Riverbend

Last survey

August 13, 2025 standard survey, complaint, verification visit

Surveys

4

Deficiencies cited

37

Enforcement letters

4

Forfeitures imposed

$11,080 4 notices

Complaints substantiated

3 of 8 as stated in the reports

Enforcement

• August 28, 2025: notice of violation, order to comply, special orders, forfeiture, forfeiture $4,100 (reduced to $2,665 if paid within ten days)
• July 25, 2024: notice of violation, order to comply, special orders, forfeiture, forfeiture $3,380 (reduced to $2,197 if paid within ten days)
• March 12, 2024: notice of violation, order to comply, special orders, forfeiture, forfeiture $3,100 (reduced to $2,015 if paid within ten days)
• January 19, 2024: notice of violation, order to comply, special orders, forfeiture, forfeiture $500 (reduced to $325 if paid within ten days)

August 13, 2025, standard survey, complaint, verification visit 1 of 2 complaints substantiated · statement of deficiency

• Investigate injuries of unknown source (DHS 83.12(3)(a)) Investigation, notification, and reporting requirements
  From the report: Based on record review and interview, the provider did not ensure an investigation occurred when a resident had an injury that was not observed and could be adequately explained by the resident.
• Notification: incident, injury, changes (DHS 83.12(5)(a)) Investigation, notification, and reporting requirements
  From the report: Based on record review and interview, the provider did not ensure the resident's physician was immediately notified when there was an incident or injury to the resident, or a significant change in the resident's physical or mental condition.
• Licensee ensures facility complies with laws (DHS 83.14(2)(a)) Licensee
  From the report: Based on observation, record review, and interview, the licensee did not ensure compliance with all laws governing the operation of the program and facility.
• Administrator shall supervise daily operation (DHS 83.15(3)(a)) Administrator
  From the report: Based on observation, interview and record review, the provider did not ensure an administrator supervised the daily operation of the facility, programming, and personnel, in a way that ensured proper care and treatment, health and safety were protected, and rights were respected.
• Employees screened for communicable disease (DHS 83.17(2)(a)) Hiring and employment
  From the report: Based on record review and interview, the provider did not ensure 2 of 2 employees reviewed had obtained documentation from a physician, physician assistant, clinical nurse practitioner, or a licensed registered nurse, indicating they had been screened within 90 days before the start of employment for clinically apparent communicable disease, including tuberculosis (TB).

June 6, 2024, complaint, verification visit 0 of 2 complaints substantiated · statement of deficiency

• Administrator shall supervise daily operation (DHS 83.15(3)(a)) Administrator
  From the report: Based on record review and interview, the administrator did not supervise the daily operations, including: supervision to ensure residents received proper care and services, that the residents' health and safety were protected and promoted, employee training was completed, and training was completed prior to staff working alone on each shift.
• Department-approved training courses (DHS 83.20(2)(a)-(d)) Department-approved training
  From the report: Based on record review and interview, the provider did not ensure 3 of 8 employees obtained all department approved training as required.
• Adequate staff to meet resident needs (DHS 83.36(1)(a)) Staffing requirements
  From the report: Based on record review and interview, the provider did not ensure staff in sufficient numbers were available on a 24-hour basis.
• Qualified staff in charge, on duty and awake (DHS 83.36(1)(b)) Staffing requirements
  From the report: Based on record review and interview, the provider did not ensure at least one qualified resident care staff was present, on duty and awake, when at least one resident was in need of supervision, intervention, or services on a 24-hour basis.

January 25, 2024, complaint 1 of 1 complaints substantiated · statement of deficiency

• Caregiver: Investigating abuse & neglect (DHS 83.12(2)(a)) Investigation, notification, and reporting requirements
  From the report: Based on record review and interview, the provider did not report caregiver misconduct to the Department after they concluded a staff member slapped the hand of a resident.
• Notify within 7 days of administrator change (DHS 83.14(2)(e)) Licensee
  From the report: Based on record review and interview, the provider did not notify the Department of multiple changes in administrators.
• Administrator shall supervise daily operation (DHS 83.15(3)(a)) Administrator
  From the report: Based on record review and interview, the administrator did not supervise the daily operations, including: supervision to ensure received proper care and services, that the residents' health and safety were protected and promoted, and their rights were respected.
• Resident care staff at least 18 years old (DHS 83.16(2)) Employee
  From the report: Based on record review and interview, the provider did not ensure each resident care staff was at least 18 years old.
• Orientation (DHS 83.19) Orientation
  From the report: Based on record review and interview, the provider did not ensure 3 of 3 employees reviewed received training in recognizing and responding to resident changes of condition prior to the 3 of 3 employees performing their job duties.

November 9, 2023, complaint, verification visit 1 of 3 complaints substantiated · statement of deficiency

• Adequate staff to meet resident needs (DHS 83.36(1)(a)) Staffing requirements
  From the report: Based on record review and interview, the provider did not ensure staff in sufficient numbers were available on a 24-hour basis to meet the needs of the residents.
• Delayed egress: locking device sign posted (DHS 83.59(4)(b)) Exits and passageways
  From the report: Based on observation and interview, the provider did not ensure the delayed egress door locks had signs posted adjacent to the locking device that indicated how the door may be opened.

Read the survey history on DQA’s Provider Search →

DQA posts surveys from the last three years. DHS says posting may be delayed and Provider Search is updated weekly. This community is licensed for 11 residents; larger communities are surveyed and reported on more often, so read counts with size in mind. Source: Wisconsin Department of Health Services, Division of Quality Assurance, data as of October 15, 2026. Always visit in person and ask the community about anything listed here.