North Ridge Health And Rehabilitation Center
North Ridge Health and Rehabilitation Center in Manitowoc, WI — inspection on October 7, 2025.
Found 1 citation. 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
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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