Ridgeview Healthcare & Rehab Center
RIDGEVIEW HEALTHCARE & REHAB CENTER in SHENANDOAH, PA — inspection on July 26, 2024.
Found 4 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
Review of a facility incident report dated July 22, 2024, regarding the incident revealed a witness statement from Employee 6 (van driver), which indicated that the resident tried backing his wheelchair into the van by himself before the van driver could get in the van and help the resident, and the resident fell backward.
All safety features were noted to be in place and equipment was functioning properly.
Employee 6's statement noted that I told the resident to wait and I would help you but the resident proceeded to do it himself.
Review of Employee 5 (nurse aide)'s witness statement noted that she was standing next to the (chair) lift and employee 6 (van driver) was not in the van when the resident started moving back.
Following the incident anti-tippers were added to Resident 148's wheelchair.
395929
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 395929 B.
Wing 07/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Ridgeview Healthcare & Rehab Center 200 Pennsylvania Avenue Shenandoah, PA 17976
During an interview on July 26, 2024, at approximately 9:30 AM, the Nursing Home Administrator (NHA) was not able to provide evidence that the facility conducted a thorough investigation in Resident 29's report of physical abuse perpetrated by Resident 2 and that the facility's abuse prohibition policy for investigating abuse was not implemented as statements were not obtained from all potential witnesses.
Refer
During an interview July 26, 2024 at 11:30, the facility's Infection Preventionist confirmed that facility staff were instructed to close the third floor dining/activity room to limit the spread of the COVID-19 virus, but staff failed to follow the guidelines to mitigate the spread of the respiratory virus.
During an interview July 26, 2024, at 9 AM, the Nursing Home Administrator confirmed that the facility did not move any of the COVID-19 positive residents, or their COVID negative roommates, on the third floor unit because cohorting COVID positive residents was no longer required.
She stated that when the initial staff member tested positive on July 16, 2024, the facility Infection Preventionist and the Director of Nursing were both on vacation.
She stated that a second nurse employed at the facility had the infection control Preventionist certification.
The NHA stated that she is not medical professional and does not have the Infection Preventionist credentials and she made made the decision not to cohort COVID-19 positive residents together.
She stated that she previously worked for a different facility/corporation that did not cohort or move any COVID-19 positive (with positive) residents so she made the decision not to move any residents with this COVID-19 outbreak in the facility.
28 Pa Code 211.12 (c)(d)(1)(5) Nursing services
28 Pa.
Code 211.10 (a)(c) Resident care policies
395929
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 395929 B.
Wing 07/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Ridgeview Healthcare & Rehab Center 200 Pennsylvania Avenue Shenandoah, PA 17976
Findings included:
A review of Resident 45's clinical record revealed that the resident was admitted to the facility on [DATE], with diagnoses that included bipolar disorder and dementia.
The resident's current physician's orders, initially dated October 10, 2023, included Quetiapine (Seroquel, an antipsychotic medication) 25 mg, one by mouth at bedtime for mania and bipolar disorder.
A review of the resident's clinical record conducted during the survey ending July 26, 2024, revealed no documented evidence that a gradual dose reduction of the resident's initially prescribed dose of Seroquel had been attempted to date.
Review of the resident's clinical record during the survey ending July 26, 2024, revealed no physician documentation of resident specific information which detailed why a dose reduction attempt of the psychoactive drug was clinically contraindicated and of the resident's continued need for the medication at the current dosage.
During an interview with the Director of Nursing on July 26, 2024, at 10 a.m. she confirmed that no attempts at gradually reducing the dose of the above psychoactive medication had been made and the physician documentation failed to include resident specific details in support of not attempting a GDR
28 Pa.
Code 211.9 (k) Pharmacy services
28 Pa.
Code 211.5 (f) Medical records
28 Pa.
Code 211.2 (c) Medical director
395929
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 395929 B.
Wing 07/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Ridgeview Healthcare & Rehab Center 200 Pennsylvania Avenue Shenandoah, PA 17976