Cedar Ridge Inn
Cedar Ridge Inn in Farmington, NM — inspection on August 27, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
during an interview, the Director of Nursing (DON) stated she became aware of the resident's wound on 07/18/25.
The DON stated she was not at the facility from 07/28/25 through 08/01/25.
She stated she returned to the facility on [DATE].
The DON stated R #10's wife showed her pictures of the wound on 08/05/25, and she immediately called the physician.
The DON stated the Wound Care Nurse Practitioner (WCNP) to come to the facility for a consult and to put in orders for Santyl on 08/05/25.
The DON stated she was not aware of the deterioration of the wound prior to 08/05/25.
The DON stated the Assistant Director of Nursing (ADON) was also not at the facility during the same time period.
The DON stated the WCN should have called the physician to report the wound was getting worse.
She stated the WCN should have notified her as well, even though she was out.
The DON stated the resident's wound was red and hot when she saw it on 08/05/25, and she suspected the wound was infected.? M. On 08/27/25 at 10:30 am, during an interview, the Medical Director (MD) stated he did not remember when he was notified of the wound for R #10, and he was usually in the building every week.
The MD stated he was aware of the wound before R #10 went out to the hospital on [DATE]. He stated it was expected staff would notify him of any change in condition, to include worsening wounds. N. On 08/27/25 at 11:20 am, during an interview, Family Member #10 stated she was aware of the wound on 07/18/25.
She stated she watched it get worse and talked to the facility nursing staff about it.
She stated she went to the DON on 08/05/25 and showed her a picture of the wound.
She stated the DON got a consult for R #10 on 08/05/25 and the orders were changed.
Family member #10 stated R #10 was put on antibiotics (08/06/25), but he ended up in the hospital with an infection 08/11/25.? O. On 08/27/25 at 11:36 am, during an interview, the WCNP stated the first time she saw the wound was on 08/07/25.
She stated the wound was an unstageable pressure wound with 100% dry eschar.
She stated the facility already ordered Santyl, and that was the treatment she would have put into place.
The WCNP stated a wound culture could not be done due to the dry eschar.
She stated she did not see R #10 again, because the resident went out to the hospital.?
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cedar Ridge Inn
800 Saguaro Trail Farmington, NM 87401
SUMMARY STATEMENT OF DEFICIENCIES
Based on observation, interview and record review the facility failed to secure an oxygen cylinder to prevent tipping and falling over for 1 (R #13) of 2 (R #13 and R #14) residents. If the oxygen container fell over, then the valve could break on the canister and cause the residual oxygen to leak or cause the oxygen cylinder to self-propel across the facility.
The findings are: A.
Record review of the facility's oxygen safety policy, last revised 2025, indicated oxygen cylinders will be properly chained or supported in racks or other fastenings (sturdy portable carts, approved stands) to secure all cylinders from falling, whether connected, unconnected, full or empty. B. On 08/26/25 at 10:35 am, an observation revealed R #13's oxygen tank sat unsecured next to her recliner. R #13 was not using the oxygen.? C. On 08/26/25 at 10:35 am, during an interview, the Director of Nursing (DON) stated the portable oxygen container should not be in R #13's room.
She stated oxygen cylinders should not be stored unsecured, because it could cause an accident.?
Facility ID: