Complete Care at Ridgewood LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Ridgewood LLC, in the surveyor’s own words.

• Actual harm, isolatedF684Jan 26, 2023

  Based on observation, interview, and record review, the facility did not ensure residents received care and services in accordance with professional standards of practice for 4 of 4 (R52, R82, R92, and R199) residents reviewed. R199 did not have a follow up assessment and monitoring of urinary symptoms following identified change in condition and physician orders were not followed. R199 was admitted to the hospital for a change in condition after orders were not followed to monitor R199 and push fluids. […]

• No harm, potential for more than minimal, widespreadF880May 6, 2024

  Based on observation, record review, and interview, the facility did not ensure a sanitary environment to help prevent the development and transmission of communicable diseases and infections. Medical equipment was not sanitized between resident use potentially affecting 3 (R36, R15, and R86) of 3 residents reviewed for monitoring of blood sugars and the handling of dirty laundry was not kept separate from the clean laundry potentially affecting all 92 residents in the facility. *An observation was made of Registered Nurse (RN)-K wiping off an EvenCare glucometer with an alcohol wipe. RN-K did not use a disinfectant wipe to clean the glucometer. […]

• No harm, potential for more than minimal, patternF584Jan 26, 2023

  Based on observation and interview the facility did not ensure safe, clean, comfortable, and homelike environment. This deficient practice was noted for 7 (R61, R52, R18, R26, R90, R32, and R199) of 22 Resident rooms reviewed for cleanliness. Findings include: On 1/26/23 at 12:40 PM, Surveyor interviewed Housekeeping/Laundry Supervisor (HLS)- I in regards to the observations of environmental concerns. HLS-I stated that a daily clean consists of emptying the garbage, wiping down the garbage can, cleaning all touch points like knobs, sweeping and mopping the room floor, cleaning the bathroom including sink and toilet and mopping the bathroom floor. HLS-I stated each Resident room gets a deep clean 2 times per month by moving all the furniture out, windows, and baseboards. […]

• No harm, potential for more than minimal, patternF686Jan 26, 2023

  Based on observation, interview and record review, the facility did not ensure that residents with a pressure injury or at risk for pressure injuries received necessary treatment and services, consistent with professional standards of practice, to prevent the development of pressure injuries and to promote healing for 4 of 7 (R34, R61, R8, and R90) residents reviewed for pressure injuries. *R34 developed a blister on their right heel that was identified on 12/8/2022. There was not a comprehensive assessment completed on R34's right heel pressure injury until 12/20/22. *R61 was identified to be at high risk for developing pressure injuries. R61 was observed without a cushion in their wheelchair during survey. […]

• No harm, potential for more than minimal, patternF689Jan 26, 2023

  Based on observation, facility policy and procedure review, and interview, the facility did not ensure a safe smoking environment for residents and visitors. This had the potential to effect all 7 (R150, R55, R300, R42, R29, R17 and R54) of 7 assessed resident smokers. This also had the potential to effect anyone that utilized the designated smoking area for the facility. The facility designated smoking area did not include a fire extinguisher, nor did the facility lobby area. There were observations of individuals smoking in the designated area and in front of the facility entrance. Findings include: The facility policy and procedure for Smoking, dated 10/10/22, was reviewed by Surveyor. […]