Ridge Crest at Meadow Ridge

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF694Oct 27, 2022

  Based on a review of the facility Infection Control Program, review of facility documentation and staff interviews, the facility failed to ensure that licensed nursing staff completed the facility's annual education and competencies training for Intravenous Therapy IV. The findings include: The Facility assessment dated [DATE] indicated in part that services and care offered include intravenous medication and IV nutrition. The Facility Assessment further indicated that competencies for nurses included in part, IV Line maintenance. […]

• No harm, potential for more than minimal, patternF947Oct 27, 2022

  Based on a review of the facility Infection Control Program, review of facility documentation, facility policy review, and staff interviews, the facility failed to ensure that unlicensed nursing staff completed the facility's annual education and competencies training for Intravenous Therapy IV. The findings include: The Facility assessment dated [DATE] indicated in part that services and care offered include intravenous medication and IV nutrition. The Facility Assessment did not include IV therapy under 1.11 Staff Training/Education and Competencies; General Requirements for All Health Center Staff that is completed upon hire and annually. […]

• No harm, potential for more than minimal, isolatedF583May 7, 2026

  Based on review of the clinical record, facility documentation, facility policy, and interviews for two of three residents (Resident #2 and #3) reviewed for quality of care, the facility failed to maintain the confidentiality and privacy of Resident #2 and #3, when their medication blister packs containing resident-identifying information was improperly included with Resident #1's discharge medications. The findings include: Resident #2 was admitted to the facility on [DATE] with diagnoses that included falls, diabetes mellitus, and prostate cancer. […]

• No harm, potential for more than minimal, isolatedF628May 7, 2026

  Based on review of the clinical record, facility documentation, facility policy, and interviews for one of three residents (Resident #1) reviewed for discharge process, the facility failed to ensure the resident was discharged with all prescribed narcotic medications as ordered. The findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses that included aftercare following joint replacement surgery and neuropathy. The Resident Care Plan (RCP) dated 3/8/26 identified Resident #1 at risk for pain, and a plan to be short-term stay (planned discharge to the community). Interventions directed pain evaluations as indicated, administer pain medication as ordered, and monitor pain every shift, and planned discharge to the community/home with potential services. […]

• No harm, potential for more than minimal, isolatedF658Apr 1, 2026

  Based on record review, facility documentation review, and staff interviews for one of three residents (Resident #1), reviewed for a change in condition, the facility left unlicensed staff with a resident who was identified with a significant change in condition, and failed to ensure a resident's active do not resuscitate (DNR) order was honored when he/she was identified to have no pulse, no respirations, and had fixed and dilated pupils, and failed to ensure Emergency Medical Services (EMS) was notified prior to a pronouncement of death. […]