North Ridge Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 25, 2025

  Based on staff and resident interview and record review, the facility did not ensure adequate supervision was provided for 1 resident (R) (R2) of 1 resident reviewed for elopement. An elopement risk assessment, dated 1/31/25, indicated R2 was at risk for elopement. A WanderGuard (a security device that triggers an alarm if the wearer exits the facility) was placed on R2's left ankle. On 6/12/25 at 3:10 AM, R2 eloped from the facility and was found at approximately 3:55 AM approximately two miles from the facility. An investigation determined R2 exited the facility through the 200 wing door which had an alarm that sounded, however, staff were unable to hear the alarm because they were in residents' rooms providing care. […]

• No harm, potential for more than minimal, widespreadF801Jun 14, 2023

  Based on staff interview and record review, the facility did not designate a person to serve as the director of food and nutrition services who was a certified dietary or food service manager, who had a national certification for food service management and safety from a national certifying body, or who had an associate level or higher degree in food service management or hospitality. This had the potential to affect 44 out of 57 residents who resided in the facility. (Thirteen residents were exclusively tube fed.) Findings include: During an initial tour of the kitchen on 6/12/23 at 8:15 AM, Dietary Manager (DM)-L stated DM-L did not know what standard of practice the facility followed for food safety. […]

• No harm, potential for more than minimal, widespreadF812Jun 14, 2023

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect 44 of 57 residents residing in the facility. (Thirteen residents received nutrition exclusively via tube feeding.) Staff did not test Quaternary sanitizing solution per manufacturer's instructions. Cook (CK)-N did not wait two minutes to take microwave reheated food temperature to ensure food was heated evenly. Staff did not ensure food-contact and non-food contact equipment, including a can opener, stove griddle, oven, and double oven were clean and dry for storage or use. The facility did not monitor and document hot holding temperatures. The facility did not cool foods with an approved food cooling method. […]

• No harm, potential for more than minimal, widespreadF880Jun 14, 2022

  Based on observations, interviews, and record review, the facility did not maintain an infection prevention and control program designed to provide a safe and sanitary environment to prevent the transmission of communicable diseases and infections for 4 Residents (R) (R307, R13, R15, R38), of 28 residents observed for provision of cares. Additionally, the facility did not maintain a safe environment by appropriately wearing surgical masks having the potential to affect all residents. CNA-M did not perform hand hygiene after performing perineal care on R307 and prior to contact with R307's environment. CNA-M did not properly dispose of and isolation gown after wearing and performing personal cares on R307. […]

• No harm, potential for more than minimal, patternF812Apr 14, 2026

  Based on observation, staff interview, and record review, the facility did not ensure food was served under safe and sanitary conditions. This practice had the potential to affect more than 4 of the 56 residents residing in the facility. Staff did not use utensils while plating lunch items, including diced tomatoes, shredded lettuce, shredded cheese, soft shell tortillas, and bread. R14, R15, and R16's medical records indicated they were allergic to tomatoes. R14, R15, and R16 received potentially cross-contaminated lunch items on 4/14/26. […]