Ridgewood Terrace Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656Jan 27, 2022

  Based on interview, record review and review of the facility's policy, it was determined the facility failed to implement a resident specific Plan of Care for each resident that meets the resident's nursing, and mental and psychosocial needs for one (1) of three (3) sampled residents (Resident #1). Resident #1 was admitted to the facility on [DATE] with diagnoses to include: Paraplegia, Thoracic Vertebrae (T2-T6) injury of Thoracic Spinal Cord, Multiple fractures of Ribs bilateral and Type 2 Diabetes. Resident #1's Self-Care Deficit Plan of Care, dated [DATE], revealed an intervention for two (2) staff to assist with a bath. […]

• Immediate jeopardy, isolatedF695Jan 27, 2022

  Based on interview, record review, review of facility policy, and review of the Lippincott Manual of Nursing Practice, 11th edition, it was determined the facility failed to provide the necessary respiratory care and services consistent with professional standards of practice for one (1) of three (3) sampled residents, Resident #1. Licensed Practical Nurse (LPN) #1 documented a Nurse's Progress Note, dated [DATE] at 10:20 AM, which stated Resident #1 had obvious respiratory distress, with documented vital signs that had been obtained which included his/her blood pressure, and heart rate. Further, Resident #1's blood glucose level and oxygen saturation were documented as checked. […]

• No harm, potential for more than minimal, isolatedF880May 23, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 18 sampled residents, (Resident (R)79). The findings include: Review of a facility policy titled Enhanced Barrier Precautions (EBP), undated, revealed EBP were used in conjunction with standard precautions. Per review, EBP expanded the use of personal protective equipment (PPE) to donning of gown and gloves during high-contact resident care activities that provided opportunities for transfer of multi-drug resistant organisms (MDRO) to staffs' hands and clothing. […]

• No harm, potential for more than minimal, isolatedF880Jan 27, 2022

  Based on observation, interview, review of the facility's policy, and review of the Centers for Disease and Prevention (CDC) Guidelines, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases, including COVID-19. Observation on 12/28/2021, on the West Unit, revealed Licensed Practical Nurse (LPN) #1 and the Medical Records Director at the nurse's station. LPN #1 was observed to wear her face mask below her nose and the Medical Records Director's face mask was hanging below her chin. […]

• No harm, potential for more than minimal, isolatedF656Nov 17, 2021

  Based on interview, record review, and facility policy review, it was determined the facility failed to implement interventions on the Comprehensive Person-Centered Care Plan for two (2) of five (5) sampled residents, Resident #1 and Resident #9. The facility failed to implement the care plan intervention to observe for signs of [CONDITION(S)] (CHF) for both residents. The findings include: Review of the facility's policy entitled, Comprehensive Care Plan, reviewed [DATE], revealed the purpose of the Comprehensive Care Plan was to note each resident's daily care needs which were to be provided by nursing staff in accordance with the guidelines of the Resident Assessment Instrument, (RAI) process and in keeping with the Medicare/Medicaid Services requirements. […]