Home / Pennsylvania / Wilkes-Barre
Riverstreet Manor
440 North River Street, Wilkes-Barre, PA 18702 · Luzerne County · (570) 825-5611
122 certified beds, about 112 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395691 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 17, 2026, inspectors cited 8 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 50 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated October 21, 2025.
Nurses and nurse aides worked 3.16 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
43.8% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
201/24
304/24
508/24
1209/24
1106/25
410/25
212/25
804/26
205/26
106/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 50 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
32D
14E
2F
Potential for minimal harm
0A
0B
1C
June 24, 2026Complaint inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on a review of clinical records, facility policy, documentation provided by the facility, and resident and staff interviews, it was determined the facility failed to implement abuse prevention procedures to protect one resident out of ten residents reviewed (Resident 7) following allegations of sexual abuse perpetrated by a facility employee (Employee 2, nurse aide).
May 28, 2026Complaint inspection · 2 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on a review of clinical records, select facility policy, and staff interview, it was determined that the facility failed to ensure a timely and comprehensive skin assessment was completed upon readmission to identify and evaluate an existing pressure injury and guide treatment interventions for one of seven sampled residents reviewed for skin integrity concerns (Resident A1).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on a review of select facility policies, clinical records, resident assessments, grievance documentation, and staff interview, it was determined that the facility failed to develop and implement an individualized bowel and bladder incontinence management program for one of seven residents reviewed for the timely provision of staff assistance with toileting and management of urinary and bowel incontinence (Resident B2).
April 17, 2026Standard inspection · 8 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, review of select facility policy, and staff interviews, the facility failed to maintain sanitary conditions in the dietary department, including the main kitchen and a nursing unit pantry (Station 2), to ensure food was stored, prepared, and served in a manner that prevented contamination and microbial growth in food, which increased the risk of food-borne illness.
- E 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.
Inspectors wroteBased on review of scheduled mealtimes, resident council meeting minutes, resident interviews, and staff interviews, the facility failed to ensure residents were consistently offered a nutritious evening snack when more than 14 hours elapsed between the substantial evening meal and breakfast the following day, for 5 of 5 residents reviewed who expressed a desire for a bedtime snack (Residents 10, 53, 9, 65, and 105).
- E Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on review of facility documentation and staff interview, the facility failed to ensure it conducted required quarterly Quality Assurance and Performance Improvement (QAPI) committee meetings and failed to ensure the attendance of the Medical Director or a physician designated by the Medical Director at required quarterly QAPI meetings for two of four quarters reviewed (Quarters 3 and 4 of 2025).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on clinical record review, facility policy review, and staff interview, it was determined the facility failed to ensure appropriate duration and clinical rationale for an as-needed (PRN) psychotropic medication order and failed to document the use of non-pharmacological interventions prior to administration for one of 24 residents reviewed (Resident 56).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on clinical record review, review of facility policy, and staff interview, it was determined the facility failed to develop an individualized baseline care plan that addressed a resident's immediate needs and documented treatment preferences, including comfort-focused care and avoidance of hospital transfer when appropriate, for one of 24 residents reviewed (Resident 56).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on a review of observations, clinical records, select facility policy, and staff interviews, it was determined the facility failed to provide adequate supervision to prevent a resident from exiting the facility without authorization (elopement) for one of 24 residents reviewed (Resident 28).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on facility policy review, clinical record review, and staff and resident interviews, it was determined the facility failed to monitor and manage hydration status in accordance with a physician-ordered fluid restriction to ensure proper fluid balance for one of 24 residents reviewed (Resident 39).
- D 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.
Inspectors wroteBased on observation, select facility policy review, and staff interviews, it was determined the facility failed to implement and adhere to procedures to ensure acceptable storage and use-by dates for multi-dose medications in two of two medication rooms (Station 1 Medication Room, and Station 2 Medication Room).
December 30, 2025Complaint inspection · 2 citations
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on a review of select facility policies, clinical records, grievances filed with the facility, and staff interviews, it was determined that the facility failed to make prompt and adequate efforts to resolve a resident grievance in accordance with facility policy, for one of ten residents sampled (Resident 1). Findings Include: A review of facility policy entitled Grievance Process Procedure last reviewed by the facility on May 2, 2025, revealed it is the policy of the facility to make prompt efforts to resolve resident grievances to the satisfaction of the resident and or resident representative. The policy indicated a resolution of the concern is desired within five (5) working days from the date the concern was filed. The policy indicated routine follow up on concerns that are outstanding will be completed through the morning process meeting. [...]
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of resident clinical records, select facility policy, and staff interview it was revealed that the facility failed to assure that one of 10 residents reviewed were free of significant medication errors. (Resident 1)
October 21, 2025Complaint inspection · 4 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of clinical records, the facility's abuse prohibition policy, facility investigative documentation, and staff interviews, it was determined the facility failed to ensure that a resident was free from neglect by not providing care with the required assistance of two staff members as planned to ensure safety and prevent major injuries. As a result, one resident (Resident 1) sustained multiple subdural hematomas and closed nasal fracture requiring hospital evaluation, representing actual harm for one resident out of one sampled for abuse prohibition.
- E 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.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to maintain a clean and sanitary environment for 2 of 2 resident shower areas in the facility and maintain a clean and safe outdoor smoking area
- E Have policies on smoking.
Inspectors wroteBased on observation, review of clinical records, facility policy, and resident and staff interviews, it was determined the facility failed to implement its established smoking policy to ensure resident safety. The facility failed to post the smoking policy in a conspicuous and legible manner, failed to ensure that required smoking safety equipment was available in the designated smoking area, and failed to ensure smoking materials were properly secured for nine residents who smoke (Residents 2, 3, 4, 5, 6, 7, 8, 9, and 10).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined the facility failed to maintain food delivery equipment in a clean and sanitary condition to prevent potential food contamination for four of four food delivery carts observed (Pine, Oak, Willow, and Spruce hallways).
June 26, 2025Standard inspection, Complaint inspection · 11 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on a review of clinical records, resident and staff interviews, and facility documentation, it was determined the facility failed to ensure that residents who were dependent on staff for assistance with activities of daily living (ADLs) consistently received necessary care and services to maintain personal hygiene and dignity for two residents out of 24 sampled residents (Residents 25 and 60).
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on review of clinical records, select facility policy and staff interviews it was determined the facility failed to develop and implement individualized pain management programs, consistent with professional standards of practice, to meet the pain management needs and attempt non-pharmacological interventions to alleviate pain prior to the administration of a narcotic pain medication prescribed on an as needed basis for two residents out of 24 reviewed (Resident 37 and Resident 98).
- E 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.
Inspectors wroteBased on a review of the facility's scheduled mealtimes, select facility policy, and resident and staff interviews, it was determined the facility failed to consistently provide snacks as desired by residents, including experiences reported by seven of seven residents participating in a group interview (Residents 8, 11, 80, 67, 37, 44, and 50).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on a review of clinical records, select facility policy, observations, and resident and staff interviews, it was determined that the facility failed to implement enhanced barrier infection control procedures and failed to ensure the proper use of personal protective equipment (PPE) for one resident out of 23 residents sampled (Resident 93).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, facility policy review, and staff interviews, it was determined the facility failed to ensure that licensed nurses provided nursing services in accordance with professional standards of practice by not adhering to medication administration standards for 4 of 4 residents observed during the administration of medications. (Resident 30, 31, 37, and 44).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on a review of clinical records and resident and staff interviews, it was determined the facility failed to provide nursing services consistent with professional standards of practice by failing to follow physician orders for the prescribed bowel protocol intended to promote normal bowel activity for one of 24 sampled residents (Resident 49).
- D Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspectors wroteBased on a review of clinical records, facility policy, and resident and staff interviews, it was determined the facility failed to provide colostomy care and services consistent with professional standards of practice for one of 24 sampled residents (Resident 81).
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on a review of clinical records and staff interview, it was determined the facility failed to develop and implement an individualized person-centered plan to render trauma informed care to a resident with a diagnosis of Post-Traumatic Stress Disorder for one out of 24 residents reviewed (Resident 50).
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on review of clinical records and select facility policy, and staff interviews, it was determined the facility failed to ensure that the physician medication orders were signed in a timely manner, resulting in medication administration delays for one resident out of 24 reviewed (Resident 46).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record reviews and resident and staff interviews, it was determined the facility failed to ensure the provision of pharmacy services to assure the timely receipt and administration of physician-prescribed medications for one resident of 24 reviewed (Resident 49).
- D 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.
Inspectors wroteBased on observation, review of select facility policy, clinical records, and staff interviews, it was determined the facility failed to store and label multi-dose medications in accordance with professional standards of practice and manufacturer instructions for one of three medication carts observed (Pine Hall). Findings Include: Review of the facility policy titled Storage of Medications last reviewed by the facility May 2,2025, indicated that multi-use medication vials/bottles are labeled accordingly. The policy further revealed it is the nursing staff responsibility to maintain medication storage including proper labeling. [...]
September 6, 2024Standard inspection · 12 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on a review of clinical records, resident council meeting minutes, and resident and staff interviews, it was determined the facility failed to provide care in a manner that promotes each resident's quality of life by failing to respond timely to residents' requests for assistance, including experiences reported by two out of the 27 residents sampled (Residents 97 and 159) and experiences reported by five out of the seven residents during a resident group interview (Residents 38, 49, 53, 91, and 94).
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, select facility policy, and resident and staff interviews, it was determined the facility failed to ensure comprehensive care plans were developed and revised with the participation of the resident and the resident's representative for two residents out of 27 residents sampled (Residents 62 and 79) and five out of seven residents during a resident council interview (38, 49, 94, 91, and 53).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness in two of two resident pantries (Station 1 and Station 2).
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on clinical record review and resident interview and staff interview, it was determined the facility failed to ensure that in preparation for room change, a resident and resident representative received written notice, including the reason for the change, before the resident's room was changed for one of 27 residents reviewed (Resident 62). Findings Include: Federal regulatory guidelines note that moving to a new room or changing roommates is challenging for residents. A resident's preferences should be taken into account when considering such changes. When a resident is being moved at the request of facility staff, the resident, family, and/or resident representative must receive an explanation in writing of why the move is required. The resident should be provided the opportunity to see the new location, meet the new roommate, and ask questions about the move. [...]
- D 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.
Inspectors wroteBased on clinical record review, resident interview, and staff interview it was determined the facility failed to accurately identify a resident's wishes for future health care and advance directives (a written instruction such as a living will or durable power of attorney for health care for when the individual is incapacitated) as evidenced by one resident (Resident 62) out of 27 residents sampled.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on a review of clinical records, the facility's abuse prohibition policy, select facility incident reports, and resident and staff interviews, it was determined the facility failed to timely and thoroughly investigate an incident to rule out neglect and identify planned fall interventions not in place which resulted in a resident who requires the assistance of two staff for bed mobility and transfers to sustain a fall with a minor injury for one of 27 residents sampled (Resident 10).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, a review of clinical records and staff interviews it was determined the facility failed to provide nursing services consistent with professional standards of practice by failing to follow physician orders for the consistent application of prescribed therapeutic devices and or preventative measures, neck positioning pillow, when in bed and chair, for one resident out of 27 sampled (Resident 69) to assure the provision of person-centered care.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observations, review of clinical records and staff interviews it was determined the facility failed to provide person-centered care as prescribed to meet the current clinical needs, failed to ensure the ready availability of prescribed emergency supplies, and failed to follow physician orders for management of a midline catheter (long, thin, flexible tube that is inserted into a large vein in the upper arm. It is used to deliver medications or fluid into the bloodstream) for one resident out of 27 sampled (Resident 100).
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observations, review of clinical records, select facility policy, staff, and resident interviews, it was determined that facility failed to implement pain management interventions when a resident suffered pain without relief for one resident out of 27 sampled (Resident 92).
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on review of clinical records and staff interview, it was determined the facility failed to provide therapeutic social services to promote the mental and psychosocial well-being of one resident out of 27 sampled (Resident 69)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of facility policy, clinical records and controlled medication records, and staff interview, it was determined the facility failed to implement procedures to promote accurate accounting and administration of controlled medications and maintenance of accurate controlled substance records as evidenced by one resident of 27 sampled (Resident 99).
- D 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.
Inspectors wroteBased on clinical record review and staff interviews, it was determined the facility failed to ensure the presence of current documented clinical necessity for use of an antipsychotic medication for one of five residents reviewed for unnecessary medications (Resident 68).
August 11, 2024Complaint inspection · 5 citations
- D Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on a review of clinical records and select facility policy and staff interviews it was determined that the facility failed to provide emergency care consistent with a resident's advanced directives for one resident out of 14 residents reviewed (Resident CR1).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and staff interview, it was determined the facility failed to maintain an environment free of potential accident hazards and obstacles for safe mobility and use of mobility assistance devices on one of two resident units (Station 2).
- D 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.
Inspectors wroteBased on observation, review of select facility policy and staff interview, it was determined the facility failed to implement procedures to ensure acceptable storage for medications on one of two nursing units observed (Station 1).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of clinical records, observation and staff interview it was determined the facility failed to maintain accurate and complete clinical records for three out of 14 residents reviewed. (Residents 7, 11, and 14)
- C Post nurse staffing information every day.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to post nurse staffing information.
April 24, 2024Complaint inspection · 3 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review clinical records and resident and staff interviews it was determined that the facility failed to provide care in a manner and environment, which promotes each resident's quality of life by failing to respond timely to residents' requests for assistance, as evidenced by experiences reported by six residents out of 15 interviewed (Residents 2, 40, 54, 69, 89, and 92).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, a review of clinical records and select grievances/complaints lodged with the facility, resident, and staff interviews it was determined that the facility failed to consistently administer oxygen as ordered and maintain sanitary oxygen delivery systems for two out of five sampled residents (Residents 59, and 72).
- E Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observations, a review of the the minutes from Residents' Council meetings and grievances lodged with the facility, resident and staff interviews it was determined that the facility failed to provide food that accommodates resident preferences for 26 residents of 26 resident meal trays observed and as reported by nine residents out of 15 interviewed (Residents 1, 72, 73, 87, 88, 89, 91, 92, and 94).
January 18, 2024Complaint inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness in two of two resident pantries. (Station 1 and Station 2)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of select facility policies and clinical records it was determined that the facility failed to provide nursing services consistent with professional standards of quality by failing to demonstrate that licensed nurses evaluated and recorded the provision of necessary nursing care for a change in condition for one resident out of six sampled residents (Resident 1).
Fire safety inspections
21 fire safety citations on file: 9 on April 17, 2026, 4 on June 26, 2025, 1 on January 30, 2025, 7 on September 6, 2024.
Every fire safety citation21 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have simulated fire drills held at unexpected times.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Inspect, test, and maintain automatic sprinkler systems.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Install corridor and hallway doors that block smoke.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C Provide properly protected cooking facilities.
- C Meet requirements for the installation and maintenance of electrical systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 21, 2025 | Fine | $8,278 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.16 | 3.89 | 3.86 |
| Registered nurses | 0.68 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.89 | 3.53 | 3.42 |
| Nurse aides | 1.83 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 43.8% | 44.5% | 45.8% |
| Registered nurse turnover | 45.0% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.74 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.27 on weekdays and 2.89 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.31 in April to June 2025 to 3.16 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.16 | 0.68 | 3.27 | 2.89 | 12.8% | 0 of 90 | 112 |
| Oct to Dec 2025 | 3.28 | 0.64 | 3.34 | 3.13 | 16.6% | 0 of 92 | 115 |
| Jul to Sep 2025 | 3.08 | 0.60 | 3.18 | 2.84 | 15.2% | 0 of 92 | 111 |
| Apr to Jun 2025 | 3.31 | 0.74 | 3.46 | 2.93 | 13.0% | 0 of 91 | 104 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.3 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.8 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.0 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.2 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.2 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.2 | 1.8 |
Owners and operators
Legal business name: RIVERSTREET CENTER OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rscnhhc LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2021 |
| Sar Ft 2021 Family Trust | 5% or greater indirect ownership interest | Organization | 100% | 05/01/2021 |
| Eichhorn, Holly | Operational/managerial control | Individual | 05/01/2021 | |
| Mandel, Avital | Operational/managerial control | Individual | 05/01/2021 | |
| Eichhorn, Holly | Adp of the SNF | Individual | 03/24/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 17 problems in this area, most recently on May 28, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on April 17, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on April 17, 2026: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on December 30, 2025: "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.89 hours per resident per day, below the Pennsylvania average of 3.53.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Third Avenue Health & Rehab Center Kingston, 0.6 mi · 4 of 5 stars · 37 citations
- Edenbrook on Second Ave Kingston, 0.7 mi · 1 of 5 stars · 44 citations
- Embassy of Wyoming Valley Wilkes Barre, 0.8 mi · 2 of 5 stars · 51 citations
- Allied Services Center City Skilled Nursing Wilkes Barre, 1.1 mi · 3 of 5 stars · 19 citations
- Heinz Transitional Rehabilitation Unit Wilkes-Barre, 1.2 mi · 5 of 5 stars · 7 citations
- Maple Ridge Rehabilitation & Healthcare Center Kingston, 1.3 mi · 3 of 5 stars · 23 citations
- Allied Services Meade Street Skilled Nursing Wilkes Barre, 1.6 mi · 4 of 5 stars · 20 citations
- Embassy of East Mountain Wilkes-Barre, 3.2 mi · 1 of 5 stars · 40 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Riverstreet Manor's Medicare star rating?
- CMS rates Riverstreet Manor 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Riverstreet Manor get at its last inspection?
- 8 health deficiencies at the standard inspection on April 17, 2026. The Pennsylvania average is 10.
- Has Riverstreet Manor been fined?
- Yes. CMS lists 1 fine totaling $8,278 in the last three years.
- Does Riverstreet Manor accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Riverstreet Manor?
- CMS lists 5 owners and managers. Legal business name: RIVERSTREET CENTER OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.