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Deficiency Records for Gregory Ridge Health Care Center
View the most recent health deficiencies and inspection results for Gregory Ridge Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gregory Ridge Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-02 | 2025-12-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-12 | 2025-12-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-12 | 2025-12-09 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-04-15 | 2025-04-15 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-04-03 | 2025-04-03 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-04-03 | 2025-04-03 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-12-23 | 2025-03-23 | Y |
| Post nurse staffing information every day. | Health | 2024-12-23 | 2025-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-23 | 2025-03-23 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-12-23 | 2025-03-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-23 | 2025-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-03-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-18 | 2025-03-23 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-03-06 | 2025-03-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-12-23 | 2025-03-23 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2025-03-06 | 2025-03-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-06 | 2025-03-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-01-29 | 2025-02-21 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-12-23 | 2025-02-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-12-23 | 2025-02-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-12-23 | 2025-02-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-23 | 2025-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-23 | 2025-02-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-23 | 2025-02-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-23 | 2025-02-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-23 | 2025-02-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-23 | 2025-02-05 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-12-23 | 2025-02-05 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-12-23 | 2025-02-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-23 | 2025-02-05 | 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 | 2024-12-23 | 2025-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-23 | 2025-02-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-23 | 2025-02-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-23 | 2025-02-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-12-23 | 2025-02-05 | 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 | 2024-12-23 | 2025-02-05 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-12-23 | 2025-02-05 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-12-23 | 2025-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-23 | 2025-02-05 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-12-23 | 2025-02-05 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-12-23 | 2025-02-05 | 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 | 2024-12-23 | 2025-02-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-12-23 | 2025-02-05 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-12-23 | 2025-02-05 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-12-23 | 2025-02-05 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-23 | 2025-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-23 | 2025-02-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-23 | 2025-02-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-23 | 2025-02-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-23 | 2025-02-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-12-23 | 2025-02-05 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-08-30 | 2024-10-09 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-08-30 | 2024-10-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-30 | 2024-10-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-24 | 2024-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-24 | 2024-07-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-27 | 2024-06-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-29 | 2024-06-02 | 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 | 2024-05-09 | 2024-06-02 | 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 | 2024-05-09 | 2024-06-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-04 | 2024-06-02 | 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 | 2024-04-04 | 2024-06-02 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-04-23 | 2024-05-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-23 | 2024-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-23 | 2024-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-29 | 2024-03-11 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-01-29 | 2024-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-29 | 2024-01-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-14 | 2023-06-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-04-20 | 2023-06-04 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-20 | 2023-06-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-20 | 2023-06-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-20 | 2023-06-04 | 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 | 2023-04-20 | 2023-06-04 | 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 | 2023-04-20 | 2023-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-06-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-20 | 2023-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-06-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-20 | 2023-06-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-20 | 2023-06-04 | 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 | 2023-04-20 | 2023-06-04 | 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 | 2023-04-20 | 2023-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-14 | 2021-07-28 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-14 | 2021-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-14 | 2021-07-28 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-06-14 | 2021-07-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-14 | 2021-07-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-14 | 2021-07-28 | 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 | 2021-06-14 | 2021-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-14 | 2021-07-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-06-14 | 2021-07-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-14 | 2021-07-28 | 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 | 2021-06-14 | 2021-07-28 | 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 | 2021-06-14 | 2021-07-28 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-06-14 | 2021-07-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-14 | 2021-07-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-14 | 2021-07-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Meet other general requirements. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-18 | Not Fixed | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-07-17 | Not Fixed | Y |
| Provide activities to meet all resident's needs. | Health | 2026-03-09 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-09 | Not Fixed | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-04-02 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-02 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-14 | Not Fixed | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2026-04-14 | Not Fixed | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-04-28 | Not Fixed | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-04-28 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-28 | Not Fixed | Y |