RIVERVIEW AT THE PARK CARE AND REHABILITATION CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Riverview at the Park Care and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/18/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Follow All Laws and Professional Standards. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Follow All Laws and Professional Standards. Inspection Date: 03/18/2011 Correction Date: 05/12/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 06/18/2009 Correction Date: 08/11/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/18/2009 Correction Date: 08/11/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Get Rid of Garbage Properly. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/18/2011 Correction Date: 05/12/2011
Get Rid of Garbage Properly. Inspection Date: 03/18/2011 Correction Date: 05/12/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/18/2011 Correction Date: 05/12/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/18/2011 Correction Date: 05/12/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/18/2009 Correction Date: 08/11/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 06/18/2009 Correction Date: 08/11/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 06/18/2009 Correction Date: 08/11/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Resident Assessment

Do an Assessment of the Resident Every Year. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/18/2009 Correction Date: 08/11/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Riverview at the Park Care and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Complaint Filed: 03/09/2010 Correction Date: 04/29/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 04/07/2011 Correction Date: 05/12/2011

Quality Care

Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 03/09/2010 Correction Date: 04/29/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 06/18/2009 Correction Date: 08/11/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Riverview at the Park Care and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/18/2011.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/18/2011 Correction Date: 05/12/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Approved Construction Type or Materials. Inspection Date: 03/18/2011 Correction Date: 05/12/2011

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 06/18/2009 Correction Date: 08/11/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/18/2011 Correction Date: 05/12/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 03/09/2010 Correction Date: 04/29/2010
Proper Backup Exit Lighting. Inspection Date: 03/18/2011 Correction Date: 05/12/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/09/2010 Correction Date: 04/29/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/18/2009 Correction Date: 08/11/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/09/2010 Correction Date: 04/29/2010