Ridgewood at the Woodlands

In the surveyor’s words

From the most serious findings on record at Ridgewood at the Woodlands, in the surveyor’s own words.

• Immediate jeopardy, patternF740Jun 20, 2025

  Based on observation, interview, and record review the facility failed to ensure each resident received and the facility provided the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care for 2 of 5 residents (Resident #49 and Resident #77) reviewed for behavioral services. - The facility failed to assess Resident #49 and provide behavioral health services from [DATE] to [DATE] after she reported that she wanted to die. […]

• Immediate jeopardy, isolatedF689Jun 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #17) reviewed for accidents and supervision. The facility failed to ensure the locking mechanism on Resident #17's bed was operating properly, which caused her to fall and hit her head and resulted in a head injury, laceration over her right eye, and need for emergency medical attention. An IJ was identified on 6/12/2025. The IJ template was provided to the facility on 6/12/2025 at 2:33 pm. […]

• Actual harm, isolatedF689Mar 28, 2024

  Based on interview, record review, and observation, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 6 resident (Resident #1) reviewed for accidents. The facility did not provide supervision to prevent Resident #1 from having a witnessed fall, when CNA A failed to ensure the resident was secured and placed appropriately in her bed prior to plugging in her bed. As a result the resident sustained a fracture. This failure could place residents at risk for inadequate supervision resulting in injuries. […]

• No harm, potential for more than minimal, patternF554Jun 20, 2025

  Based on observation, interview, and record review the facility failed to ensure that residents had the right to self-administer medication, if the interdisciplinary team, has determined this practice as clinically appropriate for 1 out of 8 residents (Resident #45) reviewed for self-administration of medication. The failed to assess Resident #45, who suffered from tremors associated with a diagnosis of Parkinson's Disease, for the ability to self-administer lubricant eye drops in that Resident #45 self-administered eye drops to herself from admission [DATE]) to 05/21/25. This failure could place residents at risk of inappropriate medication doses, medication errors, drug interactions, and side effects. […]

• No harm, potential for more than minimal, patternF600Jun 20, 2025

  Based on observation, interview, and record review the facility failed to ensure the resident had the right to be free from abuse for 3 of 4 residents (Resident #1, Resident #22 and Resident #43) reviewed for abuse. The facility failed to ensure Resident #1 was free from verbal abuse when CNA S yelled at her using a cuss word and asking what was wrong with her. The facility failed to ensure Resident #22 was free from verbal abuse when Medication Aide B used a racial slur towards her. The faciity failed to ensure Resident #43 was free from physical abuse when CNA A assisted with changing Resident #43's adult brief. These failures could place residents at risk of feelings of indignity, irritability, and sadness. […]