Pleasant Ridge Manor East/West

In the surveyor’s words

From the most serious findings on record at Pleasant Ridge Manor East/West, in the surveyor’s own words.

• Immediate jeopardy, patternF678Apr 28, 2022

  Based on review of clinical records and staff interviews, it was determined that the facility failed to provide Cardiopulmonary Resuscitation (CPR-emergency life-saving procedure that is done when breathing or a heartbeat has stopped and when performed immediately can double or triple chances of survival after [CONDITION(S)]) as required for one of one residents reviewed who had requested that CPR be administered in the event that they became unresponsive with no pulse. Resident R1 became unresponsive and pulseless, facility staff did not administer CPR to Resident R1 as required. […]

• Actual harm, isolatedF689Jul 31, 2024

  Based on review of facility policy, clinical records, and facility documentation and staff interviews, it was determined that the facility failed to provide a safe transfer in a manner that protected a resident from injury during a transfer, and resulted in actual harm when the resident received an acute fracture of the femur (the thigh bone) for one of 35 residents reviewed (Resident R304). This deficiency is cited as past non-compliance. Findings include: The facility policy entitled, Lifting Machine, Using a Mechanical, dated January 26, 2024, indicated that at least two nursing assistants are needed to safely move a resident with a Full/Maxi mechanical lift and to follow transfer orders from Physical Therapy (PT) for sit to stand/Sara lift transfer orders. […]

• Actual harm, isolatedF689Jan 21, 2022

  Based on review of clinical records, facility documentation, and staff interviews, it was determined that the facility failed to provide a safe transfer in a manner that protected a resident from injury and resulted in actual harm when the resident suffered a [CONDITION(S)] that required surgical intervention at a hospital for one of one residents reviewed (Resident R2). Findings include: Review of Resident R2's clinical record revealed an original admitted [DATE], with diagnoses that included a past traumatic brain injury, [CONDITION(S)], and [CONDITION(S)] disease (neurological disease that causes muscle tremors). […]

• No harm, potential for more than minimal, patternF695Jun 26, 2025

  Based on review of facility policies and clinical records, observations, and staff interview, it was determined that the facility failed to provide oxygen and maintain oxygen equipment according to physician's orders for three of five residents reviewed for respiratory services (Residents R32, R153, and R195). Findings include: Review of facility policy entitled Oxygen Administration dated 6/18/25, revealed to verify that there is a physician's order for this procedure. Review the physician's order . for oxygen administration. and turn on oxygen. Unless otherwise ordered, start the flow of oxygen at . […]

• No harm, potential for more than minimal, patternF842Nov 1, 2023

  Based on review of facility policies, clinical records, and facility documentation, and staff interview, it was determined that the facility failed to maintain complete and accurate records for three of 12 residents reviewed (Residents R1, R2, and R3). Findings include: Review of a facility policy entitled Resident Incident Reporting indicated that: all resident incidents are identified and tracked for compliance to assure follow-up on all resident incidents and provide treatment as appropriate; at the time of the incident staff will complete the Resident Incident Report including family/physician notification; all incidents are reviewed and care planned; and incidents are forwarded to the Director of Nursing (DON), Administrator (NHA), and Medical Director (MD) for review and comments if… […]