Ridgewood Center, Genesis HealthCare

In the surveyor’s words

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

• Immediate jeopardy, isolatedF880Jun 21, 2024

  Based on interview and record review, it was determined that the facility failed to ensure residents were free from exposure to bloodborne pathogen transmission when staff used one insulin pen to administer insulin to two residents on multiple days (Resident Identifiers are #1 and #2). Findings include: Interview on 6/21/24 at approximately 11:00 a.m. with Staff D (Licensed Practical Nurse (LPN)) revealed that on 6/15/24 and 6/16/24 he/she used Resident #1's used Lantus (insulin) pen to administer insulin to Resident #2 then put back Resident #1's used Lantus pen in the medication cart. […]

• No harm, potential for more than minimal, patternF725Oct 31, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to provide sufficient staff to meet residents' needs (Resident Identifiers are #12, #13, #17, #31, #38, #39, #47, #74, #84, #156 and #250). Findings include: Resident #38 Observation on 10/29/23 at approximately 11:00 a.m. of Resident #38 appeared upset, tearful, and sitting in his/her fecal matter in bed. Interview on 10/29/23 at approximately 11:00 a.m. with Resident #38 revealed he/she had been sitting in his/her fecal matter for approximately an hour, after utilizing the call bell for assistance. Interview on 10/29/23 at approximately 11:05 a.m. with Staff H (Licensed Practical Nurse (LPN)) confirmed the above finding. […]

• No harm, potential for more than minimal, patternF883Oct 31, 2023

  Based on record review and interview, it was determined that the facility failed to ensure residents were offered, educated, and received the pneumococcal and/or influenza immunization 3 of 5 residents reviewed for immunizations (Resident Identifiers are #8, #55 and #67). Findings Include: Review on 10/31/23 of Summary: Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP)-United States, 2023-24, found at https://www.cdc.gov/flu/professionals/acip/summary/summary-recommendations.htm, revealed the .Timing of vaccination - For most persons who need only one dose of influenza vaccine for the season, vaccination should ideally be offered during September or October. […]

• No harm, potential for more than minimal, patternF880Jul 22, 2021

  1. Based on observation, interview, and record review, it was determined that the facility failed to maintain infection control practices in regards to Central Catheter Care for 1 of 1 residents reviewed for Central Catheter Care in a final survey sample of 26 residents. (Resident Identifier #503) Findings include: Resident #503 Observation on 7/20/21 at approximately 9:31 a.m. of Resident #503 revealed a PICC (Peripherally Inserted Central Catheter) line in their left arm and the PICC dressing was dated 7/9/21. Interview on 7/20/21 at approximately 9:31 a.m. with Resident #503 revealed that the PICC dressing had been changed once since their admission on 7/8/2021. Review on 7/20/21 at approximately 11:45 a.m. […]

• No harm, potential for more than minimal, patternF881Jul 22, 2021

  Based on interview and record review the facility failed to use antibiotic protocols to monitor the use of antibiotics for 2 of 2 months reviewed. Findings include: Review on 7/21/21 of the facility's April 2021 and May 2021 antibiotic line listing and tracking system revealed the following: April 2021 6 of 23 residents on antibiotics did not have signs or symptoms identified consistant with McGeer's Definition of Infection. 6 of 23 residents on antibiotics did not have signs or symptoms identified or meet diagnositc criteria consistant with McGeer's Definition of Infection (i.e. […]