Julia Ribaudo Extended Care Center

In the surveyor’s words

From the most serious findings on record at Julia Ribaudo Extended Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 12, 2021

  Based on a review of clinical records and information submitted by the facility and staff interviews, it was determined that the facility failed to utilize safe technique, the required assistance devices and sufficient level of staff assistance, during transfers to prevent an accident resulting in severe injury, a fractured lower leg, to one resident (Resident 11) out of 18 residents reviewed. Findings include: A review of the clinical record revealed that Resident 11 was admitted to the facility on [DATE], with diagnoses that included anxiety disorder, muscle weakness, and dementia (the loss of memory and other mental abilities severe enough to interfere with normal activities of daily living - ADLs - everyday tasks that include bathing, eating, dressing). […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2026

  Based on observation and staff interview, it was determined that the facility failed to maintain sanitary food storage, dishwashing, and ice machine sanitation practices in the food and nutrition services department. These failures had the potential to contaminate food and ice served to residents and increased the risk of foodborne illness.Findings include: Food safety and inspection standards for safe food handling indicate that everything that encounters food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]

• No harm, potential for more than minimal, widespreadF881Jun 16, 2026

  Based on review of facility infection control records, clinical records, facility policy, and staff interview, it was determined that the facility failed to implement and maintain an antibiotic stewardship program and conduct and document antibiotic stewardship monitoring for eight of 8 months reviewed (November 2025 through June 2026) and failed to follow its antibiotic stewardship process for 1 of 20 residents reviewed (Resident 97).Findings include: A review of the facility policy titled Antimicrobial Stewardship Program, last updated June 5, 2026, revealed the program focuses on improving antimicrobial use by avoiding inappropriate or unnecessary antimicrobials. […]

• No harm, potential for more than minimal, widespreadF908Jun 16, 2026

  Based on observation and staff interview, it was determined the facility failed to ensure that essential equipment was in safe operating condition in the facility's food and nutrition area. Findings include: A review of a policy for Freezers and Refrigerators, lase reviewed June 5, 2026, revealed the facility will ensure safe refrigerator and freezer maintenance and sanitation. The food and nutrition services director will inspect refrigerators and freezers monthly for gasket, fan condition, the presence of rust, excess condensation and any other damage or maintenance issues. Necessary repairs will be initiated immediately. […]

• No harm, potential for more than minimal, widespreadF838Oct 11, 2024

  Based on staff interview and review of professional literature, the facility's assessment, facility provided documentation, and review of the medical, psychiatric, and mental health conditions of the resident census, it was determined that the facility failed to conduct and document a facility-wide assessment, using evidence-based methods, which identified the specific resources necessary to care for its specific resident population. Findings include: Review of the Centers for Medicare and Medicaid Services Memorandum, Revised Guidance for Long-Term Care Facility Assessment Requirements (QSO-24-13-NH) dated June 18, 2024, revealed that the facility assessment must include an evaluation of diseases, conditions, physical or cognitive limitations of the resident population, acuity (the level… […]