Ridgeway Post Acute

In the surveyor’s words

From the most serious findings on record at Ridgeway Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF687Apr 16, 2025

  Based on observation, interviews and record reviews, the facility failed to ensure one out of three sampled residents (Resident 1) was provided foot care, including timely toenail trimming when Resident 1's toenails were allowed to grow too long. This failure resulted in Resident 1 acquiring cellulitis (a skin infection that causes swelling and redness) and ingrown toenails (occurs when the edge of the toenail grows into the surrounding skin, causing pain, redness, and swelling) to all toes, which led to the physician to perform matrixectomy (a surgical procedure that removes the growth area of an ingrown toenail) of all toenails on 4/10/25. […]

• Actual harm, isolatedF552Aug 13, 2024

  Based on interview and record review, the facility failed to honor the rights of one of two residents (Resident 5) when Resident 5 ' s medical decision-maker, Family Member 2 (FM2) was not asked or notified before starting to give Resident 5 a new pain medication MS (morphine sulphate) Contin (a long-acting pain medication made with morphine, an opiate). This failure resulted in Resident 5 becoming over sedated (state of calmness, relaxation, or sleepiness), requiring naloxone (a medication that reverses the potentially deadly effects of opiate toxicity), when he was administered a new medication before FM2 had been given a chance to consider the risks and benefits or permission for them to give it to him. […]

• Actual harm, isolatedF658Aug 13, 2024

  Based on interview and record review, the facility failed to follow up on a stat (immediately, urgent) laboratory (lab, a facility that provides controlled conditions in which scientific or technological research, experiments, and measurement may be performed) order for one of two sampled residents (Resident 5) when a stat urinalysis (UA, a basic test that examines the contents of a urine sample to identify conditions that may need treatment) and culture and sensitivity (C&S, a lab test that checks which bacteria are in the urine and which antibiotic will kill the bacteria) specimen for Resident 5 was rejected by the lab on 7/15/24 and a new urine specimen was not collected. […]

• Actual harm, isolatedF684Aug 13, 2024

  Based on interview and record review, the facility failed to follow up on a stat (immediately, urgent) laboratory (lab, a facility that provides controlled conditions in which scientific or technological research, experiments, and measurement may be performed) order for one of two sampled residents (Resident 5) when a stat urinalysis (UA, a basic test that examines the contents of a urine sample to identify conditions that may need treatment) and culture and sensitivity (C&S, a lab test that checks which bacteria are in the urine and which antibiotic will kill the bacteria) specimen for Resident 5 was rejected by the lab on 7/15/24 and a new urine specimen was not collected. […]

• Actual harm, isolatedF686Mar 15, 2024

  Based on observation, interviews and record reviews, the facility failed to monitor skin changes and develop a plan to prevent the development of pressure ulcer or injury (bed sore) or worsening of the pressure ulcer of one (1) of four (4) resident (Resident 1). This failure resulted to Resident 1 developing a pressure injury on his left heel and worsening of the pressure sore on his coccyx (tailbone or lower back). Findings: A review of Resident 1's face sheet indicated he was recently readmitted to the facility on [DATE] for osteoarthritis (a degenerative joint disease, in which the tissues in the joint break down over time)of the right hip, bladder (hollow spherical organ that holds urine) obstruction, acute respiratory and heart failures, diabetes (disease when blood sugar is too high)… […]