Average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Riverview Health Care Center during CMS and state inspections, most recent first.
Infection control practices were not consistently followed for several residents with active EBP orders. Staff failed to move EBP signage and PPE after one resident was transferred to a new room, a SRNA entered and exited resident rooms without hand hygiene, EVS staff placed cleaning equipment from a precautions room onto the cart without sanitizing it, and one room displayed Contact Precautions signage instead of the ordered EBP sign. The DON, ADON/IP, and other staff acknowledged the lapses.
Housekeeping and Environmental Maintenance Deficiencies: The facility failed to maintain a clean, sanitary, and safe environment for several residents. Observations found cracked and broken ceiling tiles, stains in bathrooms, chipped paint and wood near resident beds, a raised bathroom floor surface, and holes in a hazardous material doorframe. Staff interviews showed maintenance issues were tracked through books and TELS, but the Maintenance Director said he mainly checked the books and did full walk-throughs only monthly, while the Housekeeping Manager said rooms were deep cleaned weekly with spot cleaning on other days.
Failure to track and dispose of discontinued controlled medication: A vial of Ativan injectable solution labeled for a resident was found in a locked box inside a nurses' station refrigerator after the order had been discontinued. Staff gave conflicting accounts of how discontinued or expired narcotic meds were to be handled, including return to the pharmacy, storage in a locked cabinet, or destruction by two people, and the Pharmacy Consultant did not know when the narcotic box was last checked.
Posted menus were outdated and did not match the meals actually served, and several residents said they were not told what was being served. The DM said she was responsible for posting menus but had not switched them, and the RD said the facility relied on morning huddles and unit staff to pass along daily meal information. A UM said she sometimes forgot to inform all staff, which meant some residents might not receive the meal information.
Daily nurse staffing information was not posted and updated as required. The facility policy required staffing sheets to be posted at the beginning of each shift with the facility name, current date, resident census, and RN, LPN/VN, and CNA hours in a clear, readable format in a prominent location. Observation showed the posted staffing sheets at multiple locations were several days old and did not reflect current staffing. Staff interviews identified the ADON and DON as responsible for posting the schedules, and the Administrator stated the schedule should have been updated daily.
Infection Control and Precaution Practices Not Followed
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program for four sampled residents with active infection control precautions. The facility policy required infection control practices to apply to all residents, staff, visitors, and volunteers, including Standard Precautions, Transmission-Based Precautions, Enhanced Barrier Precautions (EBP), hand hygiene, and the availability of needed supplies and equipment. The policy also required staff training and monitoring through the Infection Control and QAPI processes. The cited residents had active physician orders for EBP, including residents with chronic wounds and/or indwelling medical devices, and the orders directed precautions to be followed every shift, days and nights. For one resident, EBP signage and required PPE were not moved when the resident was transferred to a different room. The resident was moved to the new room, but observation showed no EBP signage or required PPE outside the room. The Unit Manager stated staff had failed to move the signage and PPE and that staff had been providing care without following the required EBP and PPE precautions from the time of the room change until the issue was identified. The ADON/Infection Preventionist and DON both stated the signage and PPE should have been transferred immediately when the room change occurred. For another resident, a SRNA entered and exited the resident's room without performing hand hygiene, then entered a second resident's room to open and hand the resident a soft drink, again without hand hygiene. For a third resident, the room displayed a Contact Precautions sign even though the resident had an active EBP order. An EVS staff member exited that room and placed cleaning equipment onto the housekeeping cart without sanitizing or disinfecting it first. For a fourth resident, a SRNA entered and exited the room, which displayed an EBP sign, without performing hand hygiene. The staff members involved acknowledged the missed hand hygiene and equipment sanitation, and the Administrator stated failure to follow EBP and proper PPE use could result in the spread of infection to residents.
Housekeeping and Environmental Maintenance Deficiencies
Penalty
Summary
The facility failed to provide housekeeping services to ensure a clean and sanitary environment for 5 of 25 sampled residents, including R40, R62, R64, R67, and R81. Facility policy stated residents had a right to a safe, clean, comfortable, and homelike environment, and housekeeping policy required corners and baseboards to be dust mopped to prevent buildup. During observation, R40’s bathroom had a cracked ceiling tile, holes in the corners of tiles from incorrect sizing, and flooring in the bathroom sticking up approximately one inch off the floor. R62’s bathroom had a large brown stain on the ceiling tile. R64’s bathroom had broken ceiling tiles and a yellow stain around the toilet caulking; when interviewed at the time of observation, R64 stated the area around the toilet was yellow and brown and looked like someone had urinated there and it had dried, and said it made the resident feel dirty. Additional observations showed chipped paint on the wall beside R67’s bed, chipped wood beside R81’s bed, and an approximate two-inch hole in R81’s bathroom ceiling due to incorrect ceiling tile size. The first floor door labeled Hazardous Material had multiple holes in the bottom of the doorframe with gold/yellow tape covering the large holes. In interviews, the Maintenance Director stated staff used books on both floors to write down maintenance issues and said the facility also had TELS, but he reported he just checked the books and performed walk-throughs only once a month. The Housekeeping Manager stated each resident room got a deep clean once a week and spot cleaning on other days, and that staff were instructed to notify maintenance of problems. The Administrator stated the facility was still phasing out old processes, expected environmental issues to be addressed daily in the morning huddle, and said work orders were supposed to be entered into TELS and completed in a timely manner.
Failure to Track and Dispose of Discontinued Controlled Medication
Penalty
Summary
The facility failed to maintain an effective system for documenting the receipt, storage, disposition, and reconciliation of controlled medications for one sampled resident. Review of facility policy showed controlled medications were to remain in the facility after discontinuation or discharge, be kept in a securely locked area with restricted access, and be destroyed by two nurse leaders and/or one nurse leader and a consultant pharmacist. The consultant pharmacist services policy also required a system of records for receipt and disposition of all controlled substances that produced an accurate reconciliation and account of controlled substance use on a periodic basis. During observation of the first-floor nurses' station refrigerator, a locked and chained black box was found containing one vial of Ativan injectable solution labeled for the resident. An RN stated the Ativan order had been discontinued and that the medication should have been sent back to the pharmacy. The RN, UM, DON, UM, Administrator, and Pharmacy Consultant each described different expectations for handling discontinued or expired narcotic medications, including return to the pharmacy, placement in a locked cabinet, destruction by two people, or addition to a control sheet for later destruction. The Pharmacy Consultant stated he did monthly spot checks but did not know the last time he checked the narcotic box in the medication refrigerator.
Posted menus did not match meals served and residents were not informed of daily meal selections
Penalty
Summary
Menus were not updated and did not accurately reflect the meals being served, and residents were not informed of meal selections. The facility had posted menus on bulletin boards on the first and second floors, but the menu available for resident viewing was dated 07/14/2025. During observation, the posted lunch menu listed beef soft tacos with a flour tortilla, shredded lettuce, diced tomatoes, and shredded cheese, with an alternate of garlic baked pork chop with sauteed peppers and onions, sliced parsley carrots, Mexican corn, potato wedges, dinner roll, and pineapple tidbits. However, the meal being served was lasagna with meat sauce, cauliflower, dinner roll, and deluxe fruit salad, and the alternate meal being served was breaded chicken on a bun with mayonnaise, lettuce, and tomato, oven browned potatoes, and deluxe fruit salad. Four sampled residents reported they were not informed of the meals being served. One bedbound resident stated she did not receive menus and was never told by staff what meals were being served, and when she asked a CNA she was told, "I don't know." Another resident's spouse stated she did not know where to find menus and did not know what meal was being served until it was delivered. A third resident stated he did not receive a menu and wanted to know what meals were being served before delivery. A fourth resident stated the posted menus were not always what was being served. The Dietary Manager stated she was responsible for posting menus and had not switched them, saying she had forgotten. The Regional Dietitian stated the facility did not rely on posted menus because department heads were informed of daily meals during the morning huddle, and unit managers were expected to inform staff and residents. A Unit Manager stated she informed residents near the nurses' station but sometimes forgot to inform other nurses and CNAs, so some residents might not receive the information.
Daily Nurse Staffing Information Not Updated
Penalty
Summary
The facility failed to ensure daily nurse staffing information was posted and updated each day as required by its policy. The policy titled, Posting of Nurse Staffing, last revised 01/31/2025, required staffing information to be posted at the beginning of each shift and to include the facility name, current date, resident census, and the total number and actual hours worked by RNs, LPNs/VNs, and CNAs in a clear, readable format in a prominent location accessible to residents and visitors. On 02/15/2026 at 11:26 AM, observation showed the posted staffing information was dated 02/11/2026 and did not reflect current staffing for 02/15/2026. The staffing sheets posted at the time clock, first-floor nurses' station, and second-floor nurses' station were all dated 02/11/2026. In interviews, SRNA 5 and RN 4 stated the ADON or DON were responsible for posting the daily staffing schedules. The DON stated she or the ADON were responsible, but the ADON had been off the previous week and she was unsure when she last posted the staffing. The ADON stated she was primarily responsible, but had been off the previous week and the DON would have been responsible during that time. The Administrator stated she knew posting the daily nurse staffing schedule was a regulation and expected staff to follow all policies and regulations, and further stated the staffing schedule should have been updated daily.
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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 Prestonsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Prestonsburg Health Care Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Mountain Manor Of Paintsville | 10.4 mi | ★★★★★ | 0 | 0 |
| Pikeville Nursing And Rehab Center, Llc | 18 mi | ★★★★★ | 2 | 0 |
| Martin County Health Care Facility | 18.3 mi | ★★★★★ | 3 | 0 |
| Salyersville Nursing And Rehabilitation Center | 18.3 mi | ★★★★★ | 3 | 0 |
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