency preparedness requirements outlined in 42 CFR 483.73. During an emergency preparedness survey conducted on April 8, 2025, it was observed that the facility failed to maintain an updated Delegation of Authority succession plan. The plan, last updated in August 2020, contained names that did not match the current staff roster. This deficiency affected all three floors of the facility. The issue was confirmed during an exit interview with the Facility Administrator and Facilities Manager.
Plan Of Correction
1. Facility has updated the Delegation of Authority succession Plan. 2. The facility Delegation of Authority will be reviewed and updated as needed. 3. NHA will educate the Receptionist to ensure the Delegation of Authority is completed as needed. 4. Facility Delegation of Authority will be audited weekly x4 then monthly x3 by NHA/Designee to ensure the plan is up to date. Audits will be reviewed at QAPI for further recommendations.