Deficiency Records for North Ridge Health and Rehab
Updated as of September 01, 2018
This is not the most recent data for North Ridge Health and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for North Ridge Health and Rehab. 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 | 2018-02-15 | 2018-04-23 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2018-02-15 | 2018-03-27 | N |
Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-02-15 | 2018-03-27 | N |
Install proper backup exit lighting. | Fire Safety | 2018-02-15 | 2018-03-27 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-15 | 2018-03-27 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-02-15 | 2018-03-27 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-15 | 2018-03-27 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-02-15 | 2018-03-27 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-15 | 2018-03-27 | 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 | 2018-02-15 | 2018-03-27 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-15 | 2018-03-27 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-02-15 | 2018-03-27 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-15 | 2018-03-27 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-02-15 | 2018-03-27 | 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 | 2018-02-15 | 2018-03-27 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-15 | 2018-03-27 | N |
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 | 2018-02-15 | 2018-03-27 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-15 | 2018-03-27 | 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 | 2018-02-15 | 2018-03-27 | N |
Provide and implement an infection prevention and control program. | Health | 2018-02-15 | 2018-03-27 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-02-15 | 2018-03-27 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-15 | 2018-03-27 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-02-15 | 2018-03-27 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-02-15 | 2018-03-27 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2017-06-19 | 2017-08-23 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-02 | 2017-04-11 | N |
Allow residents to self-administer drugs if determined safe. | Health | 2017-03-03 | 2017-04-11 | N |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-03-03 | 2017-04-11 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-03 | 2017-04-11 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-03 | 2017-04-11 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-03-03 | 2017-04-11 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-03 | 2017-04-11 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-03 | 2017-04-11 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-03 | 2017-04-11 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-03 | 2017-04-11 | N |
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-03-03 | 2017-04-11 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-03 | 2017-04-11 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-03-03 | 2017-04-11 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-03-03 | 2017-04-11 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-03 | 2017-04-11 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-03 | 2017-04-11 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-03 | 2017-04-11 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-03-03 | 2017-04-11 | N |
Dispose of garbage and refuse properly. | Health | 2017-03-03 | 2017-04-11 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-03 | 2017-04-11 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-03 | 2017-04-11 | N |
Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-03-03 | 2017-04-11 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-03 | 2017-04-11 | Y |
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-03-16 | 2016-05-03 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-03-16 | 2016-05-03 | N |
A separate and independent backup electrical power source. | Fire Safety | 2016-03-16 | 2016-05-03 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-21 | 2016-05-03 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-03-21 | 2016-05-03 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-03-21 | 2016-05-03 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-03-21 | 2016-05-03 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-21 | 2016-05-03 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-21 | 2016-05-03 | N |
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-03-21 | 2016-05-03 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-21 | 2016-05-03 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-21 | 2016-05-03 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-21 | 2016-05-03 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-03-21 | 2016-05-03 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-03-21 | 2016-05-03 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-21 | 2016-05-03 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-03-21 | 2016-05-03 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-21 | 2016-05-03 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-21 | 2016-05-03 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-21 | 2016-05-03 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-03-21 | 2016-05-03 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-21 | 2016-05-03 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-21 | 2016-05-03 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2016-03-21 | 2016-05-03 | Y |