Ryze at Homewood

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Dec 31, 2025

  Based on interview and record review, the facility failed to have a system in place to monitor and investigate how a resident with a history of drug usage was able to obtain illicit drugs in the facility. This failure affected one (R3) of three residents reviewed for supervision. As a result of this failure, R3, who did not have an independent outside pass privilege, tested positive for illicit drugs on 9/19/25, 9/25/25, and 10/3/25, requiring transfer to local hospital.The Immediate Jeopardy began on 9/19/25 when R3 was sent to the hospital and tested positive for illicit drugs while in the facility. […]

• Immediate jeopardy, isolatedF689Sep 11, 2024

  Based on observation, interview, and record review, the facility failed to ensure the supervision of one cognitively impaired resident while in the dining room, failed to follow their policy and determine the cause of what triggered a door alarm on the memory care unit, and lacked an effective plan to ensure the outside gate was locked after landscapers/vendors exits. These failures affected one of three residents (R1) reviewed for supervision and elopement. These failures resulted in R1 exiting the locked memory unit and being found nearly one-half mile, after dark, from the facility by local police. The Immediate Jeopardy began on 08/01/2024 when R1 exited the facility unauthorized thru the locked memory care door. […]

• Actual harm, isolatedF600Sep 19, 2025

  Based on interview and record review, the facility failed to keep two residents (R3 and R5) free from resident-to-resident physical abuse after R3 was punched in the right eye by another resident (R4), and R5 was slapped on the head by another resident (R1) for two out of five residents reviewed for abuse in a total sample of nine. This failure resulted in R3 sustaining blunt head trauma and a swollen, black eye.Findings Include:1.R3 is a [AGE] year-old female resident admitted in the facility on 5/1/2024. R3 is assessed to be alert, able to make needs known, forgetful at times.R4 is a [AGE] year-old male resident admitted in the facility on 7/8/2025.On 9/16/2025 at 12:07 PM, R3 observed in her room lying in bed. R3 was able to answer questions appropriately, but noted forgetful at times. […]

• Actual harm, isolatedF692Jun 4, 2025

  Based on interview and record review, the facility failed to monitor and document a dependent resident's fluid intake for all meals that required one to one supervision during meals and failed to assess for signs and symptoms of dehydration. This affected one of four residents (R1) reviewed improper nursing care and dehydration. This failure resulted in R1 being emergently transferred to the hospital and diagnosed with severe hypernatremia (excessively high sodium level in the blood) and AKI (Acute Kidney Injury). R1 was hospitalized for 5 days requiring intravenous fluids and antibiotic treatment. Findings include: R1 is [AGE] years of age. […]

• Actual harm, isolatedF684Feb 20, 2025

  Based on interview and record review, the facility failed to ensure physician orders for daily wound care treatments were completed as ordered; failed to ensure daily monitoring of a wound for presence of possible complications such as signs of increasing area of ulceration or signs of soft tissue infection; and failed to ensure care plan interventions for alteration in skin integrity were implemented for one (R1) of four residents reviewed for wound care. These failures resulted in R1 developing a worsening coccyx pressure ulcer and require transfer to a local hospital with a diagnosis of septic shock due to pressure wound infection requiring admittance to the intensive care unit for five days. Findings include: R1 is [AGE] years of age. […]