Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Riverside Care Center during CMS and state inspections, most recent first.
A resident was observed sitting unattended in the hallway next to the shower room on a shower chair, wearing a gown with an upper extremity exposed while waiting for a shower. The resident had cognitive impairment and was dependent for care. Staff later stated residents waiting for showers were normally kept fully covered with their assigned CNA and a clean sheet for privacy, but this resident was not.
Open Hallway Computer Exposed Resident Information: A resident’s EHR was observed left open and unattended on a hallway computer in the 2nd floor new wing, with the resident’s information visible and photo evidence taken. The ADON stated CNAs use the hallway computers for charting and are educated not to leave resident information visible, and the DON stated staff receive HIPAA and privacy education and are reminded not to discuss resident information in public areas.
Unsafe Storage of Sharp Objects in Resident Areas: A resident’s room contained two knives on an overbed table in a plastic container, and an open unattended shower room had a razor on the sink. The resident had Type 2 DM with diabetic neuropathy, a BIMS score of 13, and used a walker/wheelchair. Staff and the DON acknowledged that sharp objects and razors in these areas were safety issues.
A facility failed to update the PASRR Level I for a resident to include a diagnosis of Anxiety Disorder, despite the resident receiving medication for anxiety. The oversight was acknowledged by the DON, who stated that anxiolytic medications should prompt an update to the PASRR. The facility's policies require screening for mental disorders, but the resident's current mental health needs were not accurately reflected, leading to the deficiency.
A resident with a Stage 4 pressure ulcer did not receive prescribed Tylenol before wound care, resulting in pain during the procedure. The resident's care plan required medication 30-60 minutes prior to treatment, but the EMAR showed no record of administration. The wound care nurse did not assess the resident's pain or offer additional medication during the procedure.
A facility failed to update a resident's nutritional care plan to reflect the current physician's order for tube feeding formula. The resident, who was severely cognitively impaired and dependent on a PEG tube for feeding, was receiving Jevity 1.5, but the care plan incorrectly listed Isosource 1.5. The dietary technician admitted to forgetting to update the care plan, resulting in a discrepancy between the care plan and the physician's order.
A facility failed to update a resident's nutritional care plan, resulting in a discrepancy between the care plan and the physician's order. The resident, dependent on tube feeding, was receiving Jevity 1.5 as per the physician's order, but the care plan inaccurately listed Isosource 1.5. A dietary technician admitted to forgetting to update the care plan, despite facility policy requiring timely revisions.
A resident experienced discomfort during a care treatment because the facility failed to administer prescribed medication 30 to 60 minutes prior, as ordered. The care nurse did not assess the resident's pain level or offer additional medication, and the EMAR lacked documentation of the medication being given. The resident confirmed that they usually receive medication before care, which helps with discomfort.
Failure to Maintain Resident Dignity During Shower Wait
Penalty
Summary
The facility failed to ensure Resident #92 was cared for with dignity and respect when the resident was observed sitting unattended in the hallway next to the shower room on a shower chair, wearing a gown with the left posterior and anterior upper extremity exposed. Staff E, a CNA, stated the resident was waiting her turn to use the shower room. Review of the record showed Resident #92 was admitted to the facility with diagnoses including hypertensive heart disease without heart failure, had a BIMS score of 06 indicating cognitive impairment, and was dependent for care per the admission MDS. Staff C, a CNA, later stated that residents waiting to be showered were normally kept in front of the shower room with their assigned CNAs, fully covered in gowns and a clean sheet for privacy. The facility policy titled Dignity/Privacy states residents shall be cared for in a manner that promotes well-being, self-worth, and self-esteem, and that residents are treated with dignity and respect at all times.
Open Hallway Computer Exposed Resident Information
Penalty
Summary
The facility failed to protect the privacy and confidentiality of resident medical records when an Electronic Health Record was observed left open and unattended on a computer in the 2nd floor new wing hallway, with a resident’s information visible. Photo evidence was taken of the open computer screen. The facility had 116 residents at the time of the survey. During interviews, the ADON stated that hallway computers are used by CNAs to chart and document on their residents and that CNAs are educated not to leave them open with resident information visible. The DON stated that CNAs receive frequent education on resident privacy, HIPAA is covered during new employee orientation, and staff are reminded not to discuss resident information in public areas or in front of other residents, visitors, or unauthorized individuals. The facility policy titled Confidentiality of Information and Personal Privacy stated that the facility will protect and safeguard resident confidentiality and personal privacy and that access to resident personal and medical records will be limited to authorized staff and business associates.
Unsafe Storage of Sharp Objects in Resident Areas
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards when two knives were observed in Resident #88’s room on the overbed table in a plastic container. Resident #88 was admitted with diagnoses including Type 2 diabetes mellitus with diabetic neuropathy, had a BIMS score of 13 indicating cognitive intactness, and was documented as independent for care with use of a walker and wheelchair. The resident’s care plan noted ADL self-care deficits related to multiple medical conditions, muscle weakness, balance deficits, Alzheimer’s, and major depression, and included ambulation with a rollator. Staff interviews indicated that knives or other sharp objects found in resident rooms were considered a safety issue and should be removed. The facility also failed to keep an open and unattended shower room on the second-floor unit free of hazards when a razor was observed on the sink in that room. The surveyor notified facility staff to remove the razor, and the DON acknowledged the finding and stated that shower rooms should be cleaned and free of personal hygiene items after use, and that razors cannot be stored in the shower room because it is a safety issue for residents and staff. The facility policy identified sharp objects accessible to vulnerable residents as environmental hazards.
Failure to Update PASRR for Resident with Anxiety Disorder
Penalty
Summary
The facility failed to ensure the Preadmission Screening and Resident Review (PASRR) Level I for a resident was accurately completed. The deficiency was identified when it was found that the PASRR Level I dated 09/15/2023 for a resident did not include an updated diagnosis of Anxiety Disorder, despite the resident having a medical diagnosis of Anxiety Disorder Unspecified. The resident was observed to be slightly anxious and was receiving Buspirone for anxiety, which was not reflected in the PASRR documentation. The PASRR Level I only identified Depressive Disorder and Insufficient Sleep Syndrome, and did not check the section for Serious Mental Illness (SMI). The Director of Nursing (DON) acknowledged that anxiolytic medications should prompt an update to the PASRR, but it was overlooked. The facility's policies and procedures require that all new admissions and readmissions are screened for mental disorders, intellectual disabilities, or related disorders per the Medicaid PASRR process. However, the oversight in updating the PASRR documentation led to the deficiency, as the resident's current mental health needs were not accurately reflected in the PASRR, which is crucial for determining the appropriate level of care and interventions needed.
Plan Of Correction
F645 PASARR Screening for MD & ID CFR(s): 483.20(k)(1)-(3) Plan for specific resident: On __, the level 1 PASARR for sampled resident #17 was updated to include the diagnosis of __. Method to assume compliance for other residents: On __, an in-service was provided to the psych nurse and social services by the DON on accurately updating PASARR. By __, the psych nurse will have conducted audits of medical records of residents to ensure that PASARR has been accurately updated. This will be done to ensure 100% compliance. System: As of __, the psych nurse will conduct on a weekly basis for a period of 3 months 5 random level 1 PASARR to ensure they have been accurately updated. As of __, the DON will provide additional in-service as needed based on findings. The threshold for compliance is 100%. Monitoring: As of __, the quality assurance and performance improvement coordinator will use a monitoring tool to check on a weekly basis for a period of 3 months 5 random level 1 PASARR to ensure that they have been updated. This will be done to ensure 100%.
Failure to Administer Pain Medication Before Wound Care
Penalty
Summary
The facility failed to ensure adequate pain management interventions for a resident with a Stage 4 pressure ulcer, leading to discomfort during wound care treatment. The resident had an order to be medicated with Tylenol 30-60 minutes before wound care, but this was not followed, as evidenced by the absence of documentation in the Electronic Medication Administration Record (EMAR) indicating that the medication was administered prior to the procedure. During the wound care observation, the resident expressed pain by moaning and yelling, yet the wound care nurse did not stop to assess the pain level or offer additional pain medication. The resident, who is cognitively intact, was admitted with a diagnosis of a Stage 4 pressure ulcer developed in the facility. The care plan included goals for the pressure ulcer to show signs of healing and remain free from infection, with interventions to administer medications as ordered and monitor for side effects and effectiveness. However, the failure to administer the prescribed pain medication before wound care was a deviation from the care plan and the facility's policy, which requires medication to be given prior to wound care to promote healing and ensure resident comfort.
Plan Of Correction
F684 Quality of Care CFR(s): 483.25 Plan for specific resident: On an in-service was provided to the medicine nurse to give medication per doctor's orders and to sign medication administration record after. To communicate to the treatment nurse after medication is given. On an in-service was given to staff (care nurse) on verifying with medication nurse if medication was administered. On verifying with the resident if medication was taken to ensure that medication was received before care treatment. On stopping care if resident complains of discomfort, access the level of notifying the doctor for adjustment of medication to manage resident's level. On an order from the doctor to increase the order of 325mg to 2 tabs given orally 30-60 min prior to care. Method to assure compliance for other residents: On in-service was provided to the nurses by the DON on following doctor's orders when administering medications and to sign medication administration record as given. On communicating between medication nurse and treatment nurses to ensure residents for care was medicated. On assessing resident's comfort or level during care. If the resident complains of discomfort or care process must stop. Access, level and notify physician for modification of management. System: On care nurse conducted an audit of the residents receiving care with orders of medication before change to ensure that orders are present that adequately manage their level during care. Monitoring: As of the quality assurance and performance improvement coordinator will use a monitoring tool to check on a weekly basis, for a period of 3 months, residents with medications prior to care treatment that they receive their medication as ordered and the medication ordered is adequate to manage resident's. This will be done to ensure 100% compliance.
Inaccurate Documentation of Nutritional Care Plan
Penalty
Summary
The facility failed to accurately document a nutritional care plan for a resident receiving tube feeding. During observations, it was noted that the resident was receiving Jevity 1.5 at a rate of 50 ml/hr via a PEG tube, as per the physician's order. However, the care plan, which was revised in February 2025, incorrectly listed Isosource 1.5 as the tube feeding formula. This discrepancy between the care plan and the physician's order was confirmed during an interview with the dietary technician, who admitted to forgetting to update the care plan. The resident involved was severely cognitively impaired and dependent on assistance for activities of daily living, including feeding via a PEG tube. The resident's care plan was supposed to address potential nutritional and hydration deficits, but it failed to reflect the current physician's order for the tube feeding formula. The facility's policy requires that care plans be comprehensive and person-centered, with revisions made as the resident's condition changes. However, the dietary technician did not update the care plan to reflect the change in the tube feeding formula, leading to the deficiency.
Plan Of Correction
F842 Residents Records Identifiable Information CFR(s): 483.20(f)(5), 483.70(h)(1)-(5) Plan for specific resident: Dietary technician updated the care plan (Resident #31) on , technician adjusted the formula longevity 1.5 to ensure facility is in compliance. Quality Assurance Coordinator along with interdisciplinary team conducted a review on showing that (Resident #31) required an update in resident care plan. The care plan was updated and revised to include the current condition of (Resident #31) and necessary interventions. Interdisciplinary care plan team will focus on updating resident's care plan as needed or when a change of order is being received. To ensure a care plan is in place and that residents do receive treatment and care in accordance with professional standards of practice. Method to assume compliance for other residents: On Administrator provided in-service to the interdisciplinary team on the process of revising and updating the care plan based on assessment findings. As of Quality Assurance Coordinator along with interdisciplinary care plan team will review all orders when provided, when care plan is needed or when there is a change in residents care plan intervention. Interdisciplinary team will make proper adjustments to ensure 100% compliance with adequate monitoring and assessment. Findings will be presented to the administrator and DON monthly during Risk management meeting to evaluate the need for further intervention. System: As Quality Assurance Coordinator along with interdisciplinary care plan team will conduct internal audits on a weekly basis to ensure facility is updating all aspects of the resident's care plan including any type of intervention or physician's orders. The Audit will consist of a comprehensive, person-centered care plan that includes measurable objectives and timetable to meet the resident's physical and functional needs. Quality assurance coordinator along with interdisciplinary team will ensure that residents care plan along with assessments are ongoing and that care plans must be revised as residents' information do change. Monitoring: As of Quality assurance coordinator along with interdisciplinary team will monitor residents care plan for 90 days on a weekly basis or as needed. The facility will maintain clinical records on each resident in accordance with accepted professional standards and practices, which will be completed, accurately documented, readily accessible, and systematically organized to ensure residents plan of care are being audited on a timely basis.
Inaccurate Documentation of Nutritional Care Plan
Penalty
Summary
The facility failed to accurately document a nutritional care plan for a resident, identified as Resident #31, which led to a discrepancy between the care plan and the physician's order. The resident was observed receiving tube feeding at a rate of 50 milliliters per hour, consistent with the physician's order for Jevity 1.5. However, the care plan inaccurately listed Isosource 1.5 as the prescribed formula, which was not updated to reflect the current physician's order. The resident, who was initially admitted and later readmitted to the facility, has a diagnosis that requires attention to nutritional and hydration needs. The resident is severely dependent on assistance for activities of daily living and requires tube feeding as part of their care. The physician's order specified Jevity 1.5 at 50 ml/hr for 20 hours, with specific times for the feeding to be turned off and on. Despite this, the care plan was not updated to match the physician's order, leading to a discrepancy in the documented care plan. During an interview, a dietary technician acknowledged the oversight, stating that the care plans are updated quarterly or when changes occur, but admitted to forgetting to update the care plan in this instance. The facility's policy requires comprehensive, person-centered care plans that are revised as residents' conditions change, but this was not adhered to in the case of Resident #31, resulting in the documented deficiency.
Plan Of Correction
F842 Residents Records - Identifiable Information CFR(s): 483.20(f)(5), 483.70(h)(1)-(5) Plan for specific resident: Dietary technician updated the care plan (Resident #31) on technician adjusted the formula jevity 1.5 to ensure facility is in compliance. Quality Assurance Coordinator along with interdisciplinary team conducted a review on showing that (Resident #31) required an update in resident care plan. The care plan was updated and revised to include the current condition of (Resident #31) and necessary interventions. Interdisciplinary care plan team will focus on updating resident's care plan as needed or when a change of order is being received. To ensure a care of plan is in place and that residents do receive treatment and care in accordance with professional standards of practice. Method to assume compliance for other residents: On Administrator provided in-service to the interdisciplinary team on the process of revising and updating the care plan based on assessment findings. As of Quality Assurance Coordinator along with interdisciplinary care plan team will review all orders when provided, when care plan is needed or when there is a change in residents care plan intervention. Interdisciplinary team will make proper adjustments to ensure 100% compliance with adequate monitoring and assessment. Findings will be presented to the administrator and DON monthly during Risk management meeting to evaluate the need for further intervention. System: As Quality Assurance Coordinator along with interdisciplinary care plan team will conduct internal audits on a weekly basis to ensure facility is updating all aspects of the resident's care plan including any type of intervention or physician's orders. The Audit will consist of a comprehensive, person-centered care plan that includes measurable objectives and timetable to meet the resident's physical, and functional needs. Quality assurance coordinator along with interdisciplinary team will ensure that residents care plan along with assessments are ongoing and that care plans must be revised as residents' information do change. Monitoring: As of Quality assurance coordinator along with interdisciplinary team will monitor residents care plan for 90 days on a weekly basis or as needed. The facility will maintain clinical records on each resident in accordance with accepted professional standards and practices, which will be completed, accurately documented, readily accessible, and systematically organized to ensure residents plan of care are being audited on a timely basis.
Failure to Administer Prescribed Medication Before Care
Penalty
Summary
The facility failed to provide adequate and appropriate healthcare for a resident, as evidenced by the failure to administer prescribed medication prior to a care treatment. The resident had an order to be medicated 30 to 60 minutes before care treatment to ensure comfort, but this order was not followed. During an observation of the resident's care, the resident expressed discomfort and pain, indicating that the medication was not administered as required. The care nurse responsible for the resident's treatment did not stop to assess the resident's pain level or offer additional medication when the resident showed signs of discomfort. The nurse stated that they would call the doctor if there were any changes in the resident's condition and explained that they usually medicate residents 30 to 60 minutes before care. However, the Electronic Medication Administration Record (EMAR) showed no documentation of the medication being administered as ordered prior to the care treatment. The resident confirmed that they usually receive medication before care, which helps with their discomfort, but they were unsure if they were medicated on the day of the observation. The facility's policy on care procedures emphasizes the importance of verifying physician orders and documenting how the resident tolerated the procedure, but these steps were not adequately followed in this instance.
Plan Of Correction
FS Right to Adequate and Appropriate Health Care 400.022(1)(1) Plan for specific resident: On an in-service was provided to the medicine nurse to give medication per doctor's orders and to sign medication administration record after. To communicate to the treatment nurse after medication is given. On an in-service was given to staff (care nurse) on verifying with medication nurse if medication was administered. On verifying with the resident if medication was taken to ensure that medication was received before care treatment. On stopping care if resident complains of discomfort, access the level of notifying the doctor for adjustment of medication to manage resident's level. On an order from the doctor to increase the order of 325mg to 2 tabs given orally 30-60 min prior to care. Method to assure compliance for other residents: On in-service was provided to the nurses by the DON on following doctor's orders when administering medications and to sign medication administration record as given. On communicating between medication nurse and treatment nurses to ensure residents for care were medicated. On assessing resident's comfort or level during care. If the resident complains of discomfort or level, care process must stop. Access level and notify physician for modification of management. System: On care nurse conducted an audit of the residents receiving care with orders of medication before change to ensure that orders are present that adequately manage their level during care. Monitoring: As of the quality assurance and performance improvement coordinator will use a monitoring tool to check on a weekly basis, for a period of 3 months, residents with medications prior to care treatment that they receive their medication as ordered and the medication ordered is adequate to manage resident's. This will be done to ensure 100% compliance.
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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 Miami
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Victoria Nursing & Rehabilitation Center, Inc. | 0.1 mi | ★★★★★ | 5 | 0 |
| Ponce Health And Rehabilitation Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Jackson Gardens Health And Rehabilitation Center | 1.1 mi | ★★★★★ | 7 | 0 |
| University Health And Rehabilitation Center | 1.1 mi | ★★★★★ | 1 | 0 |
| Unity Healthcare And Rehabilitation Center | 1.5 mi | ★★★★★ | 0 | 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.