Signature Healthcare of Ridgely Rehab&Wellness CTR

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Ridgely Rehab&Wellness CTR, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 4, 2022

  Based on policy review, weather website review, medical record review, observation, and interview, the facility failed to ensure a safe and secure environment for 1 of 3 sampled residents (Resident #1) reviewed for elopement/wandering. The facility's failure to ensure a safe and secure environment resulted in Immediate Jeopardy when Resident #1, a vulnerable severely cognitively impaired resident with dementia and confusion, exited the facility unsupervised and without staff knowledge. Resident #1 was found outside the building in the front parking lot, approximately 143 feet from the exit door, seated in her wheelchair. […]

• No harm, potential for more than minimal, patternF761Aug 25, 2023

  Based on policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 1 of 4 staff members Licensed Practical Nurse (LPN #3) left medications unattended at the resident's bedside and when in 3 of 5 (100 Hall Medication (Med) Cart, 200 Hall Med Cart, and 300 Hall Med Cart) medication storage areas had an expired and open and undated medications. The findings include: 1. Review of the facility's policy titled, Medication Storage, dated 1/2021, revealed .Medications and biologicals are stored properly .to maintain their integrity and to support safe effective drug administration .In order to limit access to prescription medications, only licensed nurses, pharmacy staff, and those lawfully authorized to administer medication .are… […]

• No harm, potential for more than minimal, patternF812Aug 25, 2023

  Based on policy review, observation, and interview, the facility failed to ensure staff changed gloves and sanitized their hands while going back and forth from dirty to clean dishes, when 2 of 3 (Dietary Staff #1 and #2) dietary staff members were observed in the dish room going from dirty to clean areas, then back to dirty, without changing gloves or washing hands. The facility had a census of 64 and 63 residents received a tray from the kitchen. The finding include: 1. Review of the facility policy titled Warewashing dated 9/2017, revealed .Dining Services staff will be knowledgeable in the proper technique for processing dirty dishware through the dish machine, and proper handling of sanitized dishware . 2. […]

• No harm, potential for more than minimal, patternF880Aug 25, 2023

  Based on policy review, observation, and interview the facility failed to ensure infection control practices to prevent the spread of infection when 4 of 4 nurses (LPN #1, LPN #3, LPN #4, and LPN #6) (Licensed Practical Nurses) failed to perform hand hygiene during medication administration. The findings include: 1. Review of the facility policy titled, Handwashing/Hand Hygiene, dated 3/1/2023, revealed .This facility considers hand hygiene the primary means to prevent the spread of infections .All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors .Use an alcohol-based hand rub .or .soap and water for the following situations .Before and after direct contact with residents .Before preparing or… […]

• No harm, potential for more than minimal, patternF842Oct 13, 2021

  Based on medical record review, observation, and interview, the facility failed to ensure timely documentation of controlled medications when Licensed Practical Nurse (LPN) #1 failed to document controlled medications on the Controlled Drug Record for 13 of 13 (Resident #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, and #15) sampled residents reviewed for controlled medication administration. The findings include: Review of medical record, revealed Resident #3 was admitted to the facility on [DATE] with the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]