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Deficiency Records for Ridgewood Manor

A list of the most recent deficiencies for Ridgewood Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Ridgewood Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-18 2024-08-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-18 2024-08-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-18 2024-08-01 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-18 2024-08-01 N
Ensure that residents are free from significant medication errors. Health 2024-07-18 2024-08-01 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-07-18 2024-08-01 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-07-18 2024-08-01 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-07-18 2024-08-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-18 2024-08-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-18 2024-08-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-18 2024-08-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-18 2024-08-01 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-07-18 2024-08-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-18 2024-08-01 N
Keep all essential equipment working safely. Health 2024-06-13 2024-07-03 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-06-13 2024-07-03 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-13 2024-07-03 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-06 2024-07-03 Y
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-06-06 2024-07-03 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-06 2024-07-03 Y
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2024-06-06 2024-07-03 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-02-22 2024-03-01 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2024-02-22 2024-03-01 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-22 2024-03-01 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-02-22 2024-03-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-05 2024-03-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-25 2024-03-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-25 2024-03-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-25 2024-03-01 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-01-25 2024-03-01 N
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. Health 2024-01-25 2024-03-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-25 2024-03-01 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-01-25 2024-03-01 N
Ensure medication error rates are not 5 percent or greater. Health 2024-01-25 2024-03-01 N
Ensure that residents are free from significant medication errors. Health 2024-01-25 2024-03-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-25 2024-03-01 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-01-25 2024-03-01 N
Use approved construction type or materials. Fire Safety 2024-01-22 2024-03-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-01-22 2024-03-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-22 2024-03-01 N
Install an approved automatic sprinkler system. Fire Safety 2024-01-22 2024-03-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-22 2024-03-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-22 2024-03-01 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-01-22 2024-03-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-22 2024-03-01 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-01-22 2024-02-08 N
Address subsistence needs for staff and patients. Fire Safety 2024-01-22 2024-02-08 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-12-12 2023-12-28 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-12-12 2023-12-28 Y
Respond appropriately to all alleged violations. Health 2023-08-28 2023-09-09 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-07-13 2023-09-09 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-16 2023-09-09 N
Honor the resident's right to manage his or her financial affairs. Health 2023-08-16 2023-09-09 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-08-16 2023-09-09 N
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. Health 2023-08-16 2023-09-09 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-08-16 2023-09-09 N
Keep residents' personal and medical records private and confidential. Health 2023-08-16 2023-09-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-16 2023-09-09 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-08-16 2023-09-09 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-08-16 2023-09-09 N
Assist a resident in gaining access to vision and hearing services. Health 2023-08-16 2023-09-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-16 2023-09-09 N
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. Health 2023-08-16 2023-09-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-16 2023-09-09 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-08-16 2023-09-09 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-08-16 2023-09-09 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-08-16 2023-09-09 N
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. Health 2023-08-16 2023-09-09 N
Ensure that residents are free from significant medication errors. Health 2023-08-16 2023-09-09 N
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2023-08-16 2023-09-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-16 2023-09-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-16 2023-09-09 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-08-16 2023-09-09 N
Provide and implement an infection prevention and control program. Health 2023-08-16 2023-09-09 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-08-16 2023-09-09 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-08-16 2023-09-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-16 2023-09-09 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-08-02 2023-09-09 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-08-02 2023-09-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-08-02 2023-09-09 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-08-02 2023-09-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-02 2023-09-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-02 2023-09-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-02 2023-09-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-02 2023-09-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-08-02 2023-09-09 N
Provide a written emergency evacuation plan. Fire Safety 2023-08-02 2023-09-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-02 2023-09-09 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-08-02 2023-09-09 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-08-02 2023-09-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-08-02 2023-09-09 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-08-02 2023-09-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-02 2023-09-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-02 2023-09-09 N
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Health 2023-05-16 2023-06-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-16 2023-06-01 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-05-16 2023-06-01 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-05-16 2023-06-01 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-05-16 2023-06-01 Y
Ensure that residents are free from significant medication errors. Health 2023-05-16 2023-06-01 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-04-21 2023-04-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-21 2023-04-24 Y
Ensure that residents are free from significant medication errors. Health 2023-04-21 2023-04-24 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-04-06 2023-04-24 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-04-06 2023-04-24 Y
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-04-06 2023-04-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-06 2023-04-24 Y
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. Health 2023-04-06 2023-04-24 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-04-06 2023-04-24 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-01 2023-02-02 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-01-27 2023-02-02 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-01-27 2023-02-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-18 2023-02-02 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-01-05 2023-02-02 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-05 2023-02-02 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-01-05 2023-02-02 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-01-05 2023-02-02 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-30 2023-02-02 Y
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2022-11-30 2023-02-02 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-11-30 2023-02-02 Y
Ensure that residents are free from significant medication errors. Health 2022-11-30 2023-02-02 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-19 2023-02-02 Y
Perform COVID19 testing on residents and staff. Health 2022-09-23 2023-02-02 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-09-23 2023-02-02 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-09-23 2023-02-02 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-23 2023-02-02 Y
Provide and implement an infection prevention and control program. Health 2022-09-23 2023-02-02 Y
Keep all essential equipment working safely. Health 2022-09-23 2023-02-02 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-09-23 2023-02-02 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-03 2022-05-04 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-05-03 2022-05-04 Y
Ensure staff are vaccinated for COVID-19 Health 2022-03-09 2022-03-11 Y

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