The Ridge Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF726Jan 12, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff were trained and competent in the use of Wander Management Transmitters (wander guard, a device placed on a resident's wrist, ankle, or wheelchair that alarms to notify the staff if a resident tries to leave the facility) used for two of two residents (Residents 7 and 35). This failure had the potential to result in transmitter equipment failure or system failure and resident elopement (to leave a health facility without notification or permission).Findings: Review of Resident 7's face sheet indicated she was admitted to the facility with diagnoses including dementia (decline in mental capacity affecting daily function) and type 2 diabetes mellitus (a condition which affects the way the body processes… […]

• No harm, potential for more than minimal, widespreadF880Oct 25, 2024

  Based on observation, interview and record review, the facility failed to ensure, infection prevention and control practices were implemented when: 1. a laundry cart with clean linens was left in the passageway of the laundry room where the carts with dirty linens pass by; 2. laundry staff did not sanitize the laundry cart from outside before placing the clean linens in the cart; 3. a large bucket, full of soiled linens, was left open without cover; 4. there were missing logs in the laundry dryer cleaning inspection logs; 5. 2 out of 3 kitchen staffs did not know the sanitizer testing procedure; 6. cleaning chemicals were kept in the emergency food storage area and 7. […]

• No harm, potential for more than minimal, widespreadF925Oct 25, 2024

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program when two live cock roaches were observed in the social services office by health facilities evaluator nurses, during a recertification survey. This finding had the potential to put residents and staffs' health and safety at risk. Findings: During an observation on 10/24/24, at 2:30 p.m., in the social services office, a live cockroach was observed on the floor under the desk. During an observation on 10/24/24, at 2:47 p.m., in the social services office, a live cockroach was observed on top of the desk. […]

• No harm, potential for more than minimal, patternF656Jan 12, 2026

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive, person-centered care plan for four out of fifteen sampled residents (Residents 12, 5, 8 and 31): 1. For Resident 12, there was no comprehensive, person-centered care plan for his side rail or bed rail (bars attached to the side of the bed for safety and mobility aids);2. For Resident 5, she had no bed rail care plan; 3. For Resident 8, staff did not implement a care plan intervention of monitoring oxygen saturation (measurement of how much oxygen is in the blood) every shift. 4. For Resident 31, she had no activity care plan. […]

• No harm, potential for more than minimal, patternF732Jan 12, 2026

  Based on interview and record reviews, the facility failed to ensure that the nurse staffing information was kept and maintained for at least eighteen months when their direct care service hours per patient day (DHPPD, a critical staffing metric for skilled nursing facilities requiring a minimum of 3.5 total hours of which 2.4 hours per patient day must be performed by certified nursing assistants or CNA) for 7/1/25 to 9/30/25, were not available and provided when requested.This failure had the potential to affect the quality of care that were provided to the forty-six residents residing in the facility that could also affect the residents' quality of life and well-being. […]