Ridgeview Post Acute

Construction Deficiencies

Use approved construction type or materials.

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Resident Rights Deficiencies

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.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Pharmacy Service Deficiencies

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.

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nutrition and Dietary Deficiencies

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.

Infection Control Deficiencies

Perform COVID19 testing on residents and staff.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

*** CITATION TEXT NOT FOUND *** A document revisit was completed with all deficiencies being corrected with the exception of any waived deficiency or deficiencies. All waived deficiencies will be corrected at a later date as per the approved waiver. A plan of correction is not required.

A Comparative Federal Monitoring Survey was conducted on 9/12/24, following a State Agency Annual Survey on 7/31/24, in accordance with 42 Code of Federal Regulations, Part 483: Requirements for Long Term Care Facilities. During this Comparative Federal Monitoring Survey, the facility was found not to be in compliance with the Requirements for Participation in Medicare and Medicaid.The findings that follow demonstrate noncompliance with T.. A Comparative Federal Monitoring Survey was conducted on 9/12/24, following a State Agency Annual Survey on 7/31/24, in accordance with 42 Code of Federal Regulations, Part 483: Requirements for Long Term Care Facilities. During this Comparative Federal Monitoring Survey, the facility was found to be in compliance with the Requirements for Participation in Medicare and Medicaid. Based on observation and interview, the facility failed to maintain fire/smoke doors. The deficient practice affected 1 of 7 smoke compartments. The facility had a capacity for 112 beds with a census of 102 on the day of the survey.The findings include:Observation during the building inspection tour revealed fire doors by Resident Room 519 did not close properly and latch.An interview with the Maintenance Director revealed facility was not aware of this defic.. Based on observation and interview, the facility failed to protect vertical openings. The deficient practice affected 2 of 11 smoke compartments. The facility had a capacity for 112 beds with a census of 102 on the day of the survey.The findings include:Observation during the building inspection tour revealed an opening of 6"x 6" between the riser room closet and the basement.An interview with the Maintenance Director revealed facility was not aware of this deficien.. Based on observation and interview, the facility failed to provide a level walking surface. The deficient practice affected 1 of 7 smoke compartments. The facility had a capacity for 112 beds with a census of 102 on the day of the survey.The findings include:Observation during the building inspection tour revealed exit discharge from memory unit to the public way did not have a hard surface.An interview with the Maintenance Director revealed that the facility .. Based on observation and interview, the facility failed to separate the area from any portion of a facility wherein patients are housed, examined, or treated by a fire barrier of 1 hour fire-resistive construction. The deficient practice affected 1 of 7 smoke compartments. The facility had a capacity for 112 beds with a census of 102 on the day of the survey.The findings include:Observation during the building inspection tour revealed oxygen transfilling room was not.. Based on record review and interview, the facility failed to conduct fire drills at least quarterly on each shift. The deficient practice affected all smoke compartments. The facility had a capacity for 112 beds with a census of 102 on the day of the survey.The findings include:Record review revealed no documentation for the required fire drills listed below:2. shift and 3. shift / 4. quarter of 2023.An interview with the Maintenance Director revealed that the f.. Based on record review and interview, the facility failed to maintain fire dampers. The deficient practice affected 2 of 7 smoke compartments. The facility had a capacity for 112 beds with a census of 102 on the day of the survey.The findings include:Safety Record review revealed smoke damper by the fire doors near Human Resources failed and documented on the damper report dated 9/4/2024.An interview with the Maintenance Director revealed that .. The facility was found to be in compliance with Title 42, Code of Federal Regulations, 483.73 et seq. (Emergency Preparedness).