THE RIVER GARDENS REHAB AND CARE 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 The River Gardens Rehab and Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

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

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 07/06/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 03/11/2009 Correction Date: 05/03/2009

Nutrition and Dietary

Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident. Inspection Date: 03/11/2009 Correction Date: 05/03/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/11/2009 Correction Date: 05/03/2009

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: 02/08/2008 Correction Date: 04/18/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
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: 03/11/2009 Correction Date: 05/03/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/11/2009 Correction Date: 05/03/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/11/2009 Correction Date: 05/03/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/11/2009 Correction Date: 05/03/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 03/11/2009 Correction Date: 05/03/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 03/11/2009 Correction Date: 05/03/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 03/11/2009 Correction Date: 05/03/2009

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: 03/11/2009 Correction Date: 05/03/2009
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: 03/11/2009 Correction Date: 05/03/2009

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Let Residents Complain Without Being Treated Differently or Badly. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Provide Written Records when a Resident is Transferred or Discharged. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/08/2008 Correction Date: 04/18/2008
Have a Private Telephone Available for Use. Inspection Date: 03/11/2009 Correction Date: 05/03/2009

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/11/2009 Correction Date: 05/03/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 07/06/2010 Correction Date: 08/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/06/2010 Correction Date: 08/02/2010

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. Complaint Filed: 07/06/2010 Correction Date: 08/02/2010

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 The River Gardens Rehab and Care 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 07/13/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 02/12/2008 Correction Date: 03/27/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/12/2008 Correction Date: 03/27/2008

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/12/2008 Correction Date: 03/27/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/12/2008 Correction Date: 03/27/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/19/2009 Correction Date: 04/24/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/13/2010 Correction Date: 07/22/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/12/2008 Correction Date: 03/27/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/12/2008 Correction Date: 03/27/2008

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 02/12/2008 Correction Date: 03/27/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/19/2009 Correction Date: 04/24/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/12/2008 Correction Date: 03/27/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/13/2010 Correction Date: 07/22/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 02/12/2008 Correction Date: 03/27/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/13/2010 Correction Date: 07/22/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/12/2008 Correction Date: 03/27/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/13/2010 Correction Date: 07/22/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/13/2010 Correction Date: 07/22/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/13/2010 Correction Date: 07/22/2010