Normandie Ridge

In the surveyor’s words

From the most serious findings on record at Normandie Ridge, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF552Aug 20, 2026

  Based on review of facility policy, staff interviews, and clinical record review, it was determined that the facility failed to discuss the risks/benefits and obtain consent for antipsychotic medications for three of five residents reviewed for unnecessary medications (Residents 4, 5, and 38). Findings include: Review of facility policy Psychotropic Medications, date reviewed April 2026, read, in part, facility will obtain informed consent from the resident and/or resident representative. Consents and any psychotropic medications will be reviewed quarterly at resident care conference. […]

• No harm, potential for more than minimal, patternF641Aug 8, 2024

  Based on clinical record review and staff interviews, it was determined that the facility failed to ensure that the resident assessment accurately reflected the resident's status for five of 21 residents reviewed (Residents 20, 27, 29, 49, and 56). Findings Include: Review of Resident 20's clinical record revealed diagnoses that included osteomyelitis (inflammation or swelling that occurs in the bone) and chronic kidney disease (CKD - when the kidneys have become damaged and cannot filter blood the way they should). Review of Resident 20's quarterly MDS (Minimum Data Set is part of federally mandated process for clinical assessment of all Medicare and Medicaid certified nursing homes) dated June 14, 2024, revealed in Section H. Bladder and Bowel, H0100. Appliances, A. […]

• No harm, potential for more than minimal, patternF657Aug 8, 2024

  Based on observations, clinical record review, and staff interviews, it was determined that the facility failed to review and revise the resident plan of care for three of 21 residents reviewed (Residents 19, 20, and 27). Findings include: Review of Resident 19's clinical record revealed diagnoses that included atrial fibrillation (irregular heart beat) and congestive heart failure (CHF - weakness of the heart that leads to buildup of fluid in the lungs and surrounding body tissues). Observation on [DATE], at 10:19 AM, revealed a monitor for a pacemaker (an artificial device for stimulating the heart muscle and regulating its contractions) was present on Resident 19's bedside stand. […]

• No harm, potential for more than minimal, patternF725Aug 8, 2024

  Based on clinical record review, review of facility provided documentation and reports, and resident and staff interviews, it was determined that the facility failed to ensure sufficient staff to assure residents attain or maintain the highest practicable physical, mental, and psychosocial well-being for one of 19 residents reviewed (Resident 213). Findings include: Review of Resident 213's clinical record revealed diagnoses that included obesity and urinary tract infection. Review of Resident 213's care plan revealed a focus for activities of daily living self-care performance deficit related to impaired balance and fatigue with an intervention for limited assistance of one person for toileting, dated July 31, 2024. […]

• No harm, potential for more than minimal, patternF758Aug 8, 2024

  Based on clinical record review, policy review, and staff interviews, it was determined that the facility failed ensure as needed psychotropic drugs are limited to 14 days or have documented rationale and duration for one of five residents reviewed (Resident 1); and failed to ensure effects and side effects of psychotropic medications were being monitored for one of five residents reviewed (Resident 56). Findings include: Review of facility policy, Psychotropic Medications, revised December 4, 2023, revealed, PRN [as needed] orders for psychotropic medications will be limited to 14 days unless the physician identifies the rationale to extend the medication beyond 14 days. […]