Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Riverchase Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident on dual anticoagulant therapy experienced a fall during incontinence care and was documented by an LPN as having abrasions, bruising, redness on the back and side, a mark on the forehead, and discoloration of multiple extremities, suggesting a possible head injury. The resident’s daughter observed visible injuries, increased pain, and behavioral changes and was told that the provider had been notified, an X-ray ordered, and Tylenol given. However, the NP reported he was only informed that the resident fell from bed and had bilateral leg pain, and he was not told about the head and multiple body injuries. Later that day, another LPN documented that the resident developed nausea, vomiting, SOB, and became unresponsive, prompting EMS transfer to the hospital, where the resident subsequently died. The failure to fully assess and communicate the extent of injuries and condition changes after the fall resulted in neglect.
A resident with a cervical vertebra fracture experienced a decline in condition, becoming dependent on assistance and incontinent. Despite physician orders for routine urinalysis, the facility failed to obtain the necessary labs, leading to a worsening UTI and hospitalization. Staff noticed the decline and reported it, but the NP was not informed of any concerns, resulting in a missed opportunity for early intervention.
Failure to Recognize and Respond to Post-Fall Injuries in Anticoagulated Resident
Penalty
Summary
The deficiency involves the facility’s failure to recognize, assess, and appropriately respond to a resident’s injuries after a fall, resulting in neglect as defined by the facility’s Abuse and Neglect policy. The resident, who was receiving two daily anticoagulants (Clopidogrel at bedtime and Aspirin in the morning) with orders to monitor for side effects such as bruising and sudden changes in mental status, fell during incontinence care on February 15, 2026. At 2:50 PM, an LPN documented abrasions, bruising, and redness to the right side and left upper back, a mark on the left forehead, and discoloration to the right knee, right arm, and right elbow, indicating a possible head injury. The resident’s daughter reported that when she arrived after being notified of the fall, she observed red marks on the resident’s head and back, noted that the resident was in a lot of pain, and acting differently by talking louder than usual despite usually being soft spoken and quiet. She stated that the LPN told her the physician had been notified, an X-ray ordered, and Tylenol given for pain. The facility’s nurse practitioner later reported that the LPN had informed him only that the resident had fallen from the bed and was reporting pain in both legs, and that he gave a verbal order for an X-ray without being made aware of the visible injuries. He stated that he was not informed of the full extent of the injuries, including the documented head and multiple body injuries, and that his decision-making was based on incomplete information. The first notation of a possible head injury was at 2:50 PM, and subsequent documentation at 7:47 PM by another LPN described the resident as nauseated, vomiting, experiencing shortness of breath, and becoming unresponsive, leading to transfer to the hospital at approximately 9:15 PM. The resident’s daughter later notified the facility at 1:00 AM on February 16, 2026, that the resident had passed away. The failure to fully assess and communicate the extent of the injuries and potential anticoagulant-related concerns following the fall constituted neglect under the facility’s policy, as necessary services to avoid physical harm and pain were not provided.
Failure to Obtain Urinalysis Leads to Resident Hospitalization
Penalty
Summary
The facility failed to follow physician orders to obtain a urinalysis for a resident, which contributed to the worsening of a urinary tract infection (UTI) that resulted in hospitalization. The resident was admitted with a diagnosis of a displaced posterior fracture of the first cervical vertebra and initially required setup assistance with meals and was continent of bowel and bladder. Over time, the resident's condition declined, becoming dependent on assistance for meals and incontinent of bowel and bladder. Despite physician orders for routine urinalysis, the facility did not obtain the necessary labs, including a urinalysis, which was crucial for early detection and treatment of the UTI. Interviews with facility staff revealed that both a CNA and an LPN noticed the resident's decline and reported their concerns to the nursing supervisor. However, the Nurse Practitioner was not informed of any special concerns regarding the resident's condition. The NP stated that routine urinalysis labs are ordered weekly to prevent severe infections like urosepsis, which the resident eventually developed. The lack of timely urinalysis and communication about the resident's declining condition contributed to the failure to prevent the worsening of the UTI, leading to the resident's hospitalization.
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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 Quincy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Miracle Hill Nursing & Rehabilitation Center, Inc | 17 mi | ★★★★★ | 2 | 0 |
| Tallahassee Memorial Hospital Extended Care | 19.1 mi | ★★★★★ | 0 | 0 |
| Centre Pointe Health And Rehab Center | 19.8 mi | ★★★★★ | 10 | 0 |
| Aviata At The Gardens - Tallahassee | 20.2 mi | ★★★★★ | 10 | 0 |
| Aviata At Tallahassee | 20.6 mi | ★★★★★ | 26 | 0 |
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