Forest Ridge Health and Rehab LLC

In the surveyor’s words

From the most serious findings on record at Forest Ridge Health and Rehab LLC, in the surveyor’s own words.

• Actual harm, isolatedF692May 23, 2024

  Based on observations, record review and interviews, the facility failed to ensure one (#68) of four residents reviewed for nutrition received the care and services necessary to meet their nutritional needs and maintain their highest physical well-being level out of 33 sample residents. Resident #68 was admitted to the facility for long term care on 8/1/23 with diagnoses of dementia with agitation, abdominal pain, vascular disorder of the intestine (blocked blood vessels to the intestines) and cystic disease of the liver (a disease that causes growths in the liver). Upon admission, Resident #68 weighed 212.4 pounds (lbs). […]

• No harm, potential for more than minimal, widespreadF812May 23, 2024

  Based on observations, record review and interviews, the facility failed to store, prepare, distribute and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to: -Ensure temperatures were taken of refrigerators in the main kitchen; and, -Have a system in place to monitor the internal temperature of the dishwasher to ensure the functioning of the dishwasher. Findings included: I. Professional reference According to the Food and Drug Administration Food Code (2022), retrieved on 5/28/24 from https://www.fda.gov/media/164194/download?attachment, Water temperature is critical to sanitization in ware washing operations. […]

• No harm, potential for more than minimal, widespreadF880May 23, 2024

  Based on observations, interviews and record review, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection in four of four units. Specifically, the facility failed to -Ensure clean technique was followed during wound care for Resident #56; and, -Ensure the facility had an active Legionella water management plan in place to prevent or reduce Legionella in the facility. Findings include: I. Clean technique during wound care A. Facility policy and procedure The Wound Care policy and procedure, revised October 2010, was provided by the director of nursing (DON) on 5/23/24 at 8:30 a.m. […]

• No harm, potential for more than minimal, patternF804Feb 26, 2026

  Based on observations, record review and interviews, the facility failed to ensure residents consistently received food prepared by methods that conserved nutritive value and was palatable in taste, texture and temperature.Specifically, the facility failed to ensure the residents' food was palatable in taste, texture and temperature.Findings include:I. Facility policy and procedureThe Standardized Menus policy, dated 10/1/25, was provided by the nursing home administrator (NHA) on 2/25/26 at 1:17 p.m. It revealed in pertinent part, It is the policy of this facility to provide nourishing, palatable meals to meet the nutritional needs of residents based on the Recommended Daily Allowances of the Food and Nutrition Board and that standardized cycle menus are planned in advance and utilized. […]

• No harm, potential for more than minimal, patternF880Feb 26, 2026

  Based on observations, interviews and record review, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection. Specifically, the facility failed to:-Ensure housekeepers followed chemical dwell times and appropriately disinfected residents' rooms; and,-Ensure housekeepers performed appropriate hand hygiene when cleaning residents' rooms.Findings include:I. […]