Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Terrace Rehabilitation And Healthcare Ctr during CMS and state inspections, most recent first.
A nurse administered another resident's blood pressure medication to a resident with a history of heart failure and dementia, resulting in hypotension and lethargy. The error occurred after the nurse was interrupted during medication preparation and failed to verify the resident's identity and medication against the MAR before administration. The resident required treatment and increased monitoring until their condition stabilized.
A facility failed to accurately code the MDS Assessment for a resident with Schizoaffective Disorder and Anxiety Disorder. Despite active prescriptions for Aripiprazole and Ativan, the MDS did not reflect these diagnoses across four assessments. The MDS Nurse admitted the oversight, noting the absence of a formal policy for MDS completion.
Significant Medication Error Due to Failure in Resident Identification and Verification
Penalty
Summary
A significant medication error occurred when a nurse administered another resident's blood pressure medication, Hydralazine 30 mg, to a resident who did not have a physician's order for this medication. The nurse, who was unfamiliar with the unit, prepared the medication for the intended resident but was interrupted by another staff member. After returning to the medication cart, the nurse mistakenly identified the wrong resident on the electronic medication administration record and failed to verify the medication against the MAR before administration. The resident who received the incorrect medication had a medical history including a left femur fracture, dementia, acute diastolic heart failure, and atrial fibrillation. Following the administration of Hydralazine, the resident became lethargic, had difficulty standing, and was found to have hypotension with a blood pressure reading of 84/46 mm Hg. The resident's spouse noticed the change in condition and suspected a medication error, prompting staff to investigate. Upon assessment, it was confirmed that the nurse had given the wrong medication. The resident required treatment, including intravenous fluids and increased monitoring, until their blood pressure stabilized. The incident was documented, and the nurse acknowledged not following proper medication administration procedures, including verifying the resident's identity and cross-checking the medication with the MAR.
Inaccurate MDS Coding for Resident's Psychiatric Diagnoses
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) Assessment for a resident, leading to a deficiency. The resident, admitted in April 2022, had diagnoses including Schizoaffective Disorder, Bipolar Type, and Anxiety Disorder. Despite these active diagnoses, the facility did not code them correctly on four separate MDS Assessments. The resident was prescribed Aripiprazole, an antipsychotic, and Ativan, an antianxiety medication, indicating active management of these conditions. However, the MDS Assessments failed to reflect these active diagnoses, as required by the Centers for Medicare and Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 (RAI) User's Manual. The MDS Nurse acknowledged the oversight during an interview, stating that the assessments dated March 9, June 6, August 29, and November 27, 2024, should have included Schizophrenia and Anxiety Disorder as active diagnoses. The facility did not have a formal policy for MDS completion, relying instead on the RAI manual. This lack of accurate documentation on the MDS Assessments represents a failure to comply with regulatory requirements, as the resident's psychiatric and mood disorder diagnoses were not properly coded, despite the presence of active medication orders and administration records.
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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 Lancaster
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Leominster | 4.4 mi | ★★★★★ | 15 | 0 |
| Leominster Rehabilitation And Nursing Center | 4.6 mi | ★★★★★ | 6 | 0 |
| Sterling Village | 6.9 mi | ★★★★★ | 4 | 0 |
| Fitchburg Rehabilitation And Nursing Center | 7.1 mi | ★★★★★ | 0 | 0 |
| Oakdale Rehabilitation & Skilled Nursing Center | 7.7 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.