Inspection Reports for Ridgeway

The investigation was initiated due to a complaint alleging that on 07/02/2025, Resident A suffered severe facial burns from a firework while wearing oxygen, and the facility failed to seek medical care, inadequately treated his injuries, and never informed his family.

The investigation found that Resident A was burned by a firework while sitting outside alone wearing oxygen. The facility did not immediately notify Resident A's legal guardian or seek medical care, although Resident A refused treatment. The burns were severe, and Resident A was hospitalized later. The facility violated the rule requiring immediate care and notification but did treat Resident A with dignity and protection.

The complaint alleged that on 07/02/2025, Resident A suffered severe facial burns from a firework while wearing oxygen, and the facility failed to seek medical care, inadequately treated his injuries, and never informed his family. The investigation substantiated the violation of failure to notify the legal guardian and obtain needed care immediately, but found insufficient evidence that Resident A was not treated with dignity or protected.

The investigation was initiated due to a licensing complaint alleging that a staff member at Ridgeway was not working legally and did not speak English, and that the home lacked groceries and laundry detergent.

The investigation found no violation regarding staff working illegally or language barriers, and no violation regarding lack of groceries or laundry detergent. However, violations were established related to deficiencies in the water supply system as identified by the EGLE Deficiency Violation Notice dated 05/08/2025, including issues with the source, distribution system, operator compliance, and unpaid fees. The licensee had not corrected these deficiencies by the extended deadline but submitted a waiver request.

The complaint alleged that a staff member was not working legally and did not speak English, and that the home lacked groceries and laundry detergent. The complaint was not substantiated for staffing or supplies but substantiated for water system deficiencies.

The investigation was initiated due to multiple complaints alleging staffing issues, medication errors, inadequate facility conditions including heat and bathroom availability, unsanitary food preparation, and failure to notify guardians and providers of hospitalizations and deaths.

The investigation found multiple violations including unlicensed staff without background checks, inadequate temperature control, medication administration errors, failure to notify guardians of hospitalizations and deaths, financial mismanagement of resident funds, and poor home environment conditions such as strong urine odor and broken beds. Some allegations such as unsanitary food preparation and lack of shower access were not substantiated.

The investigation was complaint-driven with multiple complaints received between June and August 2024 alleging staffing issues, medication errors, environmental concerns, and failure to notify guardians and providers. APS referrals were made and denied. The complaints included allegations of staff drinking and sleeping on the job, inappropriate behavior, and safety hazards.

The investigation was initiated due to complaints alleging residents were not receiving prescribed medications (Xanax and Morphine), residents were not allowed to use the landline to contact their guardians, and there was a lack of food and supplies at the facility.

The investigation found that medication administration issues were not substantiated due to residents being on hospice and some residents passing away. However, violations were established for inconsistent phone usage policies restricting residents' access to phones and for lack of nutritious food and proper meal planning. The facility had adequate supplies at the time of inspection, so no violation was established for supply shortages.

The complaint alleged residents were not receiving prescribed Xanax and Morphine, residents were not allowed to use the landline to contact guardians, and there was a lack of food and supplies. The complaint was partially substantiated with violations established for phone access and food/nutrition issues, but not for medication administration or supply shortages.

The investigation was initiated due to a complaint alleging insufficient staffing and medications being left unattended in the kitchen with residents accessing the area.

The investigation found that there was not enough evidence to establish a staffing violation, but did establish violations related to medications being left unsecured in the kitchen and medication room, as well as environmental issues including a broken shower head, a bathroom door that would not shut properly, damaged wood trim, and cracked tile in bathrooms.

Complaint received on 07/21/2023 alleged insufficient staffing and medications left unattended in the kitchen accessible to residents. The Adult Protective Services referral was denied. The medication violation was substantiated; staffing violation was not substantiated.

The inspection was conducted in response to a complaint alleging that the facility was dirty with unmade beds and uncleaned bathrooms, and that food was inadequate causing resident weight loss.

The investigation found violations related to the facility's cleanliness and maintenance, including broken toilets, leaking sinks, and missing closet doors. However, the allegation of inadequate food and resident weight loss was not substantiated based on menu reviews, interviews, and resident weight records.

Complaint received on 2022-12-05 alleged inadequate care, unclean conditions including unmade beds and unclean bathrooms, and resident weight loss. The complaint included an incident where an employee was attacked by a resident. The complaint was partially substantiated regarding cleanliness but not substantiated regarding food adequacy or weight loss.

The visit was conducted to properly list residents’ bedroom numbers and square footage as an addendum to the original licensing study report.

The licensee designee submitted a request to list the correct square footage for each resident bedroom along with a current floor plan showing bedroom numbers and square footage. The addendum was recommended with no change to the license.