Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Riverdell Care Center during CMS and state inspections, most recent first.
Facility staff failed to operate the dishwashing machine according to the manufacturer's instructions, resulting in inadequate sanitization. The machine consistently operated below the required 120 degrees Fahrenheit, with staff unaware of the correct temperature requirements. Interviews revealed misunderstandings about the necessary operating temperatures, and the administrator was unaware of the issue.
The facility failed to implement a comprehensive water management plan to prevent Legionella growth, with inaccuracies in the plan and lack of maintenance documentation. Additionally, a resident's indwelling catheter was repeatedly found on the floor, risking infection. Staff interviews confirmed the need for proper catheter positioning, and the DON admitted to a lack of recent training.
The facility failed to ensure wheelchair safety for two residents by propelling them without footrests, and conducted unsafe mechanical lift transfers for three residents by not keeping the leg base open for stability. Additionally, hazardous materials were not stored safely, with unlocked shower rooms and dining areas containing accessible items like razors and nail polish remover, posing risks to residents.
The facility failed to maintain a homelike environment, with observations of black stains, lifted tiles, damaged sheetrock, and strong odors in resident rooms. Staff interviews revealed a maintenance log exists, but repairs have not kept pace with needs, partly due to full capacity preventing resident relocation during repairs.
Facility staff failed to store medications safely, with expired medications found in a storage room. The facility's policy requires expired medications to be returned or destroyed, but observations revealed expired Aspirin, Magnesium Oxide, Vitamin D, and Diclofenac Sodium Gel. Interviews showed inconsistent responsibility among staff, with a CMT, LPN, administrator, and DON all indicating different roles in monitoring medication storage.
Dishwashing Machine Not Meeting Manufacturer's Temperature Requirements
Penalty
Summary
The facility staff failed to ensure the dishwashing machine operated according to the manufacturer's instructions, which led to inadequate sanitization of kitchen wares. The facility's policy required dishwashing machines to operate with a wash temperature of 120 degrees Fahrenheit and a final rinse with 50 parts per million hypochlorite. However, the Dish Machine - PPM Sanitizer Record Logs showed consistent documentation of machine temperatures at 98 degrees Fahrenheit, below the required temperature. Observations confirmed that the maximum water temperatures reached during various dishwashing cycles were between 101 and 109 degrees Fahrenheit, which did not meet the manufacturer's specified minimum of 120 degrees Fahrenheit. Interviews with facility staff revealed a lack of awareness and understanding of the correct operating temperatures for the dishwashing machine. Dietary Dish Aide M and another staff member believed the water temperature should be between 98 and 100 degrees Fahrenheit, while the Dietary Manager thought it should be 110 degrees Fahrenheit. The maintenance director acknowledged that the dish machine gauge never reached 120 degrees but assumed it was acceptable due to the use of low-temperature sanitizer chemicals. The administrator was unaware of the discrepancy and relied on the Dietary Manager to ensure compliance with the manufacturer's instructions.
Deficiencies in Water Management and Catheter Care
Penalty
Summary
The facility staff failed to develop and implement comprehensive policies and procedures for the inspection, testing, and maintenance of the facility's water systems to prevent the growth of waterborne pathogens, specifically Legionella bacteria. The Legionella Water Management Plan was found to be incomplete and inaccurate, with references to another facility and incorrect descriptions of the facility's water system. The plan lacked a building water system flow diagram and did not document semiannual water heater flushes or quarterly cleaning and descaling of showerheads and spray nozzles. The maintenance director admitted to not thoroughly reviewing the plan and was unaware of the need to clean showerheads or flush water heaters. Additionally, the facility's Urinary Catheter Care policy, dated 2001, did not provide guidance on the proper positioning of an indwelling catheter to prevent contamination. Observations revealed that a resident's indwelling catheter was repeatedly found on the floor, which poses a risk of infection due to potential bacterial contamination. Interviews with staff, including a CNA, the Assistant Director of Nursing (ADON), and the Infection Preventionist, confirmed that catheters should be kept off the floor to prevent infection. The facility's administrator and Director of Nursing (DON) acknowledged the deficiencies in the Legionella Water Management Plan and the improper handling of indwelling catheters. The administrator was unaware of all the required components of a water management plan, and the DON admitted that there had not been recent catheter training. The DON and ADON were responsible for ensuring staff followed proper procedures, but daily hall checks did not prevent the observed deficiencies.
Deficiencies in Wheelchair Safety, Mechanical Lift Transfers, and Hazardous Material Storage
Penalty
Summary
The facility staff failed to ensure wheelchair safety for two residents, as they were propelled without footrests, leading to potential injury risks. One resident, who was cognitively intact and independent in a wheelchair, was observed being propelled by a CNA without footrests because they could not be found. Another resident, with severe cognitive impairment and substantial assistance needs, was also propelled by the administrator without footrests, causing the resident's feet to slide on and off the floor. The facility staff also failed to conduct safe mechanical lift transfers for three residents. These residents, who were either cognitively intact or severely impaired and dependent on staff for transfers, were transferred using a mechanical lift with the leg base closed, contrary to safety protocols. Staff interviews revealed that the leg base should be open for stability, but space constraints in rooms were cited as a reason for not following this procedure. Additionally, the facility did not have a policy for the storage of hazardous materials, leading to unsafe conditions. Observations showed unattended and unlocked shower rooms and dining areas with accessible hazardous materials, such as disposable razors and nail polish remover, posing a risk to residents. Staff interviews confirmed that hazardous materials should be locked to prevent resident access, but this was not consistently practiced.
Failure to Maintain a Homelike Environment
Penalty
Summary
The facility failed to provide a comfortable and homelike environment for its residents, as evidenced by multiple observations of poor maintenance in resident-occupied rooms. Observations revealed black stains and lifted tiles around toilets, damaged sheetrock with exposed metal edges, sticky dried yellow substances on bathroom tiles, broken tiles with exposed concrete and sharp edges, and strong odors in several rooms. Additionally, a ceiling near a window was observed to have cracks, brown stains, and black material protruding from a hole. Interviews with facility staff, including a Certified Medication Technician, a Housekeeper, the Maintenance Director, and the Administrator, revealed that there is a maintenance log for reporting damage, but the facility has been unable to keep up with repairs. The Maintenance Director acknowledged awareness of the damage and stated efforts were being made to address it. The Administrator noted that the facility's full capacity has hindered the ability to move residents for repairs, and the Maintenance Director is responsible for ensuring repairs are completed.
Medication Storage Deficiency Due to Expired Medications
Penalty
Summary
Facility staff failed to store medications in a safe and effective manner in one of the two medication storage rooms. The facility's policy, dated February 2023, requires that discontinued, outdated, or deteriorated medications be returned to the pharmacy or destroyed. However, during an observation, it was found that the 100 hall medication storage room contained expired medications, including a bottle of Aspirin, Magnesium Oxide, Vitamin D, and a tube of Diclofenac Sodium topical Gel, all past their expiration dates. Interviews with facility staff revealed a lack of consistent responsibility and oversight regarding medication storage. A Certified Medication Technician stated that expired medications are either returned to the pharmacy or destroyed. An LPN indicated that the night shift nurse is responsible for monitoring the medication storage room and ensuring expired medications are handled appropriately. The administrator and the Director of Nursing both emphasized that all nursing staff are responsible for checking and managing medication storage to prevent expired medications from being available, highlighting a discrepancy in the execution of these responsibilities.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 56 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Boonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakeview Health Care & Rehabilitation Center | 2.3 mi | ★★★★★ | 5 | 0 |
| Ashley Manor Health & Rehabilitation | 2.7 mi | ★★★★★ | 0 | 0 |
| Katy Manor | 12 mi | ★★★★★ | 0 | 0 |
| Glasgow Gardens | 19.5 mi | ★★★★★ | 0 | 0 |
| Parkside Manor | 20 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Riverdell Care Center.
100% money-back within 48 hours.
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.