Ryze at the Ridge

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Mar 7, 2024

  Based on interviews and record review the facility failed to supervise (R3). A resident with criminal background history, with aggressive behaviors and non-compliant with smoking, from intentionally starting a fire to R3's roommate's bed (R4). This failure has the potential to cause serious harm or death to all 123 residents in the facility at the time of incident. The facility failed to have a system to ensure that contraband and/or hazardous devices are secured and not brought into the facility. The facility lacks a system to ensure that all residents are closely monitored. The facility lacks a system to ensure that the residents' environment is free of hazards. The facility failed to report incident to IDPH. […]

• Immediate jeopardy, isolatedF689Oct 5, 2023

  Based on observation, interview, and record review, the facility failed to properly assess and supervise a newly admitted resident (R2) for risk of elopement for one (R2) out of 7 residents reviewed for hazards and accidents on the sample list of 11. This failure resulted in R2 eloping from the facility through a window. R2 was subsequently found at the lake and transported to the hospital where R2 was pronounced dead by neurological criteria by ICU (Intensive Care Unit) and Neurology attending physician. This failure resulted in an Immediate Jeopardy which began on 08/30/2023 when R2 went out of a window on the second floor of the facility, eloped and was later found in a lake. […]

• Immediate jeopardy, isolatedF689Mar 18, 2022

  Based on observations, interviews and record reviews, the facility failed to monitor and supervise 2 of 2 residents (R8 and R11) reviewed for illicit substance use out of 7 residents (R8, R12, R13, R14, R15, R16, R17) reviewed for substance abuse history. This failure resulted in R8 being found unresponsive, [MEDICATION(S)] given and R8 being transferred to the hospital for drug overdose, R8 leaving the facility without authorization and R11 going into [CONDITION(S)], transferred to the hospital, and intubated related to drug overdose. This was identified as an immediate jeopardy situation which began on 03/09/2022. On 03/16/2022 the administrator was notified of the immediate jeopardy. The immediate jeopardy was removed on 03/18/2022. […]

• Actual harm, isolatedF684Jun 4, 2025

  Based upon observation, interview, and record review, the facility failed to immediately assess a resident (post fall), failed to follow physician's orders, and failed to provide timely hospital transfer for one of three residents (R3) reviewed for falls. These failures resulted in R3's (5/2/25) delayed care of a fall with right impacted intertrochanteric fracture - with varus deformity [an excessive inward angulation of a joint or bone's distal segment] which required surgical intervention and likely experienced excruciating pain [for roughly 33 hours - prior to transfer] which was rated 3/10 - by facility staff. […]

• Actual harm, isolatedF567Jul 12, 2024

  Based on interviews and record reviews, the facility failed to protect a resident's (R1) right to manage their financial affair and inform R1 of the charges the facility imposed against R1's personal funds. This affected one out of four residents reviewed for personal funds. This failure resulted in the facility, misusing R1's $10,000 check R1 received from family member without R1's consent. Findings include: R1 oriented to person, place, time, and situation. R1 answered questions appropriately. R1's 4/16/2024 Quarterly Minimum Data Set assessment documents in part that R1 is cognitively intact with no signs and symptoms of delirium. R1's 6/20/2024 Behavioral Health Progress Note documents in part that R1 is alert and oriented to person, place, time, and situation. […]