Ridgewood Manor Health and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observations, staff interviews, record review, and review of the facility policies titled, Food and Nutrition Services Staff Policy, and Preventing Food Borne Illness-Food Handling, the facility failed to ensure food was stored, prepared, and labeled in a safe and sanitary manner, including maintaining the cleanliness of kitchen equipment. This deficient practice affected 79 residents who consume food from the kitchen with the potential to cause cross-contamination and/or food borne illness. Findings Include: On 05/04/2026 at 9:43 AM, an observation of the kitchen area revealed several food items with no label or date of opening. […]

• No harm, potential for more than minimal, widespreadF812Jun 4, 2023

  Based on observations, staff interviews, and review of the facility's policy titled, Preventing Foodborne Illness-Food Handling, the facility failed to store stacked pans free from wet nesting to prevent bacterial growth and to discard leftover food items by the use by date in the walk-in refrigerator. The facility census was 77 and the deficient practices affected all 77 residents who received an oral diet. Findings include: 1. Review of the facility's policy titled, Preventing Foodborne Illness-Food Handling revealed that all food service equipment and utensils will be sanitized according to current guidelines and manufacturers' recommendations. Observation on 6/2/2023 at 9:05 a.m. of the pot and pan storage rack revealed a stack of ten medium sized rectangle steam table pans. […]

• No harm, potential for more than minimal, patternF908Jun 4, 2023

  Based on observations and staff interviews, the facility failed to maintain the walk-in freezer in a manner to prevent ice build-up from forming on the air condenser piping, this failure had the potential to contaminate food items located under the ice. The facility census was 77 and 76 residents consumed an oral diet. Findings include: Observation on 6/2/2023 at 8:55 a.m. of the walk-in freezer revealed a large ice build-up on the piping to the air condenser. The ice build-up was six inches in height and five inches wide on the piping. Interview on 6/2/2023 at 8:55 a.m. with the Certified Dietary Manager (CDM) revealed that she has never seen that ice build-up before. Observation on 6/4/2023 at 8:45 a.m. […]

• No harm, potential for more than minimal, isolatedF656Mar 27, 2025

  Based on record review, staff interviews, and facility policy review, the facility failed to develop and implement a comprehensive person-centered care plan that included trauma-informed care related to the resident's experiences in order to eliminate or mitigate triggers that may cause re-traumatization related to the resident's diagnosis of Post Traumatic Stress Disorder (PTSD) for one of one resident (Resident (R)46) reviewed for person-centered care plans for PTSD out of 21 sampled residents. This failure placed the residents at an increased risk for re-traumatization of emotional distress. […]

• No harm, potential for more than minimal, isolatedF849Mar 27, 2025

  Based on staff interviews, record review, and facility policy review, the facility failed to ensure three (Residents (R) 5, R15, and R59) reviewed out of 12 residents receiving hospice services out of a total sample of 21 residents had visit notes from the hospice agency. These failures could lead to the risk that the needs of these residents are not addressed. Findings include: Review of the facility policy titled, Hospice Services dated 11/01/19 revealed, Supervision/Coordination of Care Each party is responsible for documenting such communication in its respective clinical records to ensure the needs of hospice patients are addressed and met 24 hours a day. 1. […]