Rocky Ridge Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF604Jul 29, 2021

  Based on observation, interview, and record review, the facility failed to ensure all residents were free from physical restraint for the convenience of staff when one staff (Registered Nurse (RN) A) physically restrained one resident (Resident #1) with a bed sheet against the resident's wishes and without a physician's orders. The facility census was 39. The administrator was notified on 7/28/2021, at 11:02 A.M., of an Immediate Jeopardy (IJ) which began on 7/21/2021. The IJ was removed on 7/29/2021, as confirmed by surveyor onsite verification. […]

• Immediate jeopardy, isolatedF610Jul 29, 2021

  Based on interview and record review, the facility failed to immediately begin an investigation and take steps to protect all residents from abuse when one staff member (Registered Nurse (RN) A) was witnessed by other staff physically restraining one resident (Resident #1) with a bed sheet and the staff member (RN A) continued to work additional shifts unsupervised in the facility. The facility census was 39. The administrator was notified on 7/28/2021 at 11:02 A.M., of an Immediate Jeopardy (IJ) which began on 7/21/2021. […]

• Actual harm, isolatedF600Jan 15, 2025

  Based on interview, and record review, the facility failed to protect all residents right to be free from sexual abuse by other residents when staff failed to care plan and implement new interventions when one resident (Resident #1) exhibited sexually abusive behaviors towards two residents (Resident #2, Resident #3) and sexually verbal behaviors toward one resident (Resident #4). The facility census was 49. Review of the facility policy, titled Abuse Prohibition Protocol Manual, revised 11/28/2016, showed the following: -All residents have the right to be free from abuse, neglect, misappropriation of property, and exploitation; -The facility must thoroughly investigate the alleged violation, prevent further abuse while the investigation is in progress, and take appropriate corrective… […]

• No harm, potential for more than minimal, widespreadF730Sep 12, 2024

  Based on interview and record review, the facility failed to complete performance reviews of every certified nurse aide (CNA) at least once every 12 months when staff failed to document competency evaluation and performance review for two staff (CNA N and CNA M). The facility census was 39. Review showed the facility did not provide a written policy pertaining to nurse aide competency reviews. 1. Review of personnel records showed the following CNAs had been employed for more than one year: -CNA N - Hire date of 12/20/22; Re-hire date of 04/26/23; -CNA M - Hire date of 01/27/23; Re-hire date of 06/28/23; -Staff did not have documentation of a yearly performance review for CNA N and CNA M. […]

• No harm, potential for more than minimal, patternF602Mar 31, 2026

  Based on observation, interview, and record review, the facility failed to prevent misappropriation of resident property when one staff member (Business Office Manager (BOM) A) took money from four residents (Resident #1, #2, #3, and #4) without their permission and not for resident use. The facility census was 49.Review of the facility's Guidelines for Maintaining the Resident Trust Fund Account, revised 08/04/22, showed the facility will establish and maintain a system that assures full, complete, and separate accountings of each resident's personal funds entrusted to the facility on the resident's behalf. 1. […]