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Deficiency Records for North Ridge Health and Rehabilitation Center
A list of the most recent deficiencies for North Ridge Health and Rehabilitation 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 North Ridge Health and Rehabilitation 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? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-08-14 | 2024-09-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-14 | 2024-09-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-14 | 2024-09-05 | 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 | 2024-08-14 | 2024-09-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-14 | 2024-09-05 | 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 | 2024-08-14 | 2024-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-14 | 2024-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-14 | 2024-09-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-14 | 2024-09-05 | 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 | 2024-08-14 | 2024-09-05 | N |
| 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 | 2024-08-14 | 2024-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-14 | 2024-09-05 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-08-14 | 2024-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-14 | 2024-09-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-13 | 2024-09-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-08-13 | 2024-09-05 | 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 | 2024-08-13 | 2024-09-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-08-13 | 2024-09-05 | 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 | 2024-08-13 | 2024-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-13 | 2024-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-13 | 2024-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-13 | 2024-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-09 | 2024-07-16 | Y |
| 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 | 2024-07-09 | 2024-07-16 | 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 | 2024-07-09 | 2024-07-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-09 | 2024-07-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-09 | 2024-07-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-20 | 2024-05-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-20 | 2024-05-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-12-08 | Y |
| 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. | Health | 2023-08-16 | 2023-09-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-14 | 2023-07-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-14 | 2023-07-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-14 | 2023-07-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-14 | 2023-07-14 | 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 | 2023-06-14 | 2023-07-14 | 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 | 2023-06-14 | 2023-07-14 | 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 | 2023-06-14 | 2023-07-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-14 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-14 | 2023-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-13 | 2023-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-13 | 2023-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-13 | 2023-07-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-13 | 2023-07-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-22 | 2022-12-20 | Y |
| 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. | Health | 2022-09-26 | 2022-10-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-26 | 2022-10-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-24 | 2022-09-24 | Y |
| 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 | 2022-08-24 | 2022-09-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-24 | 2022-09-24 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-06-14 | 2022-07-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-14 | 2022-07-28 | 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 | 2022-06-14 | 2022-07-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-14 | 2022-07-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-06-14 | 2022-07-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-14 | 2022-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-14 | 2022-07-28 | N |
| 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. | Health | 2022-06-14 | 2022-07-28 | 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 | 2022-06-14 | 2022-07-28 | 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 | 2022-06-14 | 2022-07-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-14 | 2022-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-14 | 2022-07-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-14 | 2022-07-28 | 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 | 2022-06-14 | 2022-07-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-20 | 2022-06-20 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-11-22 | 2021-12-22 | 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 | 2021-11-22 | 2021-12-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-22 | 2021-12-22 | 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 | 2021-11-22 | 2021-12-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-13 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-20 | Not Fixed | N |
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