Below 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 River Towne Center during CMS and state inspections, most recent first.
Failure to Obtain Informed Consent for Psychotropic Medications: Two residents received psychotropic medications for depression disorder without documentation that the resident or representative was informed in advance of the risks, benefits, or alternative treatment. One resident had moderately impaired cognition and the other had severe cognitive impairment; EMR review found no signed informed consent for Bupropion, Effexor, Sertraline, or Trazodone. Staff interviews showed uncertainty about who was responsible for obtaining consent.
Kitchen Not Maintained in Clean and Sanitary Condition: Multiple areas of the kitchen floor were worn through, cracked, buckled, or missing grout, with standing water in several spots, and the Dietary Manager acknowledged the flooring was not a cleanable surface. The walls, clean knife storage, oven, and microwave were dirty with food spatter and grime, and dietary staff placed measuring spoons on top of the dirty microwave while preparing pureed bread.
Medication services failed to address missing ordered meds for a newly admitted resident with acute respiratory failure, hyperlipidemia, a trach, and glaucoma. The MAR showed the resident did not receive Budesonide inhalation suspension, Naloxegol, Isosorbide Dinitrate, or Latanoprost during the stay. Progress notes documented the meds were awaiting delivery and on back order, but an LPN stated she did not check the Omnicell or notify the physician for an update or substitute. The DON and Administrator described expectations for timely physician notification and checking available stock.
Late Medication Administration: A resident with anemia, post-amputation orthopedic aftercare, and muscle weakness had several scheduled meds documented well outside the allowed medication pass window, including a PPI, an ARB, and an opioid/APAP. The resident had moderately impaired cognition, the meds were available in the Omnicell, and UMs and the Administrator stated they were unaware of the late administrations and were not auditing med pass times; the facility policy required meds to be given within one hour of the prescribed time.
Surveyors found that expired food items, such as seasonings, dressings, gelatin, cabbage, and various cheeses, were not discarded as required by facility policy. The Dietary Manager and Administrator confirmed that expired food should have been removed during inventory checks.
Two residents did not have comprehensive, person-centered care plans addressing their specific needs. One resident with respiratory issues and a nebulizer order did not have interventions for shortness of breath included in the care plan, while another resident experiencing severe pain and receiving PRN pain medication had no pain management interventions documented. Both the MDS Coordinator and DON confirmed these omissions.
Two residents with significant physical and cognitive impairments did not consistently receive scheduled showers or adequate assistance with ADLs, as required by facility policy. Documentation and resident interviews revealed missed showers and inadequate hygiene support, despite staff statements that care was provided and documented.
Surveyors found that a syringe with an uncapped needle was left on top of a medication cart's biohazard container, rather than being properly disposed of, and hazardous cleaning chemicals were accessible in three residents' rooms, including items brought in by family members. Staff and leadership confirmed these items should not have been accessible to residents.
A resident admitted after neck surgery did not receive prescribed PRN narcotic pain medication due to the facility not obtaining the required hard copy prescription from the hospital and the receiving nurse failing to contact the physician for an alternative order. As a result, the resident experienced unmanaged pain overnight, despite documented complaints and an existing physician order in the record.
Surveyors found expired medications, including bisacodyl suppositories, Tylenol 325 mg, and Renavite, stored with unexpired drugs in a medication room. Staff and DON confirmed that expired medications should have been removed and set aside for pharmacy destruction, but this was not done according to facility policy.
Staff failed to properly store respiratory therapy equipment, such as nebulizer and BiPAP masks, by leaving them unbagged and unlabeled in resident rooms, contrary to infection control policy. Additionally, a resident with a PEG tube did not receive dressing changes as ordered, resulting in a soiled dressing remaining in place for several days. These lapses were confirmed by staff and the DON during interviews.
Failure to Obtain Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that residents or their representatives were informed in advance of the risks and benefits of prescribed psychotropic medications or of alternative treatment for two residents reviewed. R46 was admitted to the facility with moderately impaired cognition, as shown by a BIMS score of 9 out of 15 on the annual MDS. Her March 2026 medication summary showed physician orders for Bupropion and Effexor for depression disorder, but the EMR contained no documentation of any informed consent signed or reviewed by the resident or her representative before the psychotropic medications were administered. R61 was admitted to the facility with severe cognitive impairment, as shown by a BIMS score of 0 out of 15 on the MDS. His March 2026 medication summary showed physician orders for Sertraline and Trazodone for depression disorder, but review of the EMR documents found no informed consent documentation signed or reviewed by the resident or his representative before administration of the psychotropic medications. During interviews, the SSD, UM, DON, and Administrator each stated they were not familiar with, or did not clearly identify, who was responsible for obtaining informed consent for high-risk or psychotropic medications, and the facility policy titled Medication Therapy stated that medication decisions should include appropriate elements of the care process, including each resident's wishes, values, goals, condition, and prognosis.
Kitchen Not Maintained in Clean and Sanitary Condition
Penalty
Summary
The facility failed to maintain the kitchen in a clean and sanitary condition for 103 residents who consume food from the kitchen. During an observation with the Dietary Manager, multiple areas of the kitchen floor were worn through, broken, cracked, buckled, or missing grout, including areas in front of the steam table, three-pan sink, steamer, drink station, dish machine, stove, and walk-in refrigerator entrance. Several of these damaged areas were flooded with standing water, and the Dietary Manager acknowledged that the floor was not a cleanable surface and that the flooring needed repair. The piping underneath the three-pan sink was rusted through and exposed to the inside, the hood filter had broken slats, and the dry storage area had drywall debris falling onto the floor. The walls throughout the kitchen were observed to be dirty with food spatter, including behind the prep station, hand-washing sink, three-pan sink, and around the clean knife storage container. The clean knife storage unit itself was dirty with spatter and lint on the outside, top, and behind it, and the oven was dirty with grime and food spatter on the outside windows and sides. During the observation, dietary staff placed measuring spoons on top of a dirty microwave while preparing pureed bread, and the Dietary Manager later confirmed the microwave was dirty and cleaned it. The Administrator stated the facility was looking at the cost for the flooring but did not have any estimates, and also stated the hood vent needed to be replaced.
Medication Orders Not Addressed When Ordered Drugs Were Unavailable
Penalty
Summary
Facility pharmacy services failed to ensure medication irregularities were identified and addressed for a newly admitted resident with acute respiratory failure with hypoxia, hyperlipidemia, and a tracheostomy. The resident was admitted to the facility and later expired there. Physician orders included Budesonide Inhalation Suspension via trach twice daily, Naloxegol Oxalate via feeding tube daily, and Latanoprost Ophthalmic Solution for glaucoma in both eyes, along with Isosorbide Dinitrate. Review of the MAR showed the resident did not receive the ordered Budesonide Inhalation Suspension, Naloxegol Oxalate, Isosorbide Dinitrate, or Latanoprost Ophthalmic Solution during the three-day stay. Progress notes documented that the facility was awaiting delivery of the missing medications, that the medications were missing and reported to be on back order, and that the resident was assessed for shortness of breath with respiratory assessments and vital signs recorded each shift. During interview, the LPN stated she documented the medications were on back order but did not look in the Omnicell for the medications and did not call the prescribing physician regarding the unavailable medications for an update to the order or for a substitute. The Administrator stated his expectation was that nursing staff would inform the physician if medications were not available within the initial 12 hours of admission, check the Omnicell, and then notify the physician for a change to similar medications that were readily available. The facility policy stated the DON supervises medication administration and medications are administered in accordance with prescriber orders, including any required time frame.
Late Medication Administration
Penalty
Summary
The facility failed to administer medications within the prescribed time frame for one resident who had been admitted with diagnoses including anemia, encounter for orthopedic aftercare following surgical amputation, and muscle weakness. Review of the resident’s discharge MDS showed moderately impaired cognition, and the resident representative stated the resident did not think the resident received any medications for the first 24 hours. The medication administration audit showed Omeprazole DR 20 mg and Losartan Potassium 100 mg, both scheduled for 9:00 AM on 06/19/25, were documented as given at 2:33 PM that day. The audit also showed Oxycodone-Acetaminophen 5-325 mg, scheduled for 8:00 AM on 06/21/25, was documented as administered at 1:01 PM. The Omnicell inventory list showed the medications were available. Unit Managers stated medication pass allowed one hour before and one hour after the scheduled time, but they had not audited medication administration times and were unaware of late medications. The Administrator stated the same timing expectation and said the medications should have been pulled from the Omnicell, and that nobody was auditing for late medication administration. The facility policy titled Administering Medications stated medications should be administered within one hour of the prescribed time.
Expired Food Items Not Discarded in Kitchen
Penalty
Summary
The facility failed to discard expired food items as required by its Food Receiving and Storage policy. During a kitchen tour with the Dietary Manager, surveyors observed multiple expired food items, including ground allspice seasoning, ground ginger seasoning, French-style dressing packets, gelatin, cabbage, cream cheese, cottage cheese, and ricotta cheese. The Dietary Manager confirmed these findings and stated that inventory checks were conducted and expired food should be discarded. The Administrator also confirmed that kitchen staff were expected to ensure all expired food items were removed.
Failure to Develop Comprehensive, Person-Centered Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for two residents, as required by their own policy and federal regulations. For one resident with diagnoses including pneumonia and COPD, documentation showed the resident experienced shortness of breath and had a physician's order for nebulizer treatments as needed. However, the resident's care plan did not include any interventions or guidance related to nebulizer use or management of shortness of breath. This omission was confirmed by both the MDS Coordinator and the Director of Nursing, who acknowledged that respiratory needs and nebulizer treatments should have been addressed in the care plan. For another resident admitted with orthopedic aftercare needs, muscle weakness, and cervical spinal stenosis, records indicated the resident experienced severe pain, received as-needed pain medication, and that pain occasionally interfered with sleep. Despite this, the resident's care plan did not address pain management or include any related interventions. The MDS Coordinator and the Director of Nursing both confirmed that the care plan should have included pain as a focus area, based on the resident's assessment and physician's orders.
Failure to Provide Scheduled Showers and ADL Assistance
Penalty
Summary
The facility failed to provide scheduled showers and adequate assistance with activities of daily living (ADLs) for two residents who were unable to perform these tasks independently. One resident, with diagnoses including type 2 diabetes, end-stage renal disease, muscle weakness, and morbid obesity, required substantial to maximum assistance with showering or bathing and was scheduled for showers on specific days. However, documentation showed missed showers, and the resident reported not receiving a bed bath or shower for about a month, particularly due to being out of the facility for dialysis on scheduled shower days. Staff interviews indicated that showers or bed baths were supposed to be provided and documented, but records did not support this. Another resident, with legal blindness, muscle weakness, glaucoma, and schizophrenia, also required assistance with showering or bathing. Documentation for this resident showed gaps in the provision of showers or baths, and the resident reported not receiving showers as scheduled. Observations confirmed the resident wore the same clothing on consecutive days. Staff interviews confirmed that showers were to be provided on certain days, with bed baths on others, but documentation and resident reports indicated this was not consistently done. Facility policy required that residents unable to perform ADLs independently receive appropriate support with hygiene, but this was not followed for the two residents identified.
Failure to Prevent Accident Hazards and Control Access to Hazardous Items
Penalty
Summary
Surveyors observed multiple instances where the facility failed to maintain an environment free from accident hazards. On one medication cart, an unpackaged syringe with an uncapped needle was found lying on top of a biohazard container, rather than being fully disposed of inside the container. This was confirmed by the RN, Unit Manager, DON, and Administrator, all of whom acknowledged that syringes and needles should be completely placed inside biohazard containers to prevent potential resident access and injury. Additionally, hazardous chemicals were found accessible in three residents' rooms. An aerosol disinfecting spray was left on a bedside table within easy reach of a resident, and a multi-purpose cleanser was found on top of a toilet tissue dispenser in another resident's bathroom, reportedly brought in by a family member. In a third instance, a container of disinfecting cleaner was located under the sink in a resident's bathroom, also brought in by family. Staff interviews confirmed that such chemicals should not be accessible to residents, and the DON and Administrator were unaware that family members had brought these items into the facility.
Failure to Provide Timely Pain Management Due to Medication Order Process Lapse
Penalty
Summary
The facility failed to provide appropriate pain management for one resident following admission from an acute care hospital. The resident, who had recently undergone neck surgery and had diagnoses including orthopedic aftercare, muscle weakness, and cervical spinal stenosis, was assessed as having pain at a level of five out of ten. The resident's Minimum Data Set indicated the use of PRN pain medication, with pain described as occasional but severe enough to interfere with sleep. A physician's order for oxycodone-acetaminophen was present in the medical record, but the medication was not administered as needed after admission. Interviews and record reviews revealed that the facility did not receive the required hard copy prescription for the narcotic pain medication from the hospital, and the receiving nurse did not contact the physician to obtain an alternative order for pain relief. As a result, the resident did not receive any pain medication during the night after admission, despite complaints of pain. The Director of Nursing confirmed that the facility's process required a hard copy prescription to access emergency medication stock, but this was not followed, and the necessary steps to ensure pain management were not taken.
Expired Medications Found Stored with Active Stock
Penalty
Summary
Surveyors observed that expired medications, including three boxes of bisacodyl suppositories, an opened container of Tylenol 325 mg, and three containers of Renavite, were stored alongside unexpired medications in one of the facility's medication storage rooms. The facility's policy requires that discontinued, outdated, or deteriorated medications be removed from storage and either returned or destroyed according to pharmacy instructions. Staff interviews confirmed that expired medications should be separated and placed in a designated box for pharmacy pick-up and destruction, but this process was not followed, resulting in expired drugs remaining accessible in the medication room. No specific residents were identified as being directly affected at the time of the survey, and no additional patient details or medical histories were provided in the report.
Failure to Store Respiratory Equipment and Perform Dressing Changes per Infection Control Policy
Penalty
Summary
The facility failed to ensure the safe handling, labeling, and storage of respiratory therapy equipment, specifically nebulizer and BiPAP masks, for multiple residents. Observations revealed that a resident with COPD, HIV, dementia, and other conditions had a nebulizer mask left unbagged and unlabeled on the nightstand on multiple occasions. Staff interviews confirmed a lack of awareness or adherence to the facility's infection control policy, which requires respiratory equipment to be stored in a protective bag marked with the date and resident's name. The Director of Nursing confirmed that the expected practice was not followed. Another resident with a history of pneumonia, chronic pulmonary edema, and tracheostomy status was observed to have a BiPAP mask left unbagged and exposed to the environment on several occasions. The resident reported that staff often allowed the mask to fall on the floor and did not store it in a protective bag. Staff interviews further confirmed that the BiPAP mask was not stored according to infection control procedures, and the DON reiterated the requirement for proper storage. Additionally, the facility failed to perform dressing changes as ordered for a resident with a PEG tube. The resident's dressing was observed to be soiled and dated several days prior, despite a physician's order for dressing changes every shift. Staff confirmed the dressing had not been changed as required, and the DON stated that daily dressing changes were expected. These findings demonstrate lapses in infection prevention and control practices related to respiratory equipment and gastrostomy site care.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 64 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Muscogee Manor & Rehabilitation Ctr | 3.7 mi | ★★★★★ | 12 | 0 |
| Ridgecrest Rehab & Skilled Nursing Center | 3.7 mi | ★★★★★ | 1 | 0 |
| Magnolia Manor Of Columbus Nursing Center - East | 4.3 mi | ★★★★★ | 12 | 0 |
| Magnolia Manor Of Columbus Nursing Center - West | 4.3 mi | ★★★★★ | 3 | 0 |
| Orchard View Rehabilitation & Skilled Nursing Ctr | 4.5 mi | ★★★★★ | 14 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for River Towne Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.