Deficiency Index

Family of Caring Healthcare at Ridgewood

Ridgewood, New Jersey · CCN 315434

15 surveys since 2012, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
43
Surveys
15
Harm or worse
0
Immediate jeopardy
0
The record, 2012–2025
’12’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file12/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
96
Ownership
For profit - Limited Liability company
Chain
FAMILY OF CARING HEALTHCARE
County
Bergen
Medicare-certified since
1998

CMS ratings

Overall
5
Health inspection
4
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

May 5, 2025

553 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.394.13
Registered-nurse hours per resident day1.15—
Annual nurse turnover31.6%35.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1275.0%E425.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 43 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6582×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5841×

    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.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6611×

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

In the surveyor’s words

From the most serious findings on record at Family of Caring Healthcare at Ridgewood, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF584May 5, 2025

    Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to provide a safe, clean, and comfortable homelike setting. This deficient practice was identified in 1 of 4 units, 3 of 3 Residents rooms, (South Ground unit: Residents Rooms #118, #119, and #122), and 1 of 1 activity room during environment tour. This deficient practice was evidenced by the following: 1. On 4/29/25 at 10:48 AM, Surveyor #1 (S#1) and the Minimum Data Set/Registered Nurse (MDS/RN) went inside Resident room [ROOM NUMBER] (RR#122), and two residents were inside the room. Both S#1 and the MDS/RN observed the residents' toilet room that the toilet bowl with a blackish substance. […]

  • No harm, potential for more than minimal, patternF641Mar 2, 2023

    Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to accurately code the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, for one (1) of 18 residents, (Resident #39) for a total of eight (8) quarters reviewed for oral/dental status and was evidenced by the following: According to the Centers for Medicare & Medicaid Services (CMS) Long Term Care Facility Resident Assessment Instrument (RAI) User's Manual dated October 2019, page L-1 (423), Item Rationale, Health-related Quality of Life, included that poor oral health has a negative impact on quality of life, overall health, and nutritional status. […]

  • No harm, potential for more than minimal, patternF658Mar 4, 2021

    Based on observation, interview, and record review, it was determined that the facility failed to follow a physician's order and document the amount of a supplement intake for 1 of 18 residents (Resident #43) for three months, according to the standards of clinical practice. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and… […]

  • No harm, potential for more than minimal, patternF880Mar 4, 2021

    Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to: a) ensure proper use of personal protective equipment (PPE) for 3 of 7 staff; b) perform handwashing appropriately for 1 of 8 staff; and, c) ensure that workers were knowledgeable of the cleaning chemicals and process used in the workplace for 1 of 3 staff in accordance with the Centers for Disease Control and Prevention guidelines for infection control to mitigate the spread of COVID-19. This deficient practice was evidenced by the following: According to the U.S. […]

  • No harm, potential for more than minimal, patternF880Jan 12, 2021

    Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure the implementation of infection control practices and precautions regarding proper and effective handwashing to prevent and minimize the potential for transmission of infection and disease. This was identified for 2 of 3 employees observed and interviewed for proper handwashing techniques, and 1 employee who failed to wash hands after handling and disposing of soiled and contaminated trash in the soiled utility room and exiting the unit without washing or sanitizing hands. […]

Read 20 findings in full →The most serious and the most recent: 20 of 43 on record.

Every survey on record

FindingsAt actual harm or above

  • May 5, 2025Standard5 findings
  • Mar 2, 2023Standard9 findings
  • Mar 4, 2021Infection control2 findings
  • Jan 12, 2021Infection control1 finding
  • Dec 29, 2020Infection control1 finding
  • Sep 24, 2020Complaint1 finding
  • Jun 18, 2020Infection control1 finding
  • Sep 3, 2019Complaint1 finding
Show the 7 earlier surveys
  • May 2, 2019Standard4 findings
  • Mar 5, 2018Standard5 findings
  • Feb 6, 2017Standard1 finding
  • Dec 23, 2015Standard3 findings
  • Dec 2, 2014Standard1 finding
  • Jan 17, 2014—1 finding
  • Dec 21, 2012—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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