Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Aerius Health Center during CMS and state inspections, most recent first.
The facility failed to assess residents for safe self-administration of medication, as observed in five residents. A resident was found with unauthorized medication, while others had medications at their bedside without proper assessments or care plans. Additionally, residents receiving nebulizer treatments were left unsupervised, contrary to facility policy requiring interdisciplinary team assessments and physician orders for self-administration.
The facility failed to properly label and store insulin pens in three medication carts. Inspections revealed unlabeled and undated insulin pens, with staff acknowledging the oversight. The facility's policy mandates proper labeling and storage of medications, including insulin expiration guidelines.
A resident was not treated with dignity when two nurse aides discussed their transfer status loudly in front of them, disregarding the resident's presence and dignity. The resident, who required assistance for transfers and had intact cognition, was subjected to a conversation that should have been conducted privately. The facility's policy on dignity was not adhered to during this interaction.
A facility failed to accurately complete MDS assessments for a resident with acute kidney failure and end-stage renal disease, who was dependent on dialysis. Despite physician orders for regular dialysis and monitoring of the access site, the MDS assessments did not identify the resident's dialysis status or the presence of a port. The MDS Coordinator and another nurse involved in the assessments could not explain the oversight.
A resident's physician-ordered PEG-tube treatment was not documented or completed accurately and timely. The resident was observed without a dressing on their PEG-tube site, and the Treatment Administration Record showed multiple blank entries for the treatment. Discrepancies in documentation were noted, with records later updated to indicate completion on dates when it was confirmed not done. Interviews revealed a lack of documentation for any refusal of care and an inability to explain the discrepancies, contrary to the facility's wound care policy.
A resident with a PICC line for IV medications had a dressing that was not changed as scheduled, leading to a loose dressing. The dressing was supposed to be changed weekly, but records showed missed changes. The Unit Manager confirmed the oversight, and facility policy required changes every seven days or as needed.
A facility failed to ensure proper documentation and communication for a resident requiring dialysis. The resident's dialysis schedule was inconsistent with physician orders, and communication forms from the dialysis center were missing for several treatments. Nurse 'D' admitted to not following up on incomplete forms, and the DON confirmed the discrepancies, acknowledging the failure to adhere to the facility's policy for dialysis communication.
The facility failed to ensure timely documentation of physician visits for two residents, leading to potential coordination of care issues. One resident on hospice care had multiple delayed entries by a physician, who admitted to forgetting to input notes and was unaware of documentation timeframe requirements. Another resident with vascular dementia also experienced delayed documentation. The DON was not initially aware of these delays, which violated the facility's policy on timely physician documentation.
The facility failed to implement enhanced barrier precautions (EBP) for two residents, leading to potential infection spread. CNAs entered a resident's room without donning required protective gear while providing incontinence care. Similarly, a nurse managed another resident's PICC line without wearing a protective gown, despite EBP signage. The facility's policy mandates gown and glove use during high-contact care to prevent MDRO transmission.
The facility failed to submit MDS assessments to CMS in a timely manner for five residents, with assessments incomplete and over 120 days old. MDS Nurse A reported that a previous nurse had planned to complete the assessments but went on leave, leaving them unfinished. The nurse acknowledged the issue and was attempting to manage current assessments.
The facility failed to maintain dignity for two residents by not providing foley catheter privacy bags, resulting in visible exposure of catheter contents. One resident in therapy and another in bed were observed without privacy bags, despite their care plans and expressed preferences. The DON confirmed that privacy bags are necessary for resident dignity.
Failure to Assess Residents for Safe Self-Administration of Medication
Penalty
Summary
The facility failed to ensure that residents were assessed for safe self-administration of medication, as observed in five residents. Resident R68 was found with a bottle of Vanquish headache medication on their bedside table, which they reported using for headaches. However, there were no physician orders or care plans in place for R68 to self-administer this medication, despite their moderately impaired cognition. The Director of Nursing confirmed that no residents had been assessed for safe self-administration of medication, which is supposed to be part of the admission nursing assessment. Resident R11 was observed with multiple inhalers, nasal spray, and saline drops on their bedside table, which they reported using as needed. Despite having moderately impaired cognition and a range of medical conditions, there was no documentation or physician orders to support their ability to safely self-administer these medications. Similarly, Resident R64 was left unattended with a nebulizer treatment, and there was no assessment or care plan in place for self-administration, even though they had moderately impaired cognition. Additionally, Residents R16 and R60 were observed receiving nebulizer treatments without supervision, as the nurse left the room after setting up the treatments. There were no assessments or orders for these residents to self-administer medications. The facility's policy requires an interdisciplinary team assessment and a physician's order for self-administration, but this was not followed for any of the residents observed.
Improper Labeling and Storage of Insulin Pens
Penalty
Summary
The facility failed to ensure proper labeling and storage of insulin medication in three out of four medication carts reviewed. During an inspection of the 200 unit low cart, it was found that two out of six insulin pens were not labeled with a patient name or a date of when they were placed in the cart. Nurse 'L' acknowledged that the pens should have been labeled with a patient name and dated. Similarly, a review of the 100 unit low cart revealed that seven out of nine insulin pens lacked a date of placement, and one pen was missing both a patient name and a date. Nurse 'M' indicated they would inform the unit manager about the issue. Further inspection of the 100 unit high cart showed that two out of six insulin pens did not have a date of placement. Nurse 'N' was unable to determine when they were placed in the cart and noted that unused pens should be stored in a refrigerator. The Director of Nursing was informed about the unlabelled and undated insulin pens. The facility's policy on medication storage requires that all drugs and biologicals be stored safely and securely, with proper labeling. Insulin is considered expired 28 days after opening or by the manufacturer's expiration date, whichever comes first.
Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to treat a resident, identified as R15, with dignity and respect. During an observation, a nurse aide entered R15's room to respond to an activated call light. R15 expressed the need to use the bathroom, but the nurse aide was unsure of the resident's transfer status and suggested R15 hold onto them. Another nurse aide then entered the room and began discussing R15's transfer status loudly with the first nurse aide, speaking over and about R15 as if they were not present. This interaction was conducted in a manner that did not respect the resident's dignity, as the aides discussed personal care details loudly in front of R15. The Director of Nursing (DON) was aware of the incident, having been present in the hallway at the time. R15's clinical record indicated they had intact cognition and required assistance from one person for transfers. The facility's policy on Quality of Life-Dignity emphasizes treating residents with dignity and respect, including speaking respectfully and keeping residents informed. The actions of the nurse aides violated this policy by failing to maintain R15's dignity and self-esteem during the interaction.
Failure to Accurately Assess Dialysis Status in Resident
Penalty
Summary
The facility failed to ensure accurate assessments were completed for a resident reviewed for Minimum Data Set (MDS) assessments. The resident was admitted with diagnoses including acute kidney failure, end-stage renal disease, and dependence on dialysis. Physician orders indicated the resident was to receive dialysis three times a week, and the access site was to be monitored for signs of infection. However, the MDS assessments completed on three separate dates failed to identify the resident as receiving dialysis or having a port for intravenous dialysis access. During an interview, the MDS Coordinator and another MDS Nurse, who completed portions of the assessments, were unable to explain the omission and acknowledged the need for a modification.
Failure to Document and Complete PEG-Tube Treatment
Penalty
Summary
The facility failed to ensure that a physician-ordered PEG-tube treatment was documented and completed accurately and timely for a resident. On June 24, the resident was observed without a dressing on their PEG-tube site, despite the presence of treatments on the dresser dated the previous day. The assigned nurse confirmed the absence of the dressing and indicated that treatments were usually done during the evening shift. However, the Treatment Administration Record (TAR) showed multiple blank entries for the PEG-tube order on several dates, including the day of observation. Further investigation revealed discrepancies in the documentation, as the TAR was later updated to show initials indicating the treatment was completed on dates when it was confirmed not to have been done. Interviews with the wound care nurse and the Director of Nursing highlighted a lack of documentation for any refusal of care by the resident and an inability to explain the discrepancies in the records. The facility's policy on wound care documentation was not adhered to, as there was no record of problems, complaints, or refusals related to the procedure.
Failure to Change PICC Line Dressing as Scheduled
Penalty
Summary
The facility failed to ensure proper PICC line dressing changes for a resident, identified as R183, who was receiving intravenous medications. On observation, the PICC line dressing on the resident's left upper arm was found to be loose, and it was noted that the dressing had been applied on 6/11/24. A review of the resident's physician's orders indicated that the dressing was to be changed weekly, with scheduled changes on 6/14/24 and 6/21/24, but these were not signed off as completed in the medication administration record. During an interview, the Unit Manager confirmed that the dressing should be changed every seven days and verified that the dressing was indeed dated 6/11/24. The facility's policy also stated that PICC line dressings should be changed every seven days and as needed if the dressing's integrity is compromised.
Inadequate Dialysis Communication and Documentation
Penalty
Summary
The facility failed to ensure consistent documentation and communication regarding dialysis care for a resident with acute kidney failure, end-stage renal disease, and dependence on dialysis. The resident was admitted with physician orders to receive dialysis every Monday, Wednesday, and Friday. However, discrepancies were found between the physician orders and the actual dialysis schedule, which was only corrected after being highlighted during the survey. Additionally, the facility's policy required nurses to document communication from the dialysis center in the resident's progress notes, but this was not consistently done. Specifically, the dialysis communication binder for the resident lacked documentation from the dialysis staff for treatments on three separate occasions. Nurse 'D', responsible for the resident, acknowledged difficulties in obtaining completed communication forms from the dialysis center and admitted to not following up adequately. The Director of Nursing confirmed the discrepancies and acknowledged the failure to ensure proper communication and documentation, which was against the facility's policy that mandates the use of a communication binder for effective communication between the LTC facility and the dialysis center.
Delayed Physician Documentation for Two Residents
Penalty
Summary
The facility failed to ensure timely completion and documentation of physician visits and assessments for two residents, R62 and R20, which resulted in a lack of documentation and increased potential for coordination of care issues. Resident R62, who was on hospice care, had multiple delayed entries in their clinical record by Physician 'I'. These entries were made months after the actual visits, with one entry on 6/24/24 documenting a visit from 4/26/24. Physician 'I' admitted to forgetting to input handwritten notes into the computer system and was unaware of the timeframe requirements for documentation. The Director of Nursing (DON) was not aware of these delays until informed during the survey. Similarly, Resident R20, who had vascular dementia and liver disease, also experienced delayed documentation of physician evaluations. Physician 'I' entered notes into the record months after the evaluations were conducted, with one note entered on 6/22/24 for a visit on 4/26/24. The DON acknowledged awareness of the delays and stated that evaluations should be entered within a few days of completion. The facility's policy on physician services requires that physicians review the resident's care and document progress notes at each visit, which was not adhered to in these cases.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure appropriate infection control practices related to enhanced barrier precautions (EBP) for two residents, resulting in the potential for the spread of infection. For Resident 112, Certified Nurse Aides (CNAs) 'O' and 'P' entered the resident's room, which had a sign indicating EBP, without donning an isolation gown or gloves. They provided incontinence care and washed the resident without using the required protective equipment. For Resident 131, Nurse J entered the room, which also had a sign indicating EBP, and managed the resident's peripherally inserted central catheter (PICC) line without wearing a protective gown. Nurse J later acknowledged forgetting that the resident was on enhanced barrier precautions. The facility's policy on EBP, which aligns with CDC guidelines, requires gown and glove use during high-contact care activities to prevent the transmission of multi-drug resistant organisms (MDROs).
Failure to Timely Submit MDS Assessments
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were signed and submitted to the Centers for Medicare and Medicaid Services (CMS) in a timely manner for five residents. Each of these residents had MDS assessments that were incomplete and over 120 days old, which had not been submitted. During an interview, MDS Nurse A explained that a previous nurse had intended to complete and transmit the assessments but went on leave, resulting in the assessments remaining incomplete. MDS Nurse A acknowledged awareness of the incomplete assessments and indicated efforts to keep up with current assessments.
Failure to Provide Foley Catheter Privacy Bags
Penalty
Summary
The facility failed to maintain dignity for two residents by not providing a foley catheter privacy bag. Resident R402 was observed in therapy with a foley catheter anchored behind a wheelchair without a privacy bag, exposing the contents of the catheter bag to staff, visitors, and other residents. R402, who has intact cognition, expressed that a privacy bag would prevent others from seeing the contents of the foley bag. The resident's care plan specifically included the intervention to apply a foley bag cover for dignity, which was not followed. Similarly, Resident R404 was observed in bed with a foley catheter anchored to the bed frame without a privacy bag, and the contents were visible from the hallway. R404, who has moderate cognitive impairment, also expressed interest in having a privacy bag to prevent others from seeing the urine in the foley bag. The CNA confirmed that R404 did not have a privacy bag at the beginning of the shift or when the foley was emptied earlier. R404's medical records did not include a care plan related to foley catheter care. The Director of Nursing (DON) acknowledged during an interview that residents with foley catheters should have privacy bags to maintain their dignity and prevent embarrassment. The facility's Quality of Life-Dignity policy, dated 12/10/2010, states that each resident should be cared for in a manner that promotes and enhances quality of life, dignity, respect, and individuality. The failure to provide privacy bags for the foley catheters of R402 and R404 resulted in a deficiency in maintaining resident dignity as per the facility's policy.
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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 Riverview
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belle Fountain Nursing & Rehabilitation Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Rivergate Health Care Center | 2 mi | ★★★★★ | 4 | 0 |
| Rivergate Terrace | 2 mi | ★★★★★ | 13 | 0 |
| Applewood Nursing Center, Inc | 2.5 mi | ★★★★★ | 0 | 0 |
| The Orchards At Southgate | 2.9 mi | ★★★★★ | 8 | 0 |
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