A list of the most recent deficiencies for Ryze at The Ridge. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-03 | 2023-10-03 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-12 | 2023-07-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-12 | 2023-07-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-07-12 | 2023-07-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-25 | 2023-07-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-12 | 2023-07-21 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-07-12 | 2023-07-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-07-12 | 2023-07-21 | N |
| 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 | 2023-07-21 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-07-12 | 2023-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-07-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-12 | 2023-07-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-12 | 2023-07-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-07-12 | 2023-07-21 | 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 | 2023-07-12 | 2023-07-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-07-12 | 2023-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-07-21 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-07-12 | 2023-07-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-25 | 2023-07-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-24 | 2023-06-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-05-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-04 | 2023-05-17 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-02-16 | 2023-03-06 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-01-04 | 2023-01-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-28 | 2022-11-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-28 | 2022-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-09-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-09 | 2022-09-29 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-09 | 2022-09-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-15 | 2022-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-15 | 2022-07-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-09 | 2022-07-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-09 | 2022-07-01 | Y |
| 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 | 2022-06-09 | 2022-07-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-09 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-09 | 2022-07-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-15 | 2022-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-15 | 2022-06-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-15 | 2022-06-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-15 | 2022-06-15 | 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 | 2022-06-15 | 2022-06-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-06-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-15 | 2022-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-15 | 2022-06-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-15 | 2022-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-15 | 2022-06-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-06-15 | 2022-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-09 | 2022-06-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-09 | 2022-06-10 | 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 | 2022-06-09 | 2022-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-18 | 2022-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-01 | 2022-04-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-18 | 2022-04-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-10 | 2022-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-17 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-30 | 2022-01-17 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-12-30 | 2022-01-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-24 | 2021-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-24 | 2021-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-24 | 2021-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-11-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-28 | 2021-11-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-26 | 2021-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-26 | 2021-08-12 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-07-26 | 2021-08-12 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-05-21 | 2021-06-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-17 | 2021-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-14 | 2021-04-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Develop a communication plan. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-12 | 2021-04-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-03-12 | 2021-04-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-03-12 | 2021-04-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-03-12 | 2021-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-12 | 2021-04-04 | N |
