Ramsey Village

In the surveyor’s words

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

• Actual harm, isolatedF684Apr 24, 2025

  Based on observations, clinical record review, staff interviews and policy review, the facility failed to appropriately provide assessments and interventions for necessary care and services for 1 of 4 residents reviewed (Resident #1). Clinical record review revealed the Assistant Director of Nursing notified the nursing staff of a wound on Resident #1's left foot after admission. The nurse failed to conduct an assessment and failed to notify the provider to acquire an intervention for 48 days after admission. The facility reported a census of 61 residents. Findings include: A Minimum Data Set (MDS) dated [DATE], documented that Resident #1 admitted to on 9/23/25 from Home/Community (e.g., assisted living). […]

• No harm, potential for more than minimal, patternF689Oct 23, 2025

  Based on observation, record review, staff interview, and policy review, the facility failed to ensure mechanical lifts were used correctly during transfers for 3 of 5 residents (#1, #4, #5). The facility failed to lock wheelchairs during resident transfers for 2 of 5 residents (#2, #4), and failed to ensure foot pedals were attached while transporting a resident in a wheelchair for 1 of 5 residents (#3). The facility reported a census of 69 residents.Findings include:. 1. The Minimum Data Set (MDS) for Resident #1 dated 9/29/25 revealed a Brief Interview for Mental Status (BIMS) score of 03 out of 15 which indicated severely impaired cognition. […]

• No harm, potential for more than minimal, patternF880Aug 28, 2025

  Based on observations, clinical record review, staff interviews, guidance from the Centers for Disease Control (CDC) and facility policy review the facility failed to implement enhanced barrier precautions for one of one resident reviwed (Resident #4), and failed to perform appropriate hand hygiene during personal cares for three of three residents observed for toileting hygiene (Res #3, Res #4 and Res #61). The facility additionally failed to properly sanitize a full body mechanical lift between the usage of the lift between two residents. The facility reported a census of 62 residents. Findings include: 1. […]

• No harm, potential for more than minimal, patternF684Apr 27, 2023

  Based on staff interviews and record review, the facility failed to ensure resident care and treatment was provided by competent staff and in accordance with professional standards of practice for 5 of 5 residents reviewed. (Residents #1, #2, #3, #4, #5) The facility reported census was 60 residents. Findings include: According to the facility investigation, Staff A, RN (Registered Nurse) reported she and Staff B, RN were sitting at the nurse's station at around 11:00 p.m. on 3/22/23. Staff B was fidgeting and scratching all over, then made the comment that he was itching like crazy. Around 2:00 a.m. on 3/23/23 Staff C, CNA (certified nurse aide) stated to Staff A, he's (Staff B) not okay. Staff B was standing at the medication cart, being repetitive and staring at the medication. […]

• No harm, potential for more than minimal, patternF725Jun 15, 2022

  Based on resident and staff interview, clinical record review, and call light logs the facility failed to answer call lights within a reasonable amount of time for 2 residents (#26 and #37) and a confidential Resident Council group of residents reviewed. Residents reported having to wait fifty-eight minutes to have the call light answered. Facility call-light logs revealed the call lights answered between one to fifty-eight minutes. The facility reported a census of 71 residents. Findings include: 1. The MDS (Minimum Data Set) assessment tool dated 4/18/22 revealed Resident #37 scored 8 of 15 possible points on the BIMS (Brief Interview for Mental Status Score) test, which meant the resident demonstrated moderately impaired cognitive abilities. […]