North Ridge Health and Rehab: Tube Feeding Failures - MN
Six minutes later, the resident, identified in the inspection report as R90, reconnected it herself.
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See the Derila PillowR90 depends on tube feeding to survive. What inspectors documented over three days in early March was a pattern of small failures, each manageable on its own, that together created a sustained infection risk for a woman who had no way to protect herself except to do the work the staff had left undone.
The feeding bag attached to R90's line was not being changed between uses. R90 told inspectors that staff didn't typically throw the bag away after each use. It usually hung for the day.
The formula bottle in her room had no date on it and no time indicating when it had been opened. A registered nurse, identified as RN-B, confirmed the formula was only safe for 24 hours after opening. Without a time stamp, there was no way to know whether that window had passed.
Also in R90's room: a bottle of Glucerna, a formula she was not prescribed. RN-C, another nurse, verified R90 was not on Glucerna and said she was not sure why it would have been there.
The overbed table used to prepare R90's tube feeding supplies belonged to her roommate. RN-B confirmed she used the roommate's table and did not clean it before or after. R90's roommate told inspectors that staff always used her table and never cleaned it. RN-C called it an infection control issue.
RN-B could not say how long R90's tube insertion site had been red. She thought it had only been a couple of days.
On the morning of March 6, a nurse identified as RN-G told inspectors she had completed a tube feeding that morning but had not changed the graduate, a measuring container dated from the day before. She said the night shift should have done it.
The director of nursing, interviewed on March 7, confirmed the list of things that should have happened. The tube site should be checked at every feeding. Staff should not use the roommate's table. Formula bottles need a date and time. The director confirmed all of it.
The facility's own written policy, last updated in May 2024, required that the overbed table be cleaned after use and that disposable equipment be discarded. It required that any complications be documented. It did not address dating and timing formula bottles after opening, which left that basic safeguard without a written standard to enforce.
What the inspection captured was not a single lapse. The feeding bag reused across feedings, the borrowed table never wiped down, the undated bottle, the roommate's Glucerna sitting in the wrong room, the tube site red for an unknown number of days. These were the ordinary conditions of R90's care.
The inspectors classified the harm level as minimal or potential. R90's tube site was red. She was reconnecting her own feeding line.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for North Ridge Health and Rehab from 2025-03-07 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 12, 2026 · Our methodology
NORTH RIDGE HEALTH AND REHAB in NEW HOPE, MN was cited for violations during a health inspection on March 7, 2025.
Six minutes later, the resident, identified in the inspection report as R90, reconnected it herself.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.