Ridgewood Specialty Care

In the surveyor’s words

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

• Immediate jeopardy, isolatedF805Oct 31, 2024

  Based on observation, interview, and clinical record review, the facility failed to provide Resident #23 the correct diet ordered liquid consistency during medication administration causing excessive coughing and production of copious amounts of phlegm. Resident #23 has diagnoses of dysphagia (difficulty swallowing) and a history of pneumonitis due to inhalation of food and vomiting. This deficient practice resulted in an Immediate Jeopardy (IJ) to the health and safety of residents who resident in the facility. The facility reported a census of 56 residents. The State Agency (SA) informed the facility of IJ that began on October 23, 2024 at 8:02 AM, on October 23, 2024 at 1:00 PM. The Facility Staff removed the Immediate Jeopardy on October 24, 2024 through the following actions: a. […]

• Immediate jeopardy, isolatedF684Jun 7, 2021

  Based on clinical record review, policy review, and staff interview, the facility failed to provide accurate assessment and intervention for 3 of 5 sampled (Residents #1, #2 and #5). The facility failed to ensure residents consumed a meal after staff administered insulin for Resident #1 and Resident #2 and failed to recheck abnormal blood glucose levels for Resident #1, #2 and #5. On 10/17/21, Resident #2 did not eat lunch after the staff administered insulin and his blood glucose level dropped to 38 milligrams/deciliter (mg/dl). The facility lacked documentation staff offered the resident additional food to eat. On 5/11/21, Resident #1 did not eat breakfast or lunch and the nurse administered morning and noon insulin. […]

• Actual harm, isolatedF684Sep 7, 2022

  Based on facility record review, clinical record review, and staff and physician interviews, the facility failed to provide ongoing assessments after observing signs of poor circulation in a foot for 1 of 3 residents reviewed (Resident #5). The facility reported a census of 54 residents. Findings include: The Admission Minimum Data Set (MDS) assessment tool dated 10/21/21 showed Resident #5 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident required extensive assistance of staff for transferring, dressing, and hygiene. […]

• No harm, potential for more than minimal, patternF803Oct 31, 2024

  Based on observation, menu review, policy review, and staff interview, the facility failed to provide the correct texture for 5 of 5 residents with a mechanical soft diet order. The facility reported a census of 56 residents. Findings: The Therapeutic Spread Report-Spring/Summer Menu '24 for Week 2 Tuesday Lunch directed staff to provide residents on a mechanical soft diet ground chicken and noodles. During an observation on 10/22/24 at 11:51 AM, Staff V [NAME] prepared the lunch meal and stated the residents who received a mechanical soft diet would receive the regular chicken and noodles. […]

• No harm, potential for more than minimal, patternF812Oct 31, 2024

  Based on observation, policy review, and staff interview, the facility failed to ensure safe food handling and kitchen sanitation for 1 of 2 kitchen observations. The facility reported a census of 56 residents. Findings: A kitchen observation on 10/21/24 starting at 9:26 AM, revealed: a. A metal bowl of fruit sat in the sink on the left hand side of the kitchen. b. [NAME] crumbs were present on the top of the dish washer. c. Staff M, Dietary Aide (DA), ran a dishwashing cycle. The Certified Dietary Manager (CDM) then dipped a test strip into the dish machine water and it remained white. According to the test strip container, a white color indicated 0 parts per million sanitizer concentration. […]