Deficiency Records for North Ridge Health and Rehabilitation Center
Updated as of April 01, 2023
This is not the most recent data for North Ridge Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for North Ridge 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-22 | 2022-12-20 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-26 | 2022-10-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-26 | 2022-10-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-24 | 2022-09-24 | 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 | 2022-08-24 | 2022-09-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-24 | 2022-09-24 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-06-14 | 2022-07-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-14 | 2022-07-28 | 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 | 2022-06-14 | 2022-07-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-14 | 2022-07-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-06-14 | 2022-07-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-14 | 2022-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-14 | 2022-07-28 | 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 | 2022-06-14 | 2022-07-28 | 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 | 2022-06-14 | 2022-07-28 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-06-14 | 2022-07-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-14 | 2022-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-14 | 2022-07-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-14 | 2022-07-28 | 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 | 2022-06-14 | 2022-07-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-20 | 2022-06-20 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-11-22 | 2021-12-22 | 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 | 2021-11-22 | 2021-12-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-22 | 2021-12-22 | 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 | 2021-11-22 | 2021-12-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-19 | 2021-06-10 | 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 | 2021-05-19 | 2021-06-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-19 | 2021-06-10 | 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 | 2021-05-19 | 2021-06-10 | 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 | 2021-05-19 | 2021-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-19 | 2021-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-19 | 2021-06-10 | 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 | 2021-05-19 | 2021-06-10 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-19 | 2021-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-19 | 2021-05-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-01 | 2021-02-24 | 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 | 2021-02-01 | 2021-02-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-01-06 | 2021-02-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-12 | 2020-12-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-07-29 | 2020-08-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-07-29 | 2020-08-21 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-09-18 | 2019-10-18 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-18 | 2019-10-18 | 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 | 2019-09-18 | 2019-10-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-18 | 2019-10-18 | 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 | 2019-09-18 | 2019-10-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-09-16 | 2019-10-18 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2019-09-16 | 2019-10-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-16 | 2019-10-18 | 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 | 2019-09-16 | 2019-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-16 | 2019-10-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-09-16 | 2019-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-16 | 2019-10-18 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-09-16 | 2019-10-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-20 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-19 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-16 | Not Fixed | N |
