River Valley Nursing and Rehabilitation
River Valley Nursing and Rehabilitation is a 44-bed nursing home in Pleasant Valley, Iowa. CMS has certified it for Medicare and Medicaid since 1998-01-01. It averages 30.6 residents a day.
What harm was found in the violations cited at River Valley Nursing and Rehabilitation?
CMS lists 38 health-inspection deficiencies for River Valley Nursing and Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-10 | F0582, F0627, F0676 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| 2025-11-18 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2025-10-21 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-05-14 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-02-11 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-10-24 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2024-09-09 | F0725, F0865 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2024-09-09 | F0801, F0804, F0805, F0812, F0880 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / 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. | E |
| 2024-09-09 | F0600, F0610, F0658, F0677, F0684, F0686, F0688, F0689, F0710, F0809, F0883 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-11-21 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2023-11-21 | F0678, F0725, F0812, F0880 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. | E |
| 2023-11-21 | F0550, F0677, F0684, F0690, F0804, F0806, F0810 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D |
How is River Valley Nursing and Rehabilitation staffed relative to the IA average?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.71775 | 3.81506 |
| Total nursing staff turnover (%) | 48.5 | 44.0 |
| Average number of residents per day | 30.6 | 52.4 |
Who owns River Valley Nursing and Rehabilitation, and what chain is it in?
River Valley Nursing and Rehabilitation is registered with CMS as For profit - Corporation, operates under the legal business name RIVERVIEW SNF OPERATOR LLC and belongs to the BEACON HEALTH MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BLACK HAWK HEALTHCARE, LLC | since 05/14/2021 |
| INDIRECT OWNERSHIP INTEREST | WERTHEIM, BRUCE | since 05/14/2021 |
| MANAGING CONTROL - GOVERNING BODY | FLANAGAN, MICHAEL | since 11/04/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | EVEREST MANAGEMENT SOLUTIONS LLC, FLANAGAN, MICHAEL, MATHEW, STANLEY, VONDAL, BROOKE | since 11/01/2025 |
| ADP OF THE SNF | EVEREST MANAGEMENT SOLUTIONS LLC, HAWKEYE INVESTORS, LLC, NCI HAWKEYE HOLDINGS, LLC, RIVERVIEW PROPERTY HOLDINGS, LLC, MATHEW, STANLEY, VONDAL, BROOKE | since 05/14/2021 |
Were you or a family member harmed at River Valley Nursing and Rehabilitation?