Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at River Park Post Acute during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment and multiple medical conditions was repeatedly observed in a hospital gown despite expressing a preference to wear her own clothes. Staff interviews and record reviews showed that dressing assistance was often not provided or documented, and the resident's choices were not consistently honored, contrary to facility policy requiring resident involvement in ADL decisions.
Residents repeatedly requested that their wheelchairs be cleaned, as documented in council meeting minutes and a grievance log, but the facility did not act promptly or thoroughly on these concerns. Despite policy requiring immediate action and timely response, only a light cleaning was performed after more than a year, leaving many wheelchairs still dirty and residents frustrated.
A resident with multiple chronic conditions and moderate cognitive impairment did not receive scheduled or PRN pain medications as ordered, resulting in poorly controlled pain. Despite the resident reporting high pain levels and expressing a preference for lower pain, staff failed to administer medications, document refusals or re-attempts, or notify the provider, contrary to facility policy and care plan interventions.
Glucometer quality controls were not consistently completed or documented as required, with multiple days in March lacking records of daily calibration. Both the ADON and DON confirmed the expectation for daily controls and attributed the lapses to new and temporary staff. Facility policy mandates daily calibration and documentation, which was not followed.
A resident with cerebral palsy and depression, who was cognitively intact, was subjected to verbal abuse by a roommate's spouse, who accused her of inappropriate behavior and used profane language. Staff and documentation confirmed the incident met the facility's definition of verbal abuse, and the resident reported feeling scared and angry as a result.
Failure to Support Resident Choice in Dressing
Penalty
Summary
The facility failed to promote and facilitate a resident's right to self-determination by not supporting her choice of clothing. The resident, who had a history of transient ischemic attack, cerebral infarction, protein-calorie malnutrition, major depressive disorder, chronic obstructive pulmonary disease, cognitive communication deficit, and chronic knee instability, was observed multiple times over two days dressed only in a hospital gown. Despite having a moderate cognitive impairment and requiring one-person assistance with dressing, the resident expressed a clear preference to be dressed in her own clothes. Staff interviews and medical record reviews revealed that scheduled dressing tasks were frequently marked as not applicable or not attempted, with no documentation of resident refusals. The resident's own statements and observations confirmed that her preference to wear her own clothes was not being honored consistently. Staff interviews indicated a lack of awareness or follow-through regarding the resident's clothing preferences. One CNA stated she did not recall seeing the resident in regular clothes, while a physical therapy assistant confirmed the resident had clothes available and a known preference for a particular dress. The DON was unaware of the resident's preference and stated that being in a wheelchair should not prevent dressing assistance. On one occasion, a CNA acknowledged the resident's request to get dressed but delayed assistance, citing the need to complete charting. The facility's policy required involving residents in ADL decisions and providing assistance according to assessed needs, but this was not consistently implemented for this resident.
Failure to Timely Address Resident Council Grievances on Wheelchair Cleaning
Penalty
Summary
The facility failed to act promptly on the concerns raised by the resident council regarding the cleaning of wheelchairs. Over the course of more than a year, multiple requests were documented in resident council meeting minutes, specifically asking for wheelchairs to be washed, with no evidence that these concerns were addressed in a timely manner. A grievance log also recorded a concern about wheelchair cleaning, but did not specify when the cleaning would occur. Interviews with residents, including the resident council president and other council members, confirmed ongoing frustration and dissatisfaction with the lack of response to their repeated requests. Residents reported that wheelchairs remained dirty and that only a light cleaning was performed on some chairs, rather than a thorough cleaning as requested. The facility's policy required the grievance official to evaluate, investigate, and take immediate action to resolve concerns, with a response to be provided within three working days. However, the first documented cleaning occurred more than a year after the initial request, and residents stated that many wheelchairs remained unclean. The executive director acknowledged the delay and confirmed that the requests for cleaning began over a year prior to the first cleaning event. The failure to address the resident council's grievances in a timely and effective manner constitutes a deficiency in honoring residents' rights to have their concerns acted upon.
Failure to Provide Consistent Pain Management
Penalty
Summary
A deficiency was identified when a resident with multiple medical conditions, including a history of transient ischemic attack, cerebral infarction, protein-calorie malnutrition, major depressive disorder, chronic obstructive pulmonary disease, cognitive communication deficit, and chronic knee instability, did not receive appropriate pain management as per her care plan and provider orders. The resident had a documented history of moderate cognitive impairment and consistently reported pain levels between 3-6 out of 10, with recent assessments indicating pain as high as 8 out of 10. Despite having scheduled and PRN orders for pain medications such as Oxycodone, Ibuprofen, and Tylenol, the resident did not receive her scheduled Oxycodone doses on two consecutive days, and there was no evidence of PRN pain medication administration during the month reviewed. Staff interviews revealed that the resident had not received her pain medication on the mornings in question, and the LPN responsible cited reasons such as the resident being asleep or refusing medication, but there was no documentation of re-attempts or provider notification as required. The resident herself reported significant pain and a preference for her pain level to be at or below 3 out of 10, but her pain was not adequately addressed. The MARs confirmed the lack of administration of both scheduled and PRN pain medications, and staff failed to document their actions or notify the provider when medications were missed or refused. The facility's pain management policy requires regular assessment, prompt response to pain complaints, and documentation of interventions, but these procedures were not followed. The DON and other nursing staff confirmed that pain medications should have been administered when the resident verbalized pain and that refusals or missed doses should be documented and reported. The lack of adherence to these protocols resulted in the resident experiencing poorly controlled pain, as evidenced by her own reports and staff observations.
Failure to Consistently Complete and Document Daily Glucometer Controls
Penalty
Summary
The facility failed to ensure that glucometer quality controls were consistently completed as required. During a medication storage observation, it was found that the March 2025 Quality Control Record sheet for a medication cart showed that glucometer controls were not performed on several specific dates throughout the month. Both the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) confirmed during interviews that glucometer controls should be performed daily by the night shift and documented accordingly, but acknowledged that this was not done consistently in March 2025. The DON attributed the inconsistency to new and temporary nursing staff and staff turnover. Facility policy requires that glucometers be calibrated at least once daily, with results recorded on the appropriate form kept in the glucometer logbook at the nurses' station. Review of the clinical records, facility documentation, and staff interviews confirmed that this policy was not followed, resulting in incomplete documentation and inconsistent performance of required glucometer controls.
Resident Exposed to Verbal Abuse by Visitor
Penalty
Summary
A deficiency occurred when a resident with cerebral palsy, wheelchair dependence, and major depressive disorder was not protected from verbal abuse by another resident's spouse. The resident, who was cognitively intact and had no recent behavioral issues, reported that her roommate's husband accused her of inappropriate behavior and repeatedly used profane and aggressive language towards her. The incident was documented in clinical notes, and the resident expressed feeling scared and angry as a result of the confrontation. Staff interviews confirmed that the incident involved verbal abuse, as defined by facility policy, which includes the use of disparaging or derogatory language within a resident's hearing. The involved staff members acknowledged that the language and behavior exhibited by the visitor constituted verbal abuse. The resident's account was corroborated by staff, who noted that the resident was visibly affected by the incident and continued to discuss it for several days afterward. Despite the facility's policy to protect residents from all forms of abuse, the event occurred when the visitor was able to confront and verbally abuse the resident without immediate intervention to prevent the incident. The documentation and interviews indicate that the facility failed to ensure the resident was free from abuse, as required by regulation, leading to psychosocial harm for the resident involved.
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Illustrative
What surveyors actually found near you
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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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A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Chandler
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tempe Post Acute | 2.8 mi | ★★★★★ | 6 | 0 |
| Chandler Post Acute And Rehabilitation | 3.3 mi | ★★★★★ | 9 | 0 |
| Desert Cove Nursing Center | 3.3 mi | ★★★★★ | 18 | 0 |
| Friendship Village Of Tempe | 3.4 mi | ★★★★★ | 2 | 0 |
| Sante Of Chandler | 3.6 mi | ★★★★★ | 3 | 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.