Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Pointe Health Campus during CMS and state inspections, most recent first.
A resident with CHF, DM2, and hospice services had care plan interventions for weekly skin checks and wound care orders for a left lateral foot wound that had already healed, but the record lacked documentation that weekly skin assessments were completed by nursing staff. The ADON could not find the weekly skin assessments in the chart, and the ED provided a policy requiring a weekly full-body observation and documentation by the licensed nurse.
The facility failed to properly store and label medications, with loose pills found in a medication cart and improper temperature management in medication storage rooms. A medication refrigerator was left open with incorrect temperatures, and temperature logs were incomplete. Additionally, medications belonging to a resident were improperly stored and not disposed of according to policy.
The facility failed to provide necessary education to residents or their representatives before administering flu vaccines, as required by their policy. This deficiency was identified during a review of the clinical records for five residents who received flu vaccines. The Director of Nursing admitted to administering the vaccines without providing the required education, indicating a lack of awareness of the annual requirement.
The facility failed to respect the dignity and privacy of two residents. A resident with Parkinson's disease was assisted with eating by an RN who stood instead of sitting, contrary to the facility's guidelines. Another resident, also with Parkinson's, was left exposed on the toilet with open doors while being assisted by two CNAs, violating privacy protocols. The facility's policy emphasizes residents' rights to privacy and respectful treatment.
A facility failed to ensure a resident had the necessary order, evaluation, and care plan for self-administration of medication. The resident, who required assistance with transferring and moving, was observed with eye drops and oral analgesic on their bedside tray without corresponding physician orders. Despite being cognitively intact, the resident's self-administration assessment did not include these medications, and there was no care plan or order in place, contrary to facility policy.
A resident with Parkinson's and Alzheimer's was found with skin tears on the left arm, but the facility failed to notify the physician or document the event. The Wound Nurse discovered the tears during an assessment and changed the dressings but did not follow the facility's policy for notification and documentation.
The facility failed to implement care plans for two residents, leading to deficiencies in care. A resident with Parkinson's and Alzheimer's was transferred without a gait belt, causing pain and bruising, despite needing substantial assistance. Another resident, cognitively intact, had no care plan for self-administering medication, with medication left unsecured. The DON confirmed the lack of required care plans and orders.
Staff at the facility failed to follow infection control protocols during three observations. A CNA did not change gloves after providing care, and two CNAs did not change gloves between tasks while assisting a resident. Additionally, two CNAs entered a resident's room under enhanced barrier precautions without wearing the required PPE. The facility's policies on PPE use during high-contact care were not adhered to.
Missing Skin Assessment Documentation and Inaccurate EMAR Orders
Penalty
Summary
The facility failed to ensure that accurate physician orders were reflected in the EMAR and that weekly skin assessments were documented for a resident receiving hospice services. Resident B had diagnoses including chronic systolic congestive heart failure and type 2 diabetes mellitus with diabetic neuropathy, was admitted to the facility on an unspecified date, and was discharged on 5/16/26. The resident’s care plan identified risk for skin breakdown related to generalized weakness, impaired mobility, and incontinence, and included an intervention for weekly skin assessments. The care plan also identified that the resident required hospice care related to congestive heart failure. Review of physician orders for March, April, and May 2026 showed wound care and dressing-observation orders for the resident’s left lateral foot, with documentation that the dressing was observed on multiple dates in those months. However, wound notes showed the left lateral foot wound was healed on 2/3/26, and the clinical record did not contain documentation that weekly skin assessments were completed by nursing staff in 2026. The ADON stated she did not find any weekly skin assessments in the record, and the Executive Director provided the facility policy requiring a weekly full-body observation by a licensed nurse and documentation of completion.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure proper storage and labeling of medications, as observed in one of the medication carts and two medication storage rooms. Loose pills were found in the 300 Hall Medication Cart, indicating a lack of proper organization and labeling. Additionally, the 400 Hall Medication Storage Room had a medication refrigerator that was propped open, with a temperature reading of 54 degrees Fahrenheit, which is outside the recommended range of 36 to 46 degrees Fahrenheit. The temperature log for this refrigerator was incomplete, missing entries from June 1st to June 4th. Later, the refrigerator's temperature was found to be too low at 34 degrees Fahrenheit, requiring adjustment by RN 9. In the 300 Hall Medication Storage Room, the temperature log was outdated, with missing entries for late May and no current log for June. Medications belonging to a resident who had transferred from the Assisted Living side were found without proper labeling or disposal, including expired and unlabeled bottles. The Unit Manager acknowledged that these medications should have been disposed of and that any nurse could have done so. The facility's policies on medication storage and disposal, dated November 2018, were not adhered to, as evidenced by these observations.
Failure to Provide Vaccine Education
Penalty
Summary
The facility failed to provide necessary education to residents or their representatives before administering flu vaccines, as required by their policy. This deficiency was identified during a review of the clinical records for five residents who received flu vaccines. The records for these residents lacked documentation of any educational information being provided prior to the administration of the vaccines. The residents involved were identified as Resident 27, Resident 13, Resident 12, Resident 29, and Resident 30, all of whom received their flu vaccines on the same date. The Director of Nursing (DON) admitted to administering the flu vaccines without providing the required education, indicating a lack of awareness that such education was needed annually. The facility's current Influenza Immunization policy, dated April 12, 2017, clearly states that each resident or their responsible party should be provided with information regarding the risks and benefits of the influenza vaccine annually. This policy was not adhered to, leading to the identified deficiency.
Failure to Ensure Resident Dignity and Privacy
Penalty
Summary
The facility failed to ensure the dignity of two residents during care activities. In the first instance, a registered nurse was observed standing while assisting a resident with Parkinson's disease to eat lunch, despite the resident being dependent on staff for eating and rarely or never understood. The Director of Nursing later indicated that staff should sit when assisting residents who require constant help with eating. In the second instance, a resident with Parkinson's disease was observed sitting on the toilet with the bathroom and hallway doors open, while two CNAs assisted him. The resident required substantial to maximal assistance for toileting and was rarely or never understood. The Director of Nursing stated that staff should provide privacy by closing one or both doors when assisting residents with toileting. The facility's Resident Rights Guidelines policy emphasizes the right to privacy and respectful treatment.
Failure to Ensure Proper Self-Administration of Medication
Penalty
Summary
The facility failed to ensure that a resident who required assistance with transferring and moving had the necessary order, evaluation, and care plan for the self-administration of medication. This deficiency was identified during observations and record reviews of a resident who had a bottle of Refresh brand eye drops and Orajel oral pain analgesic on their bedside tray. The resident's clinical record indicated diagnoses including chronic obstructive pulmonary disease with acute exacerbation, emphysema unspecified, and acute and chronic respiratory failure. Despite being cognitively intact and needing supervision for transferring and moving, the resident's current physician orders did not include an order for the eye drops, oral analgesic, or self-administration of medication. The facility's policy required that the results of a self-administration assessment be presented to the physician for evaluation and an order for self-medication, specifying the types of medications the resident could self-administer. However, the assessment completed for the resident indicated they could self-medicate certain treatments and medications, but there was no care plan or physician order for the self-administration of the eye drops and oral analgesic. Interviews with the Director of Nursing confirmed the absence of a care plan and order for the resident's self-administration of medication, which was contrary to the facility's guidelines.
Failure to Notify Physician of Skin Tears
Penalty
Summary
The facility failed to notify the attending physician regarding new skin tears on a resident's left arm, which were discovered during a skin assessment. The resident, who has diagnoses including Parkinson's disease and Alzheimer's disease, was observed with dressings on his left arm. A family member later confirmed the presence of skin tears due to shearing from the wheelchair. The clinical record lacked documentation such as physician orders, care plans, assessments, and an Event form related to these wounds. The Wound Nurse admitted to finding the skin tears during an assessment and changing the dressings but did not document the event or notify the physician. The facility's policies require that acute problems be addressed on an Event form and that the resident's representative or provider be notified of changes in condition within the shift. However, these protocols were not followed, leading to a deficiency in the care provided to the resident.
Deficiencies in Care Planning for Resident Transfers and Medication Administration
Penalty
Summary
The facility failed to develop and implement appropriate care plans for two residents, leading to deficiencies in their care. For Resident 31, who has Parkinson's disease and Alzheimer's disease, the facility did not consistently use a gait belt during transfers, despite the resident requiring substantial assistance and having a care plan indicating the need for assistance of two staff members. Observations revealed that staff transferred the resident without a gait belt, causing pain and bruising on the resident's upper arms. The Director of Nursing confirmed that a gait belt should be used for residents requiring assistance from two staff members. For Resident 15, who is cognitively intact and requires supervision for transferring and moving, the facility failed to have a care plan or physician's order for self-administration of medication. Observations noted that medication was left on the resident's bedside tray without proper documentation or a care plan in place. The Director of Nursing acknowledged the absence of a care plan for self-administration of medication, which is required by the facility's policy.
Infection Control Protocols Not Followed by Staff
Penalty
Summary
The facility failed to ensure staff adhered to proper infection control protocols during three separate observations. In one instance, a CNA was observed touching a resident's clothes without changing gloves after providing care. In another instance, two CNAs assisted a resident with toileting without changing gloves between dirty and clean tasks, such as wiping the resident and then handling the resident's wheelchair and cleaning the bathroom. The Director of Nursing confirmed that staff should change gloves after cleaning a resident and between different tasks. Additionally, two CNAs entered a resident's room, which was under enhanced barrier precautions, without donning the required personal protective equipment, including gowns and gloves. The resident, who required enhanced barrier precautions due to an indwelling catheter, confirmed that the aides did not wear the necessary protective gear while providing care. The facility's current policies on enhanced barrier precautions and standard precautions were not followed, as they require the use of PPE during high-contact care activities, regardless of anticipated exposure to blood or body fluids.
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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 Evansville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Envive Of Evansville | 2.1 mi | ★★★★★ | 7 | 0 |
| Evansville Protestant Home | 3 mi | ★★★★★ | 0 | 0 |
| Hamilton Pointe Health And Rehab | 3 mi | ★★★★★ | 4 | 0 |
| Aperion Care Lincoln | 3.6 mi | ★★★★★ | 13 | 0 |
| Majestic Care Of Newburgh | 3.8 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 July 2026) and official state health department websites.