Ridgeview Terrace of Life Care

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF641Aug 19, 2026

  Based on Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual Version 1.19.1 review, medical record review, and interview, the facility failed to ensure MDS assessments were accurate for 3 residents (Resident #2, Resident #9, and Resident #45) of 20 residents reviewed for MDS assessments. The findings include: Review of the MDS 3.0 RAI Manual, dated 10/2024, revealed .Health-related Quality of Life .residents covered by Level II PASRR [Pre-admission Screening and Resident Review] process may require certain care and services provided by the nursing home .Steps for Assessment .Code .yes .if PASRR Level II screening determined that the resident has a serious mental illness .Active Diagnosis in the Last 7 Days .Check all that apply .I0110 .Special Treatments, Procedures, and… […]

• No harm, potential for more than minimal, isolatedF645Aug 19, 2026

  Based on Long-Term Care Facility Resident Assessment Instrument (RAI) Manual Version 1.19.1 review, medical record review, and interview, the facility failed to ensure a Pre-admission Screening and Resident Review (PASRR) screen was accurate after mental health diagnoses were identified for 1 (Resident #37) of 6 residents reviewed for PASRR.The findings include: Review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.19.1 dated 10/1/2025, revealed .facilities are responsible for accurately reflecting active diagnoses within the assessment process and ensuring coordination with PASRR requirements when residents have serious mental illness, intellectual disability, or related conditions . […]

• No harm, potential for more than minimal, isolatedF812Aug 19, 2026

  Based on facility policy review, observation, and interview, the facility failed to ensure a dietary aide wore an appropriate beard covering during food service in 1 of 1 kitchen.The findings include: Review of the facility's policy titled Associate Conduct and Dress Code, dated 10/3/2019 and revised 5/5/2026, revealed .Dietary staff must wear hair restraints .to prevent hair from contacting food .all facial hair including mustaches and beards should be trimmed and covered . During an observation on 8/17/2026 at 11:34 AM, revealed Dietary Aide A assisting with residents' food tray assembly on the tray line. […]

• No harm, potential for more than minimal, isolatedF880Aug 19, 2026

  Based on facility policy review, medical record review, observations, and interviews, the facility failed to follow Transmission Based Precautions (TBP) for 2 residents (Resident #6 and #61) of 6 residents reviewed for TBP.The findings include: Review of a facility policy titled Transmission-based Precautions and Isolation Procedures, revised 12/23/2025, revealed .The facility will implement .[TBP] .ensure the mitigation of infection spread .ensure standards of infection prevention and control are followed . Further review revealed .[TBP] must be used when a resident develops signs and symptoms of a transmissible infection . […]

• No harm, potential for more than minimal, isolatedF641May 29, 2025

  Based on Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual review, medical record review, observations, and interviews, the facility failed to accurately complete an MDS assessment for 1 resident (Resident #76) of 18 residents reviewed for MDS assessments. The findings include: Review of the MDS 3.0 RAI Manual dated 10/2024, revealed .discharge assessment .must be completed when the resident is discharged from the facility .SECTION A .discharge status .this item documents the location to which the resident is being discharged at the time of discharge .steps for assessment .review the medical record including the discharge plan and discharge orders for documentation of discharge location .coding instructions for A0310G .Code 1 if type of discharge is a planned discharge… […]