Apple Ridge Care Center

In the surveyor’s words

From the most serious findings on record at Apple Ridge Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 24, 2026

  Based on interview and record review, the facility failed to prevent resident abuse for one sampled resident (Resident #9) out of eight sampled residents. On 08/23/26 Resident #10 punched Resident #9 causing a 2-centimeter (cm) laceration to his/her left cheek that required five sutures. The facility census was 43 residents.Review of the facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy, dated April 2021, showed:-Residents had the right to be free from abuse, including physical abuse;-Objectives of the Prevention Program were:--To protect residents from abuse by anyone, including facility staff, other residents, as well as visitors. […]

• Actual harm, isolatedF689Nov 3, 2022

  Based on interview and record review, the facility failed to provide supervision for one sampled resident (Resident #1) identified as a fall risk when on 10/12/22 during an outside activity on the facility patio on the Northside of the building, he/she was left outside without staff supervision when he/she released the break on his/her wheelchair, rolled off the patio, hit the curb and fell out of his/her wheelchair landing on the grass and rolled about 25 feet down the hill. The resident sustained abrasions (is a type of open wound that's caused by the skin rubbing against a rough surface. […]

• No harm, potential for more than minimal, widespreadF880Sep 11, 2024

  Based on observation, interview, and record review, the facility failed to establish and maintain a comprehensive, facility-specific infection prevention and control program designed to help prevent the development and transmission of Legionella (A [NAME] of pathogenic Gram-negative bacteria that includes the species L. pneumophila, causing legionellosis, all illnesses caused by Legionella, including a pneumonia-type illness called Legionnaires' disease and a mild flu-like illness called Pontiac fever) and/or other water-borne pathogens (a bacterium, virus, or other microorganism that can cause disease), and failed to provide documented assessments for such an outbreak with accepted response protocols, in accordance with Centers for Disease Control (CDC) and Centers for Medicare and… […]

• No harm, potential for more than minimal, patternF741Aug 24, 2026

  Based on interview and record review, the facility failed to ensure staff received appropriate training and were competent in handling aggressive behaviors of one newly admitted resident (Resident #3) out of 14 sampled residents and were unable to effectively provide appropriate behavioral intervention strategies to keep the resident safe. The facility census was 43 residents. Review of the facility's Behavioral Assessment, Intervention and Monitoring policy, dated February 2025, showed:-Behavioral symptoms were identified by using facility-approved behavioral screening tools and the comprehensive assessment (Minimum Data Set (MDS- a health status screening and assessment tool used for all residents of long-term care nursing facilities);-Residents had minimal complications associated with… […]

• No harm, potential for more than minimal, patternF741Dec 30, 2025

  Based on interview and record review, the facility failed to ensure adequate staffing coverage to provide supervision and oversight for two sampled residents (Resident #2 and Resident #3) who reside on the secure behavioral locked unit. On 12/26/25 Certified Medication Technician (CMT) A left the secured behavioral health unit unsupervised resulting in a physical and verbal altercation between Resident #2 and Resident #3 out of 7 sampled residents. The facility census was 43 residents.The facility was not able to provide a staffing policy at the time of exit. 1. […]