River's Bend Health & Rehab Center
800 King Russ Road · Harrisburg, PA · 17109 · 7176571520
198 certified beds For profit - Limited Liability company Chain: Saber Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $19,841 |
Inspection citations (56 in the current record)
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Actual harm · G March 12, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2026 · Quality of Life and Care
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Actual harm · G March 12, 2026
Provide or obtain dental services for each resident.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 2, 2026 · Resident Rights
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Potential for harm · E March 12, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 2, 2026 · Resident Rights
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Potential for harm · D March 12, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 2, 2026 · Resident Rights
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Potential for harm · D March 12, 2026
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 April 2, 2026 · Resident Rights
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Potential for harm · E March 12, 2026
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.
Corrected April 2, 2026 · Resident Rights
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Potential for harm · D March 12, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 2, 2026 · Resident Rights
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Potential for harm · E March 12, 2026
Ensure each resident receives an accurate assessment.
Corrected April 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 12, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · E March 12, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026
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 April 2, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 2, 2026 · Pharmacy Service
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Potential for harm · E March 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 2, 2026 · Nutrition and Dietary
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Potential for harm · E March 12, 2026
Provide and implement an infection prevention and control program.
Corrected April 2, 2026 · Infection Control
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Immediate jeopardy · J July 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 29, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2025
Ensure each resident receives an accurate assessment.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 18, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 2, 2024 | Fine | $19,841 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395395 · certified since December 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.