Skip to main content
Health Inspection

Ridgeview Healthcare & Rehab Center

July 26, 2024 · Shenandoah, PA · 200 Pennsylvania Avenue
Citations 4
CMS Rating 1/5
Beds 111
Provider ID 395929
Healthcare Facility
Ridgeview Healthcare & Rehab Center
Shenandoah, PA  ·  View full profile →
Inspection Summary

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.

Advertisement

Inspection Findings

FF609
Minimal harm or Few Based on a review of clinical records, select facility incident reports, and staff interview, it was determined affected

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

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SHENANDOAH, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from RIDGEVIEW HEALTHCARE & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement