Deficiency Records for Ridge Haven Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Ridge Haven Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-09 | 2024-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-02-11 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-11 | 2024-02-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-01-11 | 2024-02-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-11 | 2024-02-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-11 | 2024-02-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-11 | 2024-02-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-11 | 2024-02-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-01-11 | 2024-02-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-09 | 2024-02-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-09 | 2024-02-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-09 | 2024-02-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-12 | 2023-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-09-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-08-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-12-21 | 2023-01-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-23 | 2021-10-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-23 | 2021-10-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-23 | 2021-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-22 | 2021-10-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-22 | 2021-10-23 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-09-22 | 2021-10-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-01-24 | 2020-02-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-24 | 2020-02-24 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-01-24 | 2020-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-24 | 2020-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-21 | 2020-02-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-21 | 2020-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-21 | 2020-02-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-21 | 2020-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-21 | 2020-02-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-01-21 | 2020-02-24 | N |
