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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 |
| 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-19 | 2023-02-02 | Y |
| 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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