Ridgeview Terrace Long Term Care

In the surveyor’s words

From the most serious findings on record at Ridgeview Terrace Long Term Care, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF636Jul 9, 2026

  Based on interview and record review, the facility did not complete the Minimum Data Set (MDS) assessments in the required time frames for 1 of 1 supplemental resident (R10) reviewed for MDS assessments. The facility did not complete R10's admission Comprehensive MDS assessment and Annual Comprehensive assessment in a timely manner. Findings include: The Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.20.1, dated October 2025, indicates: Required MDS records include: Admission, Quarterly, Annual, and Discharge assessments and Entry Tracking records . For the admission assessment, the MDS Completion Date must be no later than 13 days after the Entry Date. […]

• No harm, potential for more than minimal, isolatedF640Jul 9, 2026

  Based on interview and record review, the facility did not transmit the Minimum Data Set (MDS) assessments in the required time frames for 1 of 1 supplemental resident (R10) reviewed for MDS assessments. The facility did not transmit R10's Entry MDS tracking assessment, admission Comprehensive MDS assessment and Annual Comprehensive assessment in a timely manner. Findings include: The Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.20.1, dated October 2025, indicates: All Medicare and/or Medicaid-certified nursing homes must transmit required MDS records to the Centers for Medicare and Medicaid Services (CMS) . Required MDS records include: Admission, Quarterly, Annual, and Discharge assessments and Entry Tracking records . […]

• No harm, potential for more than minimal, isolatedF657Jul 9, 2026

  Based on interview and record review, the facility did not ensure that the comprehensive care plan was reviewed by the interdisciplinary team and resident/resident representative after each assessment, including both the comprehensive and quarterly review assessments for 1 of 3 residents (R14), reviewed for care conference, out of 11 sampled residents.R14 did not have quarterly care conference meetings.Evidenced by:Surveyor requested facility policy for Care Conferences. NHA A (Nursing Home Administrator) stated there is no facility policy; regulation is followed in relation to care conferences.R14 admitted to the facility on [DATE].R14's most recent Care Plan Meeting note is dated 4/1/25.On 7/8/26 at 9:56 AM, Surveyor interviewed SW C (Social Worker) and asked about frequency of care… […]