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Complaint Investigation

North Ridge Health And Rehabilitation Center

Inspection Date: October 7, 2025
Total Violations 1
Facility ID 525389
Location Manitowoc, WI
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Inspection Findings

F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

shift nurse signaturesSurveyor observed the following missing signatures in the 500 wing Controlled Substance Record Book 3:~ 9/1/25 - missing night and day shift nurse signatures~ 9/2/25 - missing evening to night shift nurse signatures~ 9/3/25 - missing signatures for all shifts~ 9/4/25 - missing night to day shift nurse signatures; missing day to evening shift nurse signatures~ 9/5/25 and 9/6/25 - missing signatures for all shifts~ 9/7/25 - missing night to day shift nurse signature~ 9/10/25 - missing evening to night shift nurse signature~ 9/11/25 - missing night to day shift nurse signature~ 9/12/25 - missing night to day shift nurse signatures; missing day to evening shift nurse signatures; missing evening to night shift nurse signature~ 9/13/25 - missing night to day shift nurse signature; missing day to evening shift nurse signature~ 9/14/25 missing day to evening shift nurse signature; missing evening to night shift nurse signature~ 9/19/25, 9/20/25, 9/21/25 - missing signatures for all shifts~ 9/26/25 - missing night to day shift nurse signatures; missing day to evening shift nurse signature~ 10/2/25, 10/4/25, and 10/5/25 - missing signatures for all shiftsSurveyor observed the following missing signatures in the 600 wing Controlled Substance Record Book:~ 9/18/25 - missing day to evening shift nurse signatures; missing evening to night shift nurse signature~ 9/19/25 - missing signatures for all shifts~ 9/23/25 and 9/25/25 - missing night to day shift nurse signature~ 9/26/25 - missing night to day shift nurse signature; missing day to evening shift nurse signatures; missing evening to night shift nurse signatures~ 9/29/25 - missing night to day shift nurse signature; missing day to evening shift nurse signature; missing evening to night shift nurse signature~ 9/30/25 - missing night to day shift nurse signature; missing day to evening shift nurse signature~ 10/1/25 missing evening to night shift nurse signature~ 10/2/25 - missing night to day nurse signatures; missing day to evening shift nurse signature~ 10/4/25 - missing night to day shift nurse signatureOn 10/7/25 at 1:30 PM, Surveyor interviewed RN-E who indicated the nurse ending the shift and the nurse starting the shift are responsible for counting narcotics in the medication cart and signing the Controlled Substance Record Book. RN-E indicated the book should be signed each day at each change of shift. On 10/7/25 at 1:35 PM, Surveyor interviewed DON-B who indicated education regarding signing the Controlled Substance Record Book was completed with all nursing staff on 9/12/25. DON-B provided an undated list of 10 nurse signatures and education material. The education indicated: It is imperative at the beginning of your shift when taking narcotic keys from the nurse who is ending their shift, that you both sign the nurse to nurse controlled substance count verification sheet after narcotics have been counted. This is located in the back of your narcotic record book. This is mandatory on both state and federal levels regarding narcotics. Not completing this will result in progressive disciplinary action that could lead up to and include termination.

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📋 Inspection Summary

North Ridge Health and Rehabilitation Center in Manitowoc, WI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Manitowoc, WI, (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 North Ridge Health and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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