Ridgeview Healthcare & Rehab Center

In the surveyor’s words

From the most serious findings on record at Ridgeview Healthcare & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 22, 2025

  Based on review of clinical records, the facility's abuse prohibition policy, and select investigative reports, and interviews with staff and residents it was determined the facility failed to ensure that one resident (resident 2) out of 7 residents sampled was free from sexual abuse and resultant psychosocial harm. Findings include: A review of a facility policy entitled Abuse Prevention last reviewed October 2024, revealed abuse, neglect, and/or mistreatment of residents will not be tolerated in any manner. All necessary steps shall be taken to ensure the provision of a safe and secure environment. […]

• Actual harm, isolatedF600Jul 26, 2024

  Based on a review of clinical records, select facility policy and investigative reports, and staff and resident interviews, it was determined that the facility failed to ensure that one resident out of 25 sampled (Resident 29) was free from physical abuse, perpetrated by another resident, (Resident 2) which resulted in physical injury, a concussion, to the resident victim. Findings include: The facility's Abuse Prevention Policy and Procedure Manual dated as reviewed last by the facility on June 3, 2024, indicated it is the facility policy that abuse, neglect, and/or mistreatment of residents will not be tolerated in any manner. The purpose of the policy indicated all necessary steps shall be taken to ensure the provision of a safe and secure environment. […]

• Actual harm, isolatedF684Jun 9, 2023

  Based on clinical record review and staff interview, it was determined that the facility failed to provide prescribed treatment necessary to manage constipation and promote normal bowel activity to prevent complications, a fecal impaction with resulting pain and discomfort requiring acute care intervention, for one resident out of 29 sampled (Resident 18). Findings include: According to the American Academy of Family Physicians {The American Academy of Family Physicians is one of the largest medical organizations in the US founded to promote the science and art of family medicine}the primary goal of constipation management should be symptom improvement, and the secondary goal should be the passage of soft, formed stool without straining at least three times per week). […]

• Actual harm, isolatedF600Nov 4, 2022

  Based on a review of clinical records, information submitted by the facility, select resident incident/accident and investigative reports, and staff and resident interviews it was revealed that the facility failed to ensure that one resident was free from physical abuse, which resulted in significant physical harm, broken ribs, and emotional distress for this resident (Resident 74) and failed to implement measures necessary to prevent physical abuse for one resident (Resident 67) out of 20 sampled. […]

• No harm, potential for more than minimal, widespreadF838Dec 20, 2024

  Based on staff interviews and a review of the facility's assessment and resident census and condition it was determined the facility failed to conduct and document a facility wide assessment, which identified the specific resources necessary to care for its specific resident population. Findings include: On December 20, 2024, the facility provided a facility assessment in response to surveyor inquiry. However, this document was not specific to the individual needs of the residents. […]