Deficiency Records for North Ridge Health and Rehab
Updated as of July 01, 2021
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 residents are free from significant medication errors. | Health | 2021-03-12 | 2021-04-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-12 | 2021-04-07 | Y |
| 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 | 2020-12-28 | 2021-01-04 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-12-04 | 2020-12-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-04 | 2020-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-16 | 2020-05-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-04-09 | 2020-04-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-04-01 | 2020-04-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-03-09 | 2020-03-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-09 | 2020-02-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-09 | 2020-02-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-09 | 2020-02-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-09 | 2020-02-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-09 | 2020-02-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-10 | 2020-02-26 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-10 | 2020-02-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-01-10 | 2020-02-26 | 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 | 2020-01-10 | 2020-02-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-10 | 2020-02-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-10 | 2020-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-02-26 | 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 | 2020-01-10 | 2020-02-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-10 | 2020-02-26 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-01-10 | 2020-02-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-10 | 2020-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-02-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-10 | 2020-02-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-10 | 2020-02-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-10 | 2020-02-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-02-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-06-25 | 2019-09-06 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-06-25 | 2019-09-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-17 | 2019-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-08-28 | Y |
| 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 | 2019-07-17 | 2019-08-28 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-07-17 | 2019-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-25 | 2019-07-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-23 | 2019-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-25 | 2019-05-24 | Y |
| 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 | 2018-11-08 | 2019-02-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-08 | 2019-02-01 | Y |
| 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 | 2018-11-08 | 2019-02-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-08 | 2019-02-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-08 | 2019-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-08 | 2019-02-01 | 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 | 2018-11-08 | 2019-02-01 | Y |
| 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 | 2018-11-08 | 2019-02-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-04 | 2019-02-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-04 | 2019-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-04 | 2019-02-01 | Y |
| 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 | 2019-01-04 | 2019-02-01 | 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 | 2018-10-18 | 2019-02-01 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-08 | 2018-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-08 | 2018-12-18 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-08 | 2018-12-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-08 | 2018-12-18 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-11-08 | 2018-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-08 | 2018-12-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-08 | 2018-12-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-08 | 2018-12-18 | Y |
| 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 | 2018-11-08 | 2018-12-18 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-08 | 2018-12-18 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-10-18 | 2018-10-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-13 | 2018-10-12 | Y |
| 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 | 2018-08-10 | 2018-09-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-10 | 2018-09-01 | Y |
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 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 |
| 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 | 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 |
| 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 | 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 |
