Ridgeland Nursing Center Inc

In the surveyor’s words

From the most serious findings on record at Ridgeland Nursing Center Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 3, 2026

  Based on review of facility policy, record review, interview, and observation, the facility failed to ensure a safe environment and failed to provide adequate supervision to prevent elopement for 1 of 5 residents reviewed for elopement risk (Resident (R)1), a cognitively impaired resident with dementia and an inactive wander guard in place. This failure allowed R1 to exit the facility unsupervised through an unlocked front entrance on 05/22/26. On 06/02/26 at 6:05 PM, the Administrator was provided a copy of the CMS Immediate Jeopardy (IJ) Template and notified that the facility had failed to prevent Resident (R)1's elopement which occurred on 05/22/26, creating a reasonable expectation that serious injury, harm, impairment, or death could have occurred, constituting IJ. […]

• Immediate jeopardy, isolatedF689May 13, 2026

  Based on review of the facility policy, interview, observation, and record review, the facility failed to ensure Resident (R)5 was adequately supervised to prevent him from eloping on 05/10/26 between 8:45 AM- 9:15 AM, for 1 of 3 residents reviewed for elopement. On 05/10/26 between 8:45 AM- 9:15 AM, R5 had a successful, unwitnessed elopement from the facility. R5 was found by staff members on the sidewalk, off the facility's premises, next to an active highway. On 05/13/26, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death.On 05/13/26 at 11:53 AM, the Centers for Medicare and Medicaid Services (CMS) IJ Template… […]

• Immediate jeopardy, isolatedF693May 13, 2026

  Based on review of the facility policy, observation, interview, and record review, the facility failed to ensure Resident (R)7 received appropriate care and services to prevent complications related to enteral feeding, for 1 of 2 residents reviewed.On 05/13/26, R7's Gastrostomy tube (G-Tube) site was observed with a dressing dated 05/03/26 stuck to the skin and a brown, crusted substance noted around the stoma. On 05/13/26, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

• Immediate jeopardy, isolatedF655Apr 13, 2023

  Based on record reviews, interviews, and facility policy reviews, the facility failed to develop and implement a baseline care plan that included instructions needed to maintain hydration for 1 (Resident #3) of 7 residents reviewed. Specifically, the facility failed to develop and implement a baseline care plan for Resident #3 that included administration of water with bolus enteral feedings and failed to update the baseline care plan with Registered Dietitian (RD) #4's recommendations to increase fluids to maintain hydration. This failure resulted in Resident #3 passing away in the facility due to dehydration. […]

• Immediate jeopardy, isolatedF692Apr 13, 2023

  Based on record review, interviews, and facility policy review, it was determined that the facility failed to ensure 1 (Resident #3) of 7 residents reviewed for assisted nutrition and hydration received adequate fluid intake to maintain proper hydration. Specifically, the facility failed to transcribe discharge orders from the hospital for water with bolus enteral feedings for Resident #3 and failed to implement recommendations from Registered Dietitian (RD) #4 to increase Resident #3's fluids to maintain hydration. This failure resulted in Resident #3 passing away in the facility due to dehydration. It was determined the facility's non-compliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]