Timberridge Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Timberridge Nursing & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 1, 2026

  Based on interview and record review, the facility failed to ensure residents were free from medical neglect when the facility staff failed to provide adequate supervision and failed to take necessary actions to meet the residents' needs for 1 of 4 reviewed residents, Resident #1. On 7/24/2026 at 1:55 PM, Resident #1 was found unresponsive on the bench in the courtyard. Resident #1 was brought to her room. Staff applied packed ice and cool blankets. At 2:55 PM, Emergency Medical Service (EMS) was contacted. […]

• Immediate jeopardy, isolatedF689Aug 1, 2026

  Based on interview and record review, the facility failed to ensure an environment free of accident hazards for 1 of 4 reviewed residents, Resident #1. On 7/24/2026 at 11:45 AM, Resident #1 was seen with her walker heading toward the outside courtyard. At 1:55 PM, Resident #1 was found unresponsive on the bench in the courtyard. Resident #1 was brought to her room. Staff applied packed ice and cool blankets. At 2:55 PM, Emergency Medical Service (EMS) was contacted. Resident #1 was transported to a local hospital, being admitted with diagnoses of heat exhaustion, hyperthermia, and altered mental status.Findings include:Review of Resident #1's admission record showed the resident was admitted on [DATE] with diagnoses to include wedge compression fracture of first lumbar vertebra, history of… […]

• Immediate jeopardy, isolatedF835Aug 1, 2026

  Based on interview and record review, the facility administration failed to ensure they were aware of the incident occurred to 1 of 4 reviewed residents, Resident #1, who was found unresponsive in the courtyard during inclement weather, had foam at the side of her mouth, was unresponsive, was applied ice/ice packs, and was transferred to a higher level of care. The facility's inactions and decisions of administering the facility contributed to the deficient practice and the deficient practice was not acted upon until a grievance was completed by Resident #1's Responsible Party three days post the incident.Findings include:Review of the Medical Director Services Agreement dated 3/9/2021 read, 3. […]

• Immediate jeopardy, isolatedF867Aug 1, 2026

  Based on interview and record review, the facility failed to develop and implement a performance improvement plan following the identification an incident occurred to 1 of 4 reviewed residents, Resident #1, when the facility staff failed to provide adequate supervision and failed to take necessary actions to meet the resident's needs. On 7/24/2026 at 11:45 AM, Resident #1 was seen with her walker heading toward the outside courtyard. At 1:55 PM, Resident #1 was found unresponsive on the bench in the courtyard. Resident #1 was brought to her room. Staff applied packed ice and cool blankets. At 2:55 PM, Emergency Medical Service (EMS) was contacted. […]

• Immediate jeopardy, isolatedF600Jan 19, 2024

  Based on interviews, record reviews, and policy and procedure reviews, the facility failed to ensure residents were free from medical neglect by failing to implement policies and procedures for neglect, resident change in condition or status, and resident transportation safety for facility operated vehicles when the facility transportation driver failed to notify the facility licensed medical staff of a resident change in condition. Resident #1, while being transported to the facility in the facility transport van after attending a physician appointment, stated she was out of oxygen, that she needed oxygen, was short of breath, and experiencing chest pain. […]