Deficiency Records for Ridgeway Post Acute

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Updated as of March 01, 2024

A list of the most recent deficiencies for Ridgeway Post Acute. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-11-21 2023-12-27 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 2023-11-21 2023-12-27 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-11-21 2023-12-27 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-20 2023-12-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-08 2023-02-20 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-08-25 2022-09-27 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-25 2022-09-27 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-08-25 2022-09-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-08-25 2022-09-27 N
The resident has the right to receive notices in a format and a language he or she understands. Health 2022-08-12 2022-09-09 N
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 2022-08-12 2022-09-09 N
Provide appropriate foot care. Health 2022-08-12 2022-09-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-08-12 2022-09-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-08-12 2022-09-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-08-12 2022-09-09 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-08-12 2022-09-09 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-12 2022-09-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-12 2022-09-09 Y
Respond appropriately to all alleged violations. Health 2022-08-12 2022-09-09 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-12 2022-09-09 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-12 2022-09-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-12 2022-09-09 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2022-08-12 2022-09-09 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 2022-08-12 2022-09-09 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-08-12 2022-09-09 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-12 2022-09-09 Y
Provide and implement an infection prevention and control program. Health 2022-08-12 2022-09-09 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-08-12 2022-09-09 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 2022-01-28 2022-06-02 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-07-12 2021-10-07 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-09-04 2019-10-08 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-09-04 2019-10-08 N
Provide properly protected cooking facilities. Fire Safety 2019-09-04 2019-10-08 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2019-09-04 2019-10-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-04 2019-10-08 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2019-09-04 2019-10-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-09-04 2019-10-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-04 2019-10-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-09-04 2019-10-08 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2019-09-04 2019-10-08 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 2019-07-12 2019-08-12 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-07-12 2019-08-12 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-06-20 2018-08-21 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2018-06-20 2018-08-21 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-06-20 2018-08-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-06-20 2018-08-21 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 2018-06-20 2018-08-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-06-20 2018-08-21 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2018-06-20 2018-08-21 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2018-06-20 2018-08-21 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2018-06-20 2018-08-21 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-04-25 2018-05-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-04-25 2018-05-10 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-04-25 2018-05-10 N
Provide properly protected cooking facilities. Fire Safety 2018-04-25 2018-05-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-04-25 2018-05-10 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2018-04-25 2018-05-10 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2018-04-25 2018-05-10 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2018-04-25 2018-05-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2018-04-25 2018-05-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-04-25 2018-05-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-04-25 2018-05-10 N