RIVERVIEW HEALTH SERVICES in TOMAHAWK, WI was fined $5,286 by CMS across 2 separate penalties following 11 deficiency citations identified during federal surveys.

RIVERVIEW HEALTH SERVICES (TOMAHAWK, WI) — $5,286 in CMS Fines

Outcome: RIVERVIEW HEALTH SERVICES in TOMAHAWK, WI was fined $5,286 by CMS across 2 separate penalties following 11 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.


• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.


• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.


• Provide and implement an infection prevention and control program.


• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.


• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.


• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.