Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Terrace Health Care Center during CMS and state inspections, most recent first.
A resident transferred to the hospital for a low hemoglobin level did not receive required written notification about the facility's bed hold policy at the time of transfer. The DON confirmed that no discharge paperwork related to the bed hold policy was completed or provided, as required by facility policy.
A facility failed to properly label and store medications for a resident with type 2 diabetes, leading to a deficiency. During an observation, a half-full bottle of Humalog insulin was found without an open date or identifying information, and a Glargine pen was past its expiration period. The resident's MAR indicated regular administration of these insulins, but the facility's policy on medication labeling was not followed.
A facility failed to consistently document catheter output for a resident with neurospasmatic bladder on Lasix, a diuretic. Despite the importance of monitoring due to the medication, records showed sporadic entries over weeks. The DON emphasized the need for at least two daily entries, but a CNA admitted to not always documenting due to time constraints. The facility's policy on output recording was not consistently followed.
Failure to Provide Bed Hold Policy Notification at Hospital Transfer
Penalty
Summary
The facility failed to complete and provide required discharge paperwork related to the bed hold policy for a resident who was transferred to the hospital. The resident, who had a medical diagnosis of a displaced intertrochanteric fracture of the left femur and was experiencing routine healing, was transferred to the emergency room following a physician's order due to a low hemoglobin level. Documentation showed that the RN notified the hospital of the transfer and attempted to contact the resident's family, but was unable to reach them and could not leave a voicemail. There was no documentation in the resident's record indicating that the resident or their family was informed of the facility's bed hold policy at the time of transfer. During an interview, the DON confirmed that no discharge paperwork related to the bed hold policy could be found for the resident. The facility's policy requires that all residents or their representatives receive written information about bed hold policies both in advance and at the time of transfer, or within 24 hours if the transfer is an emergency. This requirement was not met in this instance.
Medication Labeling Deficiency
Penalty
Summary
The facility failed to ensure proper labeling and storage of medications for a resident, leading to a deficiency. During an observation in the medication room, it was found that a half-full bottle of Humalog insulin was not labeled with an open date or any identifying information, making it impossible to determine when it was opened or to whom it belonged. Additionally, a Glargine pen was labeled with an open date that indicated it was seven days past its 28-day expiration period after being removed from the refrigerator. Another bottle of Lantus insulin was also found without any labeling to indicate the resident's name or the opened date. The resident involved had a diagnosis of type 2 diabetes mellitus and had physician orders for Humalog and Glargine insulin. The Medication Administration Record (MAR) indicated that the resident received these insulins multiple times daily. The facility's policy on medication labeling, which was reviewed, required that labels include the resident's name, specific directions for use, prescriber's name, date dispensed, quantity, expiration date, and the dispensing pharmacy's information. The failure to adhere to these labeling requirements led to the deficiency noted in the report.
Inadequate Documentation of Catheter Output for Resident on Diuretics
Penalty
Summary
The facility failed to adequately document the urinary catheter output for a resident diagnosed with neurospasmatic bladder. The resident's medical record showed only sporadic entries of catheter output over a period of several weeks, with significant gaps in documentation. Despite the resident being on Lasix, a diuretic medication, which necessitates careful monitoring of urinary output, the records did not reflect consistent tracking. The Director of Nursing acknowledged the importance of monitoring catheter output, especially for residents on diuretics, and indicated that the facility's expectation was for catheter bags to be emptied and documented at least twice daily. Interviews revealed that a CNA responsible for the resident's care admitted to not always having time to document the catheter output, leading to potential inaccuracies in the recorded data. The facility's policy on measuring and recording output, revised in October 2010, outlines the procedure for accurately determining and documenting urine output, but the practice was not consistently followed. This lack of documentation could hinder the early detection of potential health issues related to the resident's condition and medication regimen.
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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 Bluffton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Christian Care Retirement Community | 2.6 mi | ★★★★★ | 7 | 0 |
| Ossian Health Care And Rehabilitation Center | 7.8 mi | ★★★★★ | 3 | 0 |
| Markle Health & Rehabilitation | 7.8 mi | ★★★★★ | 1 | 0 |
| Heritage Pointe Of Warren | 13.8 mi | ★★★★★ | 5 | 0 |
| Swiss Village | 14.5 mi | ★★★★★ | 8 | 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.