A list of the most recent deficiencies for Ridgewood Care Ctr. 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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-25 | 2023-09-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-25 | 2023-05-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-25 | 2023-05-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-25 | 2023-05-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-26 | 2023-02-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-26 | 2023-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-02-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-26 | 2023-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-26 | 2023-02-24 | 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 | 2023-01-26 | 2023-02-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-26 | 2023-02-24 | 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 | 2023-01-26 | 2023-02-24 | 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 | 2023-01-26 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-02-24 | 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 | 2023-01-26 | 2023-02-24 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2023-01-25 | 2023-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-02-24 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-01-25 | 2023-02-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-25 | 2023-02-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-25 | 2023-02-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-25 | 2023-02-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-25 | 2023-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-27 | 2022-11-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-27 | 2022-11-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-30 | 2022-10-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-21 | 2022-01-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-21 | 2022-01-17 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-11 | 2021-11-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-11 | 2021-11-11 | 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 | 2021-10-11 | 2021-11-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-11 | 2021-11-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-10-11 | 2021-11-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-10-11 | 2021-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-11 | 2021-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-11 | 2021-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-11 | 2021-11-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-11 | 2021-11-05 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-10-11 | 2021-11-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-11 | 2021-11-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-01 | 2021-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-08-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-08-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-19 | 2021-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-19 | 2021-06-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-19 | 2021-06-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-31 | 2019-09-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-31 | 2019-09-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-07-31 | 2019-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-31 | 2019-09-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-31 | 2019-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-31 | 2019-09-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-31 | 2019-09-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-31 | 2019-09-06 | 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 | 2019-07-31 | 2019-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-09-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-17 | 2019-09-05 | N |
