Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Cascades At Riverwalk during CMS and state inspections, most recent first.
Failure to provide required Medicare non-coverage notices. Two residents did not receive a SNF ABN or NOMNC when due, and no NOMNCs were found in either medical record. The ADM stated the Resident Advocate should have provided the notices and said only those two had to be completed over the last 6 months.
Food items were not stored in accordance with professional food service standards. Surveyors observed unlabeled and undated items in the reach-in refrigerator and walk-in refrigerator, including covered bowls of a white substance, vanilla low-fat yogurt without an open date, mayonnaise with no open date, and a container of red liquid with no label or date. In the walk-in freezer, mixed vegetables, frozen cookie dough, and beef patties were open to air. The DM stated staff were expected to label, date, and seal items when returning them to storage.
Failure to Use PPE for Contact Precautions, PICC Care, and EBP: Staff entered residents’ contact precautions and EBP rooms without the required gown, gloves, or hand hygiene, including during medication passes, brief care, meal delivery, and PICC line administration. An RN administered oral meds and IV antibiotics to a resident with a PICC line without PPE, and staff also entered another resident’s room on contact precautions without PPE. A CNA entered a resident’s room to change a brief without PPE even though the care plan required gown and gloves for EBP-related care.
A resident who was continent on admission later became incontinent of urine, but the record did not show a toileting program or documentation of a change in continence status. The resident had hemiplegia, brain cancer, obesity, hyperlipidemia, and mild cognitive impairment, and care plan notes showed ADL deficits, toileting assistance needs, and use of briefs. CNA interviews confirmed the resident was incontinent and not on a specific TP, while the DON stated staff were supposed to encourage continence by offering toileting frequently.
A resident with multiple chronic conditions including COPD, CHF, CKD, and chronic respiratory failure did not receive six ordered medications on multiple occasions, including inhaled, oral, and topical therapies. Review of the MAR and nursing notes found no documentation explaining the missed administrations, and the DON stated he did not know why the medications were not given despite pharmacy deliveries being available multiple times a day and for stat needs.
A resident with multiple chronic conditions, including CHF, COPD, pulmonary hypertension, and CKD, had an order for Midodrine only when SBP was below 100. Review of the MAR showed multiple doses were documented as given when SBP was 100 or higher, and several administrations had no BP documented. RN and DON both confirmed the medication was administered outside of the ordered parameters.
A resident who required extensive assistance with transfers was left in the shower without access to a call light, as the only available call light was out of reach from the shower chair. The resident, who preferred to shower independently after being assisted in, was unable to signal for help and had to use the shower head to attract attention until a CNA arrived.
Failure to Provide Required Medicare Non-Coverage Notices
Penalty
Summary
The facility did not inform each resident periodically during the resident's stay of services available in the facility and of charges for those services, including charges for services not covered under Medicare/Medicaid or by the facility's per diem rate. For 2 of 3 sampled residents, Resident 60 and Resident 61, a Skilled Nursing Facility Beneficiary Notice of Non-coverage (SNF ABN) or Notice of Medicare Non-Coverage (NOMNC) was not provided when due. Resident 60 was admitted with diagnoses including myotonic muscular dystrophy, acute respiratory failure, and major depressive disorder, and Resident 61 was admitted with diagnoses including atherosclerotic heart disease, cervical disc disorder with radiculopathy, fusion of the cervical spine, polyneuropathy, dementia, and anxiety disorder. Review of both medical records found no NOMNCs. During interview, the Administrator stated the Resident Advocate should have provided a NOMNC to Residents 60 and 61 and stated that only those two notices had to be completed over the last 6 months.
Food Items Not Properly Labeled, Dated, or Covered
Penalty
Summary
Food items were not stored, prepared, distributed, and served in accordance with professional standards for food service safety. During an initial kitchen tour, surveyors observed two trays in the reach-in refrigerator containing bowls of a white substance that were covered with plastic wrap but were not labeled or dated. In the walk-in refrigerator, a container of vanilla low-fat yogurt did not have an open date, a large container of mayonnaise was approximately 3/4 empty with no open date on the lid, and a large plastic container of red liquid had no label or date. In the walk-in freezer, a box of mixed vegetables, a box of frozen cookie dough, and a box of beef patties were open to air. During a follow-up kitchen tour, the Dietary Manager stated he received all orders, checked dates, and ensured food items were dated and put away. He also stated that dietary staff received monthly education on important kitchen procedures, and that the Registered Dietitian completed weekly audits to ensure the kitchen was clean, food was properly stored and labeled, and temperatures were correct. The Dietary Manager stated his expectation was that staff returning items from the refrigerator and freezer would make sure they were labeled, dated, and sealed to prevent spoilage, and that he checked to make sure food items were properly stored.
Failure to Use PPE for Contact Precautions, PICC Care, and EBP
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program for 3 of 39 sampled residents. During medication administration, RN 1 entered the room of a resident on contact precautions without gloves or a gown, administered oral medications, and later re-entered the room again without PPE. The same RN also entered another resident’s contact precautions room without PPE, assisted the resident in bed, touched the resident’s mug, adjusted bedding, wiped the resident’s mouth, and then left the room without hand hygiene before touching the medication cart computer and mouse. For the resident with a PICC line, RN 1 re-entered the room without PPE and removed caps from both PICC lumens, flushed each line with Normal Saline, and attached IV Daptomycin and IV Tigecycline without using gloves. During interview, RN 1 stated the resident was on contact precautions for the PICC line and staff should wear a gown and gloves when providing care, and she acknowledged she did not use PPE and should have worn at least gloves when administering the medications. The DON stated nurses were expected to follow physician orders, use hand hygiene, wear appropriate PPE for PICC line care, and wear a gown and gloves in contact isolation rooms. Resident 11 had diagnoses including paraplegia, UTI, stage 4 pressure ulcers, MRSA, and sepsis. The room had contact precautions and EBP signage, and the sign instructed staff to clean hands, wear gloves and a gown before room entry, and remove them before exiting. LPN 1 stated the resident had EBP precautions because of a wound and catheter, and that the facility had run out of EBP signs. A CNA coordinator entered the room without PPE and placed the resident’s meal on the overbed table. Resident 41’s care plan required EBP related to a feeding tube, with staff wearing gown and gloves for care including dressing, bathing, transferring, hygiene, brief changes, toileting, device care, feeding tube care, and wound care, yet a CNA entered the room without PPE to change the resident’s brief.
Failure to Maintain Continence With Toileting Support
Penalty
Summary
The facility did not ensure that a resident who was continent of bladder on admission received services and assistance to maintain continence after the resident later became incontinent. Resident 24 was admitted with hemiplegia, malignant neoplasm of brain, obesity, hyperlipidemia, and mild cognitive impairment. The admission MDS and assessment documented the resident as fully continent of urine, but quarterly MDSs later documented frequent bladder incontinence and no toileting program. The care plan noted ADL deficits related to incontinence, need for partial/moderate assistance with toileting, and use of disposable briefs, but it did not indicate that a toileting program was in place. Record review showed that after admission the resident was initially documented as voiding independently but needing assistance with toilet use, then later was documented as incontinent of urine. Progress notes included complaints of burning and frequency with urination, physician notification, and continued urinary symptoms, but no documentation was found describing the resident’s change in continence status or any potential use of a toileting program to restore continence. Interviews with CNA staff confirmed the resident was incontinent, wore briefs, and was not on a specific toileting program. The DON stated staff were supposed to encourage continence by frequently offering toileting, but was unsure how continence status was communicated to CNAs. The facility policy stated that staff would identify interventions and provide scheduled toileting or other interventions based on assessment, but the resident’s record did not reflect this.
Missed Medications for One Resident
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was not met when Resident 5 did not have six medications available for administration on multiple occasions. Resident 5 was admitted and later readmitted with diagnoses including pulmonary edema, COPD, pulmonary hypertension, CHF, protein calorie malnutrition, chronic respiratory failure, osteoporosis, diabetes mellitus, and CKD. Review of the May 2025 MAR showed that Lactobacillus Rhamnosus oral packet was not administered on 5/2/25 or 5/3/25, Lansoprazole oral suspension was not administered on 5/2/25, LidoPro External Patch was not administered on 5/2/25, 5/3/25, or 5/4/25, Pantoprazole Sodium Oral Packet was not administered on 5/2/25, Advair HFA inhalation aerosol was not administered on 5/1/25 through 5/7/25, and Vitron-C oral tablet was not administered on 5/2/25 and 5/3/25. The medications were later discontinued on various dates, but nursing progress notes reviewed for the listed dates did not contain documentation explaining why the medications were not administered as ordered. During an interview on 9/10/25, the DON stated that the pharmacy made deliveries to the facility multiple times a day and could also provide stat or immediate medication deliveries, but when asked about the missed medications for Resident 5, the DON stated he did not know why they were not administered.
Midodrine Given Outside Ordered Blood Pressure Parameters
Penalty
Summary
Ensure each resident's drug regimen was free from unnecessary drugs was not met for 1 of 39 sampled residents. Resident 5 was admitted and readmitted with diagnoses including pulmonary edema, COPD, pulmonary hypertension, CHF, protein calorie malnutrition, chronic respiratory failure, osteoporosis, diabetes mellitus, and chronic kidney disease. The resident had a physician order dated 5/1/25 for Midodrine HCl 2.5 mg by mouth every 6 hours for systolic blood pressure below 100. Review of the May 2025 MAR showed multiple instances where Midodrine was documented as administered when the recorded systolic blood pressure was at or above the ordered parameter, including readings of 100, 105, 108, 146, 104, 118, and 107. Several scheduled administrations also had no blood pressure documented before the medication was given. RN 2 stated the electronic record prompted staff to enter a blood pressure before documenting Midodrine as administered, and confirmed the medication was administered outside of prescribed parameters. The DON reviewed the MAR and confirmed the medication had been administered outside of prescribed parameters.
Resident Left Without Accessible Call Light During Shower
Penalty
Summary
A deficiency occurred when a resident who required extensive assistance with transfers was left in the shower without access to a call light. The resident preferred to be assisted into and out of the shower but to complete the shower independently, with CNAs checking in periodically. On the day of the incident, a CNA assisted the resident into the shower and then left, leaving the resident unable to reach the call light from the shower chair. The resident completed the shower and attempted to call out for assistance but was unable to get help until another CNA eventually arrived. The resident used the shower head to hit the wall in an attempt to signal for help. Observation of the bathroom revealed that the call light was positioned next to the toilet and was not accessible from the shower chair. Staff interviews confirmed that the resident often took long showers and preferred privacy, with CNAs waiting outside and sometimes completing other tasks while the resident showered. The incident was further corroborated by the resident's medical record, which indicated a need for one-person extensive assistance with transfers.
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 168 citations issued within 25 miles in the last 12 months — including the 8 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 Midvale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Monument Healthcare Taylorsville | 1.4 mi | ★★★★★ | 15 | 0 |
| Aspen Ridge Transitional Rehab | 2.7 mi | ★★★★★ | 1 | 0 |
| Aspen Ridge West Transitional Rehab | 2.8 mi | ★★★★★ | 11 | 0 |
| Sandy Health And Rehab | 2.9 mi | ★★★★★ | 0 | 0 |
| Rocky Mountain Care - Cottage On Vine | 3 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Cascades At Riverwalk.
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.