East Ridge Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at East Ridge Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF684Jan 8, 2025

  Based on record review and interviews, the facility failed to ensure one (Resident #2) out of three sampled residents received care and treatment in accordance with professional standards of practice related to the timely reporting of a fall to the resident's physician resulting in a delay in care for a fracture. X-rays at the hospital revealed Resident # 2 incurred an acute fracture involving the right superior and inferior pubic rami. There were 69 residents residing in the facility at the time of the survey. […]

• No harm, potential for more than minimal, patternF761Aug 19, 2026

  Based observations, record reviews, and interviews the facility failed to properly store medications in one (2nd floor medication room) out of two sampled, in one (3rd floor supply room) out one sampled, in four out of four medications carts sampled and for two (Resident #2 and Resident #4) out of three residents sampled. Observations included: Staff leaving medications and medication carts unlocked and unattended, controlled substance record not reconciled on the 2300 cart, unopened eye drops with instructions to refrigerate until opened and opened insulin with no open date stored in the 3400 medication cart, and expired medications contained in the 2nd floor emergency kit and 3rd floor supply room. […]

• No harm, potential for more than minimal, patternF725Nov 30, 2023

  Based on observation, interviews, and record review, the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Residents complained the call lights were left unanswered for over 15 minutes in multiple occasions when they called for assistance. There were 68 residents residing in the facility at the time of the survey. The findings included: On 11/28/23 at 10:38 AM, during the resident council meeting, several residents reported that sometimes staff take more than 15 minutes to answer the call lights. […]

• No harm, potential for more than minimal, patternF812Nov 9, 2022

  Based on observations, interviews and record review, the facility failed to ensure the proper washing of the dishes and utensils by not having an operable final rinse temperature gauge on the high temperature dish machine. This has the potential to affect 54 out of 59 residents who eat orally residing in the facility at the time of the survey. The findings included: Record review of the High/Low Temperature Dish Machine Policy and Procedure (no written date available) documented: Policy-It is the policy of the community to ensure the high temperature dish machine is reaching all required wash and rinse temperatures, in compliance with State and Federal regulations. Procedure: 2) Make sure the machine is functioning properly. […]

• No harm, potential for more than minimal, patternF908Nov 9, 2022

  Based on observations, interviews and record review the facility failed to ensure the high temperature dish machine final rinse cycle was working properly. This has the potential to affect 54 out of 59 residents who eat orally residing in the facility at the time of the survey. The findings included: Record review of the High/Low Temperature Dish Machine Policy and Procedure (no written date available) documented: Policy-It is the policy of the community to ensure the high temperature dish machine is reaching all required wash and rinse temperatures, in compliance with State and Federal regulations. Procedure: 2) Make sure the machine is functioning properly. […]