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Nursing HomeMedicaid Investigative

River's Bend Health & Rehab Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

800 King Russ Road, Harrisburg, PA 17109198 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.3/5

based on 22 Google reviews

5
4
3
2
1
River's Bend Health & Rehab Center Nursing Home in Harrisburg, PA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (13 vs median 8.0)
  • High staff turnover (54%)
  • High RN turnover (88%)

Below average in PA · Below recommended RN staffing · Below chain average · $19,841 in fines

Source: Medicare data

What this means for your family

This facility is currently experiencing significant operational challenges, including reports of severe neglect and a lack of basic care supplies. We strongly advise families to look elsewhere, as multiple reviewers have documented consistent failures in communication and hygiene that raise serious safety concerns.

Google Reviews

Google Reviews

22 reviews on Google
River's Bend Health & Rehab Center faces severe and consistent criticism regarding basic resident care, hygiene, and administrative oversight. While a few reviewers mention individual kind staff members, the majority of reports highlight alarming issues such as neglect, lack of basic supplies like linens and wipes, and difficulty reaching the facility by phone. Families considering this facility should be aware of multiple serious allegations regarding the quality of care and the facility's responsiveness.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean1.0ActivitiesN/AMedsN/AMemory1.0Comms1.0ValueN/A

Strengths

  • Presence of some dedicated, kind nursing staff
  • Responsive maintenance personnel
  • Long-standing presence in the community

Concerns

  • Neglect and poor hygiene (residents not washed, soaked in urine) (mentioned by 4 reviewers)
  • Unresponsive nursing stations and inability to reach staff by phone (mentioned by 4 reviewers)
  • Lack of basic supplies (wipes, towels, linens, bed pads) (mentioned by 2 reviewers)
  • Understaffing and rude staff behavior (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2343.02024(9)2.12025(9)1.82026(5)

Distribution · 23 analyzed

5
7
4
0
3
2
2
0
1
14

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With the current staffing levels, what specific protocols do you have in place to ensure residents receive consistent assistance with personal hygiene and daily grooming?
  • 3Could you walk me through your current process for managing and replenishing basic supplies like linens, wipes, and bed pads to ensure they are always available for residents?
  • 4Given the concerns regarding communication, what is the best way for our family to reach a nurse or staff member directly if we have an urgent question or need an update?
  • 5What does the daily activity schedule look like, and how do you encourage residents to participate in social engagement given the current staffing structure?
  • 6In the event of a medical emergency, what is your protocol for stabilizing a resident and how quickly is a family member typically notified?

Personalized based on this facility's data


Key Review Excerpts

Once you pass those doors it’s completely disgusting smells worse than a pig pen. My gram just left today she was soaked in urine.

Memory care family member · 2026☆☆☆☆

Not one person has answered calls to the nurses station for 4 nights in a row. No wonder Saber lost a $10 million dollar suit for understaffing in Charlotte.

Long-term resident's family · 2024☆☆☆☆

There are no wipes available for resident care. There are no washcloths, towels, or adequate bedding.

Long-term resident's family · 2026☆☆☆☆
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
57%
Registered nurses for medical care
Total Nursing
3.56hrs
87%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
82%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.0%
Mixed vs Avgs
Here
81.0%
US
93.4%
PA
87.1%
Dauphin
80.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
14.4%
PA
17.5%
Dauphin
14.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
15.3%
PA
18.4%
Dauphin
17.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.7%
Better than Avg
Here
13.7%
US
15.5%
PA
17.7%
Dauphin
21.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.3%
Better than Avg
Here
18.3%
US
19.4%
PA
26.0%
Dauphin
25.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.7%
Better than Avg
Here
13.7%
US
19.5%
PA
19.9%
Dauphin
16.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility33.8%
Worse than Avg
Here
33.8%
US
81.8%
PA
69.2%
Dauphin
60.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility40.4%
Worse than Avg
Here
40.4%
US
79.8%
PA
68.7%
Dauphin
59.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
PA
1.4%
Dauphin
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
1penalties
Well above state avg (10.1)
11 complaint-triggered
$19,841 in fines

Families have filed numerous complaints triggering 11 deficiencies, indicating ongoing concerns about care quality. The facility shows persistent problems across care planning and assessments, medication management, and treatment care that repeat across multiple surveys from 2023 to 2025. While issues appear to be corrected after identification, the pattern of recurring deficiencies in core care areas suggests potential systemic challenges with maintaining consistent quality standards.

Mar 12, 2026Routine
18
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0791Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0552Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0685Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Jul 8, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Mar 27, 2025Routine
25
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0211Potential for harm · Pattern

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · Pattern

Smoke Deficiencies

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

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0291Minimal · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0761Minimal · WidespreadCorrected

Miscellaneous Deficiencies

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

0914Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Oct 31, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Oct 8, 2024Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Oct 3, 2024Complaint
1
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

Federal Penalties

Fine

Jan 2, 2024

$19,841

Ownership & Operations

Who Operates This Facility

Owner / Operator

River's Bend Health & Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Saber Healthcare Group

Chain Size

127 facilities nationwide

Chain avg rating: 3.0/5 · Rank 101 of 125

Ownership & Management

Owners

Weisberg, William

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Volpe, BenjaminOfficer / DirectorWeisberg, WilliamOfficer / DirectorNicoluzakis, GregoryOfficer / DirectorVolpe, BenjaminOfficer / DirectorWeisberg, WilliamOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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