Solon Pointe at Emerald Ridge

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 4, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, review of Centers for Medicare and Medicaid Services (CMS) memoranda, review of Centers for Disease Control and Prevention (CDC) guidelines, review of the facility's COVID-19 line list, review of facility policies, observations, interviews with the local health department (LHD), staff and residents and record review the facility failed to timely and appropriately exclude COVID-19 positive staff from working in the facility and failed to screen staff working the COVID-19 unit. This resulted in Immediate Jeopardy on 12/09/21 when State tested Nursing Assistant (STNA) #132 tested positive for COVID-19 on a rapid test at the facility. […]

• Immediate jeopardy, isolatedF689May 22, 2024

  Based on observations, medical record review, staff interview, family interview, review of the facility resident census, review of staff schedules, review of police records, review of the facility policy on Wandering, Unsafe Residents, review of the facility's investigation, review of information on the Weather Underground computerized environmental temperatures website, review of Google Maps, and review of the facility's elopement book, the facility failed to prevent the elopement of a cognitively impaired resident (Resident #70), with a history of attempted elopement and who was assessed to be at risk for elopement from the facility. […]

• No harm, potential for more than minimal, widespreadF804Jan 8, 2026

  Based on observation, medical record review, resident and staff interview, review of a menu, and facility policy review, the facility failed to ensure food was palatable and served at acceptable temperatures. This affected directly affected (#61 and #88) of two residents reviewed for food concerns and had the potential to affect all residents receiving meals from the kitchen. The facility indicated there were three (#44, #66, and #102) residents who received nothing by mouth. The facility census was 92.Findings include:1. Review of the medical record for Resident #61 revealed an admission date of 12/11/25. […]

• No harm, potential for more than minimal, widespreadF761Jan 12, 2023

  Based on observation, staff interview, and policy review the facility failed to ensure that all drugs and biologicals used in the facility were accurately labeled in accordance with professional standards to facilitate safe medication administration. This had the potential to affect all residents who reside in the facility. The facility census was 78. Findings include: Observation with the Director of Nursing (DON) on 01/10/23 at 12:05 P.M., of the medication storage room located on Rust unit, revealed the refrigerator contained one opened Novolog (insulin) flex pen mixed with other resident insulin pens, and without a resident identifier or date opened. […]

• No harm, potential for more than minimal, widespreadF921Jan 12, 2023

  Based on observation and staff interview the facility failed to maintain a clean and sanitary environment. This had the potential to affect all 78 residents residing in the facility. Findings include: An environmental tour was conducted with Housekeeping Supervisor (HSK) #99 on 01/10/22 between 2:00 P.M. and 2:36 P.M. The following concerns were identified and verified at the time of discovery: The tube feed pole used by Resident #20 had significant dried residual tube on the base of the pole. The 700 and 800 halls had mold in the shower rooms. The rooms occupied by Residents #25, #45 and #55 had tile flooring that was broken. The hallway air conditioner/heating unit cover on the 700 hall was off and the air conditioner was dirty. […]