RIVERVIEW NURSING AND REHABILITATION LP

The information listed below provides an in-depth look into the type and quality of care offered at Riverview Nursing and Rehabilitation Lp. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

RIVERVIEW NURSING AND REHABILITATION LP
1102 RIVER RD
BOERNE, TX 78006
(830) 249-2799

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

58%

Number of Residents and Certified Beds

  • Residents: 70
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Comfort | San Antonio | Bandera

Resident Services

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 "Ultra-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 Nursing and Rehabilitation Lp. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-108.4%
Total Percent:8.4%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-166.3%
Total Percent:6.3%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-166.7%
ADL Index Range: 6-1019.7%
ADL Index Range: 0-530.3%
Total Percent:56.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-510.9%
Total Percent:10.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-51.7%
Total Percent:1.7%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-1613.9%
Total Percent:13.9%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.4%
Total Percent:0.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
1.7%
Total Percent:1.7%
 

Rating Details For Riverview Nursing and Rehabilitation Lp

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours32 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours35 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 52 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours1 Hour and 8 Minutes1 Hour and 43 Minutes
Total Nurse Hours2 Hours and 59 Minutes4 Hours

Quality of Care -

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 Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased22%18%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder59%46%
Percent of Long-Stay Residents Who Lose Too Much Weight7%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season89%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination82%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium2%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%16%
Percent of Short-Stay Residents Who Have Pressure Sores16%11%

Health Inspection Details -

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 11/23/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/29/2008
Hire a Qualified Activities Director.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/15/2010
Keep Complete, Dated Lab Records in the Resident's File.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/17/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/15/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/05/2009
  • Correction Date: 11/29/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/05/2009
  • Correction Date: 11/18/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 11/05/2009
  • Correction Date: 11/10/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/01/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/15/2010
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/31/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/29/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/05/2009
  • Correction Date: 11/10/2009
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/08/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/14/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/15/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/21/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/21/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/05/2009
  • Correction Date: 11/18/2009
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: 11/05/2009
  • Correction Date: 11/10/2009
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: 11/23/2010
  • Correction Date: 12/15/2010

Resident Assessment

Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/21/2008
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/08/2010

Enforcement

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.

Action TakenDateAmount
Civil Money Penalty (CMP)08/21/2009$2,275

Deficiencies from Complaints and Incidents

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

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/23/2009

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/23/2009

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/23/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/23/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 11/23/2010
  • Correction Date: 12/15/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/23/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/23/2009

Resident Rights

Have a Private Telephone Available for Use.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/23/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/23/2009

Fire Safety

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 Nursing and Rehabilitation Lp 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 11/23/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/25/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/23/2010
  • Correction Date: 12/23/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/04/2009
  • Correction Date: 11/08/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/02/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/04/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/23/2010
  • Correction Date: 11/26/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/24/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/04/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/24/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/18/2009

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 11/04/2009
  • Correction Date: 11/12/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 11/04/2009
  • Correction Date: 11/05/2009
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 11/04/2009
  • Correction Date: 11/05/2009

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/02/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/22/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/23/2010
  • Correction Date: 01/05/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 11/20/2008
  • Correction Date: 11/21/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 11/23/2010
  • Correction Date: 11/26/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011