Ridgeway Nursing & Rehabilitation Facility

In the surveyor’s words

From the most serious findings on record at Ridgeway Nursing & Rehabilitation Facility, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Mar 31, 2022

  Based on observation, interview, record review, review of food product package instructions, and review of the facility's policies, and the www.website it was determined the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety to prevent cross contamination of foods. The facility failed to ensure food was prepared and served at the proper temperature to prevent residents from receiving potentially hazardous food which could cause food-borne illness. This deficient practice had the potential to affect eighty-two (82) of eighty-four (84) current residents, as two (2) residents received tube feedings and not a meal tray. 1. […]

• Immediate jeopardy, widespreadF835Mar 31, 2022

  Based on observation, interview, record review, review of the facility's Administrator's Job Description, and review of the facility's policies, it was determined the Administrator failed to administer the facility in a manner that enabled effective use of its resources to attain and maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The following deficiencies were identified: 1. The Administrator failed to ensure that food leaving the kitchen was stored, prepared, distributed and served in accordance with professional standards for food service safety; and that dietary staff had the appropriate competencies and skills sets to carry out the functions of the food and nutrition service. […]

• Immediate jeopardy, patternF559Mar 31, 2022

  Based on interview, record review, and review of the facility's policies, it was determined the facility failed to ensure residents received written notice, including the reason for the room change/transfer, for eight (8) of fifty-three (53) sampled residents (Residents #6, #50, #72, #49, #3, #40, #60, and #82. The facility transferred Resident #6's personal belongings to another room, but when Resident #6 refused the transfer, the facility did not return the belongings for four (4) days. Resident #6 was upset and cried for four (4) days. The facility transferred Resident #50 out of a room the resident had shared with his/her spouse who had died in the room. The facility transferred Resident #72 several times who is a fall risk and has limited vision. […]

• Immediate jeopardy, patternF745Mar 31, 2022

  Based on interview, record review, and the facility's Social Services Director job description, it was determined the facility failed to provide medically-related social services related to the failure to advocate for residents and to assist them in the assertion of their rights. Residents were not assisted by the Social Services Director in voicing and obtaining resolution to grievances about treatment, living conditions, and accommodation of needs. Also, the Social Services Director did not provide services to meet the needs of residents who were coping with stressful events. […]

• Immediate jeopardy, isolatedF557Mar 31, 2022

  Based on interview, record review, and review of the facility's policies, it was determined the facility failed to ensure one (1) of fifty-three (53) sampled residents (Resident #6) was treated with respect and dignity and failed to ensure the resident's right to retain and use personal possessions, including clothing. According to Resident #6, facility staff came into his/her room on 02/24/2022 and took all of his/her personal belongings to another room. Resident #6 stated he/she told staff to leave the belongings alone, and the resident refused the transfer. Resident #6 stated he/she cried and asked for his/her belongings from 02/24/2022 to 02/28/2022 until they were returned on 02/28/2022. […]