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Deficiency Records for Ridgeview Healthcare and Rehab Center

A list of the most recent deficiencies for Ridgeview Healthcare and Rehab Center. 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 Ridgeview Healthcare and Rehab Center. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-26 2024-10-15 N
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. Health 2024-07-26 2024-10-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-26 2024-10-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-26 2024-10-15 N
Respond appropriately to all alleged violations. Health 2024-07-26 2024-10-15 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 2024-07-26 2024-10-15 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-07-26 2024-10-15 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2024-07-26 2024-10-15 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 2024-07-26 2024-10-15 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-07-26 2024-10-15 N
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. Health 2024-07-26 2024-10-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-26 2024-10-15 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-07-26 2024-10-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-07-26 2024-10-15 N
Provide and implement an infection prevention and control program. Health 2024-07-26 2024-10-15 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2024-07-26 2024-10-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-26 2024-09-18 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-07-26 2024-09-18 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2024-07-09 2024-07-17 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 2024-07-09 2024-07-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-09 2024-07-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-07-09 2024-07-17 N
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. Health 2024-06-26 2024-07-16 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-26 2024-07-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-26 2024-07-16 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-24 2024-06-18 Y
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2024-04-24 2024-06-18 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-04-24 2024-06-18 Y
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. Health 2024-04-24 2024-06-18 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-04-24 2024-06-18 Y
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. Health 2024-04-24 2024-06-18 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-24 2024-06-18 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-04-24 2024-06-18 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-26 2024-06-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-26 2024-06-18 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-03-07 2024-04-24 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-03-07 2024-04-24 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-03-07 2024-04-24 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-07 2024-04-24 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-26 2024-04-24 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-01-26 2024-04-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-26 2024-04-24 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-01-31 2024-03-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-31 2024-03-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-01-31 2024-03-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-31 2024-03-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-26 2024-03-07 Y
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. Health 2024-01-26 2024-03-07 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-01-26 2024-03-07 N
Provide activities to meet all resident's needs. Health 2024-01-26 2024-03-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-26 2024-03-07 N
Provide enough food/fluids to maintain a resident's health. Health 2024-01-26 2024-03-07 N
Observe each nurse aide's job performance and give regular training. Health 2024-01-26 2024-03-07 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-01-26 2024-03-07 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2024-01-26 2024-03-07 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-01-26 2024-03-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-26 2024-03-07 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 2024-01-26 2024-03-07 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-01-26 2024-03-07 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-01-26 2024-03-07 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-01-26 2024-03-07 N
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 2024-01-26 2024-03-07 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-01-26 2024-03-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-31 2023-11-29 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-10-31 2023-11-29 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 2023-10-31 2023-11-29 Y
Ensure that residents are free from significant medication errors. Health 2023-09-28 2023-10-31 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-09-28 2023-10-31 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-06-09 2023-10-31 N
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. Health 2023-06-09 2023-10-31 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-09 2023-10-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-09 2023-10-31 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-06-09 2023-10-31 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-06-09 2023-10-31 N
Use approved construction type or materials. Fire Safety 2023-06-20 2023-08-18 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-06-20 2023-08-18 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-06-20 2023-08-18 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-06-20 2023-08-18 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-06-20 2023-08-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-09 2023-08-17 N
Ensure each resident receives an accurate assessment. Health 2023-06-09 2023-08-17 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-06-09 2023-08-17 N
Provide activities to meet all resident's needs. Health 2023-06-09 2023-08-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-06-09 2023-08-17 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-06-09 2023-08-17 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-06-09 2023-08-17 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-06-09 2023-08-17 N
Dispose of garbage and refuse properly. Health 2023-06-09 2023-08-17 N
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 2023-06-09 2023-08-17 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-06-09 2023-08-17 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-06-09 2023-08-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-09 2023-08-17 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-09 2023-08-17 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-06-09 2023-08-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-28 2023-04-25 Y
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. Health 2023-03-28 2023-04-25 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-28 2023-04-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-28 2023-04-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-28 2023-04-25 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-03-28 2023-04-25 Y
Keep all essential equipment working safely. Health 2023-03-28 2023-04-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-22 2023-04-25 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-03 2023-01-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-03 2023-01-24 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-04 2022-12-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-04 2022-12-21 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-11-04 2022-12-21 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-07-28 2022-11-04 Y
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. Health 2022-07-28 2022-09-28 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 2022-07-28 2022-09-28 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-07-28 2022-09-28 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-07-28 2022-09-28 Y
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. Health 2022-04-20 2022-06-02 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-20 2022-06-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-20 2022-06-02 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-02-03 2022-03-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-03 2022-03-09 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-02-03 2022-03-09 Y
Ensure staff are vaccinated for COVID-19 Health 2022-02-03 2022-03-09 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-12-10 2022-03-09 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-12-10 2022-03-09 Y
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 2021-12-17 2022-02-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-17 2022-02-03 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2021-12-10 2022-02-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-24 Not Fixed Y
Provide care or services that was trauma informed and/or culturally competent. Health 2024-04-24 Not Fixed Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-07 Not Fixed Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-03-07 Not Fixed Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-07 Not Fixed Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-28 Not Fixed Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-17 Not Fixed Y

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