RIVERWOOD CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Riverwood Center. 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

RIVERWOOD CENTER
2802 PARENTAL HOME ROAD
JACKSONVILLE, FL 32216
(904) 721-0088

Nursing Home Ratings

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

Percent of Beds Occupied

85%

Number of Residents and Certified Beds

  • Residents: 203
  • Certified Beds: 240

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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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 Riverwood Center. 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-168.1%
ADL Index Range: 6-1020.0%
ADL Index Range: 0-513.3%
Total Percent:41.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.3%
ADL Index Range: 6-105.3%
ADL Index Range: 0-57.8%
Total Percent:16.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.1%
ADL Index Range: 6-101.1%
ADL Index Range: 0-52.5%
Total Percent:6.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.8%
ADL Index Range: 6-108.5%
ADL Index Range: 0-51.5%
Total Percent:13.8%
 

Extensive Services

  • 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: 2-16
- Tracheostomy care or ventilator/respirator
0.3%
Total Percent:0.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.06%
Total Percent:0.06%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
8.8%
ADL Index Range: 6-10
- No Signs of depression
1.1%
Total Percent:9.9%
 

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
2.0%
ADL Index Range: 6-10
- Signs of depression
0.8%
ADL Index Range: 6-10
- No Signs of depression
3.6%
ADL Index Range: 2-5
- Signs of depression
0.06%
ADL Index Range: 2-5
- No Signs of depression
0.4%
ADL Index Range: 0-1
- No Signs of depression
0.3%
Total Percent:7.0%
 

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: 11-14
- Less restorative nursing
2.0%
ADL Index Range: 6-10
- Less restorative nursing
1.7%
ADL Index Range: 0-1
- Less restorative nursing
0.6%
Total Percent:4.3%
 

Rating Details For Riverwood Center

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) Hours30 Minutes1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours55 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 47 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 25 Minutes1 Hour and 50 Minutes
Total Nurse Hours4 Hours and 12 Minutes4 Hours and 14 Minutes

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

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination82%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained5%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%54%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased25%12%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair10%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season67%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination53%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores15%14%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain8%17%

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 04/14/2011.

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

Environmental

Keep All Essential Equipment Working Safely.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/10/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/10/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/14/2011

Pharmacy Service

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.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/10/2009
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.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/10/2009
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: 09/02/2010
  • Correction Date: 10/02/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/14/2011

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: 07/10/2009
  • Correction Date: 08/10/2009
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.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/10/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/10/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010

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)07/23/2010$28,860

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Riverwood Center, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/23/2010
  • Correction Date: 07/27/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 07/23/2010
  • Correction Date: 07/27/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/27/2008
  • Correction Date: 06/24/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/23/2010
  • Correction Date: 07/27/2010
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011