Above 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 Rocky Mountain Care - Riverton during CMS and state inspections, most recent first.
The facility failed to employ a full-time qualified dietitian or nutrition professional as the director of nutrition services. The Dietary Manager (DM) lacked the necessary training and had not started the Certified Dietary Manager (CDM) course. The Registered Dietitian (RD) visited weekly but the DM did not receive audit information. The Administrator delayed enrolling the DM in the CDM course, assessing her commitment to the role.
A malfunctioning dish machine in an LTC facility failed to properly sanitize dishes due to a non-functional rinse cycle, with temperatures not reaching the required 180°F. The Dietary Manager was unaware of the issue's duration and lacked service records. Despite a service visit, the problem persisted, leading to the use of a three-sink method for dishwashing.
The facility failed to maintain an effective infection prevention and control program, as staff did not use appropriate PPE for residents on Enhanced Barrier Precautions (EBP). A resident with multiple diagnoses, including a stage 3 pressure ulcer, had a physician's order for EBP, but PPE was not available in their room. Another resident with a joint replacement and urinary tract infection also lacked EBP signage and PPE. A third resident had EBP signage but insufficient PPE. Staff interviews revealed inconsistent EBP protocol implementation, highlighting a systemic issue in infection control.
A resident with multiple medical conditions, including dementia and heart failure, was admitted with a Foley catheter but lacked a physician's order and care plan for catheter care. The oversight was attributed to agency staff during admission, and the catheter was not checked by nurses. The resident developed a bladder infection, and a family note requesting catheter removal was unnoticed by staff.
A resident's blood pressure medication, Midodrine, was administered outside of the physician's ordered parameters in a facility. Despite the order to hold the medication if systolic blood pressure was greater than 100, it was given multiple times when the resident's blood pressure exceeded this limit. Interviews with nursing staff revealed that they were expected to follow these parameters and notify the provider if the medication was held, which did not occur.
Deficiency in Nutrition Services Staffing
Penalty
Summary
The facility was found to have a deficiency in employing a clinically qualified full-time dietitian or another clinically qualified nutrition professional to serve as the director of nutrition services. During an initial walk-through of the kitchen, it was revealed that the Dietary Manager (DM) had not completed the necessary training to serve in her role. Although the DM was ServeSafe certified and had received menu training from the RD consulting company, she had not started the Certified Dietary Manager (CDM) course. The Registered Dietitian (RD) visited the facility weekly and conducted kitchen audits, but the DM did not receive the audit information. Further interviews revealed that the RD had been working with the facility for two years through a consulting company and confirmed that the DM, who started as a cook, had not begun the CDM course. The previous DM, now a Medical Records staff member, also did not complete the CDM course during her tenure. The facility's Administrator indicated a delay in enrolling the current DM in the CDM course, as they were assessing her commitment to the role. The Administrator also mentioned plans to enroll the DM in a Spanish-speaking class, under the assumption that there was a year to complete the CDM course.
Dish Machine Malfunction Leads to Food Safety Deficiency
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety due to a malfunctioning dish machine. During an initial walk-through of the kitchen, it was observed that the dish machine was not running properly to sanitize the dishes after meals. The wash cycle was operating at 160 degrees Fahrenheit, but the rinse cycle was not functioning, and no water entered the dish machine for rinsing. The Dietary Manager (DM) acknowledged that the dish machine detergent was empty and did not replace it. The temperature logs for the dish machine showed consistent issues with the rinse temperature not reaching the required 180 degrees Fahrenheit, indicating a persistent problem with the machine's ability to sanitize dishes effectively. Interviews with the DM revealed a lack of awareness and action regarding the malfunctioning dish machine. The DM was unsure if the dishes were being sanitized properly and mentioned that a service company had previously been informed about the rinse cycle issue but had not resolved it. The DM did not have a record of when the service company last visited or any service receipts. Additionally, the DM stated that the dish machine was a high-temperature model that did not require a sanitizer, yet the temperature logs incorrectly indicated a chemical concentration of 400 parts per million, which the DM could not explain. Further observations confirmed that the rinse cycle was still not working, and the dish machine was not meeting the necessary temperature requirements for sanitization. The DM stated that until the machine was fixed, dishes would be washed using the three-sink method. However, the dish machine continued to be used despite its malfunction. The Medical Records (MR) staff member, who occasionally assisted in the kitchen, confirmed that a service company representative had visited and replaced a temperature gauge but had not provided a service statement. The MR instructed the DM to use the three-sink process for washing dishes after being informed that the rinse cycle was not operational.
Inadequate Infection Control and PPE Use for Residents on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to establish an effective infection prevention and control program, as evidenced by the improper use of personal protective equipment (PPE) for residents on Enhanced Barrier Precautions (EBP). Specifically, for three out of 22 sampled residents, staff did not use the appropriate PPE. Resident 21, who had multiple diagnoses including pyogenic arthritis and a stage 3 pressure ulcer, had a physician's order for EBP related to a PICC line and wound care. However, observations revealed that the PPE storage holder in Resident 21's room was empty, and staff did not consistently wear gowns or masks during wound care procedures. Resident 84, admitted with conditions such as aftercare following joint replacement surgery and urinary tract infection, also had a physician's order for EBP due to wounds. Despite this, there was no EBP signage on the door, and PPE was not available in the room. Similarly, Resident 85, who had a physician's order for EBP related to a catheter, had EBP signage but lacked adequate PPE in the room. Interviews with staff, including a CNA and the Unit Manager, revealed a lack of awareness and inconsistent implementation of EBP protocols. The Director of Nursing acknowledged that EBP should be implemented for residents with open wounds, MDROs, PICC lines, Foley catheters, or any unnatural body openings. However, the facility's night shift CNAs were responsible for stocking PPE, and there was a noted difficulty in ensuring agency staff were adequately trained. The deficiency highlights a systemic issue in maintaining proper infection control measures, particularly in ensuring that PPE is readily available and that staff are consistently following EBP protocols.
Resident's Catheter Care Lacked Physician's Order and Oversight
Penalty
Summary
The facility failed to ensure that a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible. Specifically, a resident was found to have a urinary catheter without a physician's order. The resident, who had multiple medical conditions including dementia and heart failure, was admitted with a Foley catheter due to non-weight bearing status. However, there was no physician's order for the catheter in the medical record, and no care plan entries for catheter care were documented. Interviews with staff revealed that the catheter was not being checked by nurses because it was not included in the orders, and the oversight was attributed to the use of agency staff during admission. The resident's family had left a note on a whiteboard requesting the removal of the catheter to prevent infection, but this was not noticed by the CNA. The resident had developed a bladder infection and was started on antibiotics. The Director of Nursing acknowledged the oversight in the medical record checks and stated that the catheter order was missed despite multiple checks in the admission process.
Improper Administration of Blood Pressure Medication
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary drugs, specifically regarding the administration of Midodrine, a blood pressure support medication. The medication was administered outside of the physician's ordered parameters for a resident with multiple complex medical conditions, including cellulitis, pressure ulcers, chronic kidney disease, heart failure, diabetes, and chronic atrial fibrillation. The physician's order specified that Midodrine should be held if the systolic blood pressure was greater than 100. However, the medication was administered on numerous occasions when the resident's systolic blood pressure exceeded this threshold. Interviews with the nursing staff, including a Registered Nurse (RN) and the Director of Nursing (DON), revealed that the nurses were expected to follow the parameters set by the physician's orders. The RN acknowledged that medications with parameters should only be given if they fall within the ordered parameters, and if a medication is held, the provider should be notified. The DON confirmed that the nurses should have adhered to the parameters and documented any deviations in the medical record. Despite these expectations, the medication was not held as required, and the provider was not notified, leading to the deficiency.
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What surveyors actually found near you
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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 Riverton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Neurorestorative | 2.1 mi | ★★★★★ | 0 | 0 |
| Stonehenge Of South Jordan | 3.5 mi | ★★★★★ | 0 | 0 |
| Copper Ridge Health Care | 4.6 mi | ★★★★★ | 3 | 0 |
| Draper Rehabilitation And Care Center | 5.8 mi | ★★★★★ | 4 | 0 |
| Sandy Health And Rehab | 6.2 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.