Riverbank Nursing Center
2649 West Topeka, Riverbank, CA 95367
Citation Number: 040009746
Citation Date: 02/14/2013
Violation Date: 2/19/2012
Class: AA
Penalty: $80,000

A 90 year old female resident with Alzheimer's Disease and osteoporosis fell while being transferred from her wheelchair to her bed on 2/19/12. Two CNAs were using a Hoyer lift for the transfer but failed to secure the apparatus and a sling became disengaged. The resident fell on her head and face, hitting the legs of the lift. She sustained multiple facial fractures and a brain hemorrhage and died two days later. Further investigation revealed the facility had failed to provide adequate instruction to its staff regarding the proper usage of the lift.