RIVERVIEW ON THE APPOMATTOX HEALTH & REHAB 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 on the Appomattox Health & Rehab Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care High

Special Care Low

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 Virginia 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 01/27/2011.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/04/2010 Correction Date: 04/15/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/27/2011 Correction Date: 03/02/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 03/04/2010 Correction Date: 04/15/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/27/2011 Correction Date: 03/02/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/27/2011 Correction Date: 03/02/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/27/2011 Correction Date: 03/02/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/04/2010 Correction Date: 04/28/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 01/27/2011 Correction Date: 03/02/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/27/2011 Correction Date: 03/02/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/15/2009 Correction Date: 04/02/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/15/2009 Correction Date: 04/02/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/04/2010 Correction Date: 04/15/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/04/2010 Correction Date: 04/15/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/04/2010 Correction Date: 04/15/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/27/2011 Correction Date: 03/02/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/27/2011 Correction Date: 03/02/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/04/2010 Correction Date: 04/15/2010
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 01/27/2011 Correction Date: 03/02/2011
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 01/27/2011 Correction Date: 03/02/2011
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 01/27/2011 Correction Date: 03/02/2011

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 on the Appomattox Health & Rehab Center, as well as complaints by residents or their family in the previous three years.

Environmental

Provide Clean Bed and Bath Linens That Are in Good Condition. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/04/2010 Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/21/2010 Correction Date: 01/01/1900

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 04/21/2010 Correction Date: 01/01/1900
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Complaint Filed: 01/27/2011 Correction Date: 03/02/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 03/04/2010 Correction Date: 02/22/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Complaint Filed: 01/27/2011 Correction Date: 03/02/2011
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 01/27/2011 Correction Date: 03/02/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Complaint Filed: 01/15/2009 Correction Date: 02/18/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Complaint Filed: 03/04/2010 Correction Date: 01/01/1900
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 01/27/2011 Correction Date: 03/02/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Complaint Filed: 01/27/2011 Correction Date: 03/02/2011

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 on the Appomattox Health & Rehab 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 02/07/2011.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/07/2011 Correction Date: 03/24/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/26/2009 Correction Date: 02/04/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/26/2009 Correction Date: 02/04/2009
Exits That Are Accessible at All Times. Inspection Date: 03/12/2010 Correction Date: 04/09/2010
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 03/12/2010 Correction Date: 04/09/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/26/2009 Correction Date: 02/04/2009