STAFFORD HEALTHCARE AT RIDGEMONT

πŸ“ 2051 POTTERY AVENUE, port-orchard, WA 98366 πŸ“ž 3608764461 πŸ›οΈ 96 beds

Overall Rating

⭐⭐⭐⭐
4/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

71
Total Violations
7 years of data
$18,893
Total Fines
2 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 1 violations

Tag 0690 D Apr 23, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 15, 2025

2024 1 violations

Tag 0658 D Jan 11, 2024

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

βœ“ Corrected: Jan 30, 2024

2023 15 violations

Tag 0925 F Nov 8, 2023

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Nov 24, 2023
Tag 0561 D Sep 21, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Nov 5, 2023
Tag 0580 D Sep 21, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Nov 5, 2023
Tag 0655 D Sep 21, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Nov 5, 2023
Tag 0656 D Sep 21, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 5, 2023
Tag 0658 D Sep 21, 2023

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

βœ“ Corrected: Nov 5, 2023
Tag 0688 E Sep 21, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Nov 5, 2023
Tag 0689 D Sep 21, 2023

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

βœ“ Corrected: Nov 5, 2023
Tag 0692 D Sep 21, 2023

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Nov 5, 2023
Tag 0695 D Sep 21, 2023

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Nov 5, 2023
Tag 0725 D Sep 21, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Nov 5, 2023
Tag 0760 D Sep 21, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Nov 5, 2023
Tag 0761 D Sep 21, 2023

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.

βœ“ Corrected: Nov 5, 2023
Tag 0812 E Sep 21, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Nov 5, 2023
Tag 0693 D Aug 17, 2023

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Sep 1, 2023

2022 22 violations

Tag 0584 D Aug 29, 2022

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.

βœ“ Corrected: Oct 11, 2022
Tag 0585 E Aug 29, 2022

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Oct 11, 2022
Tag 0610 D Aug 29, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Oct 11, 2022
Tag 0625 E Aug 29, 2022

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Oct 11, 2022
Tag 0641 D Aug 29, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 11, 2022
Tag 0656 D Aug 29, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Oct 11, 2022
Tag 0657 E Aug 29, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Oct 11, 2022
Tag 0684 E Aug 29, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Oct 11, 2022
Tag 0688 D Aug 29, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Oct 11, 2022
Tag 0689 D Aug 29, 2022

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

βœ“ Corrected: Oct 11, 2022
Tag 0695 E Aug 29, 2022

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Oct 11, 2022
Tag 0700 D Aug 29, 2022

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Oct 11, 2022
Tag 0756 D Aug 29, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Oct 11, 2022
Tag 0757 D Aug 29, 2022

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Oct 11, 2022
Tag 0758 E Aug 29, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Oct 11, 2022
Tag 0804 E Aug 29, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Oct 11, 2022
Tag 0812 E Aug 29, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 11, 2022
Tag 0849 D Aug 29, 2022

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.

βœ“ Corrected: Oct 11, 2022
Tag 0868 D Aug 29, 2022

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

βœ“ Corrected: Oct 11, 2022
Tag 0697 D Jul 13, 2022

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Aug 10, 2022

2019 14 violations

Tag 0554 D Aug 16, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Sep 30, 2019
Tag 0641 D Aug 16, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Sep 30, 2019
Tag 0656 D Aug 16, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 30, 2019
Tag 0657 D Aug 16, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 30, 2019
Tag 0658 D Aug 16, 2019

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

βœ“ Corrected: Sep 30, 2019
Tag 0686 D Aug 16, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Sep 30, 2019
Tag 0690 D Aug 16, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Sep 30, 2019
Tag 0730 F Aug 16, 2019

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Sep 30, 2019
Tag 0755 D Aug 16, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Sep 30, 2019
Tag 0756 D Aug 16, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Sep 30, 2019
Tag 0758 D Aug 16, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Sep 30, 2019
Tag 0761 D Aug 16, 2019

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.

βœ“ Corrected: Sep 30, 2019
Tag 0881 F Aug 16, 2019

Implement a program that monitors antibiotic use.

βœ“ Corrected: Sep 30, 2019
Tag 0883 D Aug 16, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Sep 30, 2019

2018 14 violations

Tag 0578 D Jul 17, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Aug 7, 2018
Tag 0602 D Jul 17, 2018

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Aug 7, 2018
Tag 0625 D Jul 17, 2018

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Aug 7, 2018
Tag 0636 D Jul 17, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Aug 7, 2018
Tag 0656 D Jul 17, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 7, 2018
Tag 0686 D Jul 17, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Aug 7, 2018
Tag 0756 D Jul 17, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Aug 7, 2018
Tag 0757 D Jul 17, 2018

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Aug 7, 2018
Tag 0758 E Jul 17, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Aug 7, 2018
Tag 0761 D Jul 17, 2018

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.

βœ“ Corrected: Aug 7, 2018
Tag 0812 E Jul 17, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 7, 2018
Tag 0842 D Jul 17, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Aug 7, 2018
Tag 0880 F Jul 17, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 7, 2018
Tag 0610 D Apr 18, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: May 7, 2018

2017 4 violations

Tag 0154 D Sep 20, 2017

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Oct 10, 2017
Tag 0329 D Sep 20, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Oct 10, 2017
Tag 0431 E Sep 20, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Oct 10, 2017
Tag 0155 D May 18, 2017

Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

βœ“ Corrected: Jun 26, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $18,893

$11,450
Fine
April 4, 2022
$7,443
Fine
April 4, 2022
Average: $9,447 | Range: $7,443 - $11,450

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

January 11, 2024
0.00

Health

November 8, 2023
0.00

Health

September 21, 2023
0.00

Health

August 17, 2023
0.00

Health

August 29, 2022
0.00

Health

July 13, 2022
0.00

Health

April 4, 2022
0.00

Health

August 16, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
505217
505217
3608764461
Kitsap

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization