Ridgewood Living & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Ridgewood Living & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 5, 2025

  Based on observations, record review, and resident, staff and physician interviews, the facility failed to provide care in a safe manner when Resident #74 a) rolled out of bed during care sustaining a left front scalp hematoma (an injury with swelling caused by blood pooling under the skin) requiring evaluation in the emergency room and b) rolled out of bed during care sustaining a 15 centimeter scalp laceration (cut) requiring evaluation in the emergency room and wound closure with 9 sutures (stiches) and 7 staples. This was for 1 of 5 residents reviewed for accidents (Resident #74).Findings included:1a. […]

• No harm, potential for more than minimal, patternF887Sep 5, 2025

  Based on record review and resident, staff and physician interviews the facility 1) failed to provide education regarding the benefits and possible side effects of a COVID-19 vaccination, offer a COVID-19 vaccination, and then document either a refusal or the administration of a COVID-19 vaccination in the past 14 months in the resident's medical record for 2 of 5 residents (Resident #54 and Resident #71) and 2) failed to maintain documentation that staff were provided education regarding the benefits and potential risks associated with COVID-19 vaccine and were offered the COVID-19 vaccine or information on obtaining a COVID-19 vaccine in the past 14 months for 156 of 156 facility staff reviewed for COVID-19 immunization.Findings included:A review of the facility's policy titled COVID-19… […]

• No harm, potential for more than minimal, patternF947Sep 5, 2025

  Based on record review and staff interviews the facility failed to ensure nurse aides (NAs) received 12 hours of in-service training annually which included abuse and dementia training. This was for 3 of 5 NA files reviewed (NA#5, NA #6, and NA #7).Findings included: 1a. A review of the employee file and training information for NA #5 indicated a hire date of 2/1/24. There was no dated training to provide evidence NA #2 received 12 hours of in-service training including abuse and dementia training in the previous 12 months.b. A review of the employee file and training information for NA #6 indicated a hire date of 7/11/24. There was no dated training to provide evidence NA #6 received in-service training on abuse and dementia training in the previous 12 months.c. […]

• No harm, potential for more than minimal, patternF925Jan 17, 2025

  Based on observations, staff interviews, resident interviews, physician interview, and a pest control supervisor interview the facility failed to maintain an effective pest control program that was free of German cockroaches for 4 (Resident #3, Resident #4, Resident #5, and Resident #6) of 4 residents reviewed for pest control services. Findings included: Documentation on the facility pest control company contract initiated on 6/27/2022 indicated that both interior and exterior pest control services, including cockroaches, were provided weekly to all rooms located on one wing of the facility. Pest control services rotated accordingly, so all wings and facility rooms were serviced at least once per quarter. […]

• No harm, potential for more than minimal, patternF641Jun 12, 2024

  Based on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) for oxygen for 4 of 28 residents reviewed for MDS assessments (Resident #3, Resident #75, Resident #121, and Resident #328). Findings include: a.Resident #3 was admitted on [DATE] and readmitted on [DATE] with diagnoses that included chronic obstructive pulmonary disease, congestive heart failure, oxygen dependence, and hypoxemia (low levels of oxygen in body tissues). Review of physician orders dated 5/5/22 revealed an order for Resident #3 to receive continuous oxygen three liters per minute via nasal cannula (oxygen delivery method) to maintain oxygen saturation (measurement of oxygen in the blood.) above 90%. […]