St. Louis, MI

Riverside Healthcare Center

3-star overall rating with 3-star inspections with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

1149 West Monroe Road, St. Louis, MI

(989) 681-3852

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

39

Certified beds

Average residents

37

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pioneer Healthcare Management

Operator or chain grouping

Approved since

1977-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

1.87

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.11

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

2.78

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.36

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,665

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

32.11

Composite VBP score used to determine payment impact.

Payment multiplier

0.9869

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

5.09

Baseline 53.12% · Performance 42.86% · Measure score 5.09 · Achievement 5.09 · Improvement 3.13

Adjusted total nurse staffing

1.33

Baseline 2.77 hours · Performance 3.32 hours · Measure score 1.33 · Achievement 0.87 · Improvement 1.33

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 3 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 43
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 44
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
95.0%
1.5 pts better
93.4%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 94.4% · Q3 100.0% · Q4 94.1% · 4Q avg 96.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.0%
5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 3.5%
3.1%
0.4 pts worse
3.3%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.8% · Q3 5.6% · Q4 2.9% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.0%
4.1%
3.1 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight 5.1%
5.5%
0.4 pts better
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 0.0% · Q3 10.0% · Q4 3.2% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.5%
19.6%
3.1 pts better
19.6%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 13.8% · Q3 18.8% · Q4 16.1% · 4Q avg 16.5%
Percentage of long-stay residents who received an antipsychotic medication 23.3%
16.5%
6.8 pts worse
16.7%
6.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 20.0% · Q3 28.6% · Q4 21.7% · 4Q avg 23.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 14.0%
13.9%
0.1 pts worse
16.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.6%
11.7%
2.1 pts better
14.9%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.1% · Q3 16.7% · Q4 10.3% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.9%
0.4 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.4%
1.7%
0.3 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 2.9% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.4%
20.4%
10 pts better
19.8%
9.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.7% · Q3 14.7% · Q4 9.3% · 4Q avg 10.4%
Percentage of long-stay residents with pressure ulcers 9.3%
5.6%
3.7 pts worse
5.1%
4.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 5.2% · Q3 7.9% · Q4 10.8% · 4Q avg 9.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 62.3%
82.8%
20.5 pts worse
81.7%
19.4 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 62.3%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

12 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-04-17 · Fire 2024-04-17

3 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-31 · Fire 2023-03-31

20 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-27

K371 · Smoke Deficiencies

Fire Safety

Have properly sized and located compartments to protect residents from smoke.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-27

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-27

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-27

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-18

F · Potential for more than minimal harm 2024-04-17

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-17

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2024-06-10

F · Potential for more than minimal harm 2024-04-17

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-17

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-17

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-10

F · Potential for more than minimal harm 2023-03-31

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-03-31

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-03-31

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-04-13

F · Potential for more than minimal harm 2023-03-31

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-04-24

F · Potential for more than minimal harm 2023-03-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-19

F · Potential for more than minimal harm 2023-03-31

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-04-15

F · Potential for more than minimal harm 2023-03-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-03

F · Potential for more than minimal harm 2023-03-31

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-04-17

F · Potential for more than minimal harm 2023-03-31

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-04-03

F · Potential for more than minimal harm 2023-03-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-03-31

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-03-31

E · Potential for more than minimal harm 2023-03-31

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-03-29

E · Potential for more than minimal harm 2023-03-31

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-31

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-04-03

D · Potential for more than minimal harm 2023-03-31

K925 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Corrected 2023-04-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-10-01

F · Potential for more than minimal harm 2025-03-27

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-18

C · Minimal harm 2025-03-27

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-04-18

E · Potential for more than minimal harm 2024-04-17

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-05-09

E · Potential for more than minimal harm 2024-04-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-09

E · Potential for more than minimal harm 2023-12-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-17

E · Potential for more than minimal harm 2023-12-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-17

E · Potential for more than minimal harm 2023-12-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-01-17

E · Potential for more than minimal harm 2023-12-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-17

E · Potential for more than minimal harm 2023-12-21

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-01-17

D · Potential for more than minimal harm 2023-12-21

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-01-17

D · Potential for more than minimal harm 2023-12-21

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-01-17

F · Potential for more than minimal harm 2023-03-31

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-31

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-31

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-31

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-31

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-31

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-31

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-31

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-31

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-31

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-31

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-31

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-05-03

Penalties and ownership

What sits behind the stars

Ownership

Mcgourty, Diane

W-2 Managing Employee · Individual

0% 3 facilities 2019-04-01
Uddin, Fahim

5% Or Greater Direct Ownership Interest · Individual

0% 9 facilities 2019-01-08

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