Ridgewood Manor

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Sep 23, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, review of the Department of Health and Human Services, Centers for Medicare & Medicaid (CMS) Memos, observations, staff interviews, review of the facility policies and procedures, review of the staff screening for COVID-19 documentation, medical record reviews, review of the Centers for Disease Control and Prevention (CDC) COVID Data Tracker and guidance, review of staff schedules, review of staff testing for COVID-19, review of staff training check list, and review of posted COVID-19 signage regarding Personal Protective Equipment (PPE), the facility failed to implement effective and recommended infection control practices, including a system to ensure… […]

• Immediate jeopardy, isolatedF686Aug 16, 2023

  Based on observation, medical record review, hospital record review, resident and staff interviews, policy review for Clinical Protocol Pressure Ulcers/Skin Breakdown and review of the facility pressure ulcer staging guide, the facility failed to implement comprehensive and individualized pressure ulcer care and treatment for Resident #57, including the timely completion of physician orders for laboratory and radiology testing resulting in hospitalization for pressure ulcer treatment. This resulted in Immediate Jeopardy and serious life-threatening harm on 07/31/23 when Resident #57's physician ordered laboratory and radiology testing was not completed to rule out osteomyelitis of a Stage III (wound caused by pressure with full thickness tissue loss. […]

• Immediate jeopardy, isolatedF760Aug 16, 2023

  Based on observation, medical record review, hospital record review, review of the emergency services report, resident and staff interviews, review of witness statements, and policies Administering Medications, Obtaining a Fingerstick Glucose Level Insulin Administration and Nursing Care of the Resident with Diabetes Mellitus, the facility failed to have comprehensive systems in place to prevent significant medication errors for Resident #25, #37 and #57 related to the monitoring of diabetes mellitus and administration of insulin. […]

• Immediate jeopardy, isolatedF600Jan 5, 2023

  Based on medical record review, staff interviews, community member interviews, review of an infection control log, review of an autopsy report, review of a coroner ' s case summary document, and review of facility policies for neglect, pressure ulcer prevention and treatment, and medication administration, the facility failed to perform timely and adequate skin assessments, failed to initiate pressure wound treatments and interventions, and failed to administer an antibiotic medication as ordered for one resident (#97). This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, injuries, and/or death when Resident #97 was assessed at admission with no pressure ulcers and was assessed at risk for pressure ulcer development. […]

• Immediate jeopardy, isolatedF686Nov 30, 2022

  Based on medical record review, observation, staff interview, review of hospital records, review of a facility statement, and review of facility policies, the facility failed to ensure a thorough skin assessment was completed when one resident (#03) returned from the hospital. This resulted in Immediate Jeopardy and serious life-threatening harm and/or injury when Resident #03 returned from the hospital with a surgical pressure compression dressing in place to his penis, which was not identified by the facility to be present until removal 13 days after admission, with no documented assessment of the skin breakdown present under the compression dressing documented for three days after the dressing was removed. […]