Inspection Reports for Ridgewood Rehabilitation & Care Center
624 Pinewood Avenue, SEWARD, NE, 68434
Back to Facility ProfileDeficiencies (last 8 years)
Deficiencies (over 8 years)
7.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
89% occupied
Based on a May 2018 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 6, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Ridgewood Rehabilitation & Care Center on June 6, 2019, regarding allegations that the facility failed to use appropriate interventions to prevent injuries and failed to identify change in condition.
Complaint Details
The complaint alleged failure to use appropriate interventions to prevent injuries and failure to identify change in condition. Both allegations were found to be unsubstantiated as the facility was in compliance.
Findings
The facility was found to be in compliance with relevant regulatory requirements for both allegations. Appropriate interventions to prevent injuries were used, and changes in residents' conditions were identified and reported to physicians.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager | Signed the complaint investigation report |
Notice
Deficiencies: 0
Date: Jul 3, 2018
Visit Reason
The facility was placed on probation for 90 days beginning July 3, 2018, due to violations related to failure to provide restorative services to prevent decline in residents' range of motion, as evidenced by a CMS-2567 report dated June 18, 2018.
Findings
The disciplinary action was based on violations of Nebraska statutes and regulations concerning resident rights, admission criteria, resident assessment, care planning, urinary/bowel function, and nursing staff responsibilities. The facility failed to provide adequate restorative nursing services.
Report Facts
Probation period: 90
Report submission frequency: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Interim Program Manager / Training Coordinator | Contact person for report submissions and author of termination letter of probation |
| Thomas L. Williams | MD, Chief Medical Officer, Director, Division of Public Health | Signed the Notice of Disciplinary Action |
| Becky Wisell | Administrator, Licensure Unit | Mentioned in relation to the Notice |
| Linda Stenvers | Staff Assistant II, Office of Long Term Care Facilities | Certified mailing of the Notice |
| Ruth (Peg) Becker | Administrator | Facility administrator receiving the Notice and termination letter |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 82
Deficiencies: 14
Date: May 29, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Ridgewood Rehabilitation & Care Center on May 29, 2018-June 5, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint investigation included allegations related to failure to protect residents from injury, failure to submit investigations timely, failure to protect residents from abuse, failure to follow care plans, failure to notify POA of changes, failure to ensure residents are not left in soiled clothing, failure to provide care according to orders, and failure to address grievances. The facility was found not to be in violation for most allegations except for failure to submit investigations within 5 working days.
Findings
The facility was found to have deficiencies related to medication administration, admission physician orders, comprehensive assessments, baseline and comprehensive care plans, restorative services, bowel/bladder care, staffing, dementia treatment, and fire safety. Specific issues included failure to ensure medications were administered per orders, lack of timely admission orders, incomplete care plans, inadequate restorative services, improper use of power strips, and incomplete fire evacuation plans.
Deficiencies (14)
Failed to ensure medications were administered per practitioner's order and/or manufacturer's recommendations for Resident 66 who had a seizure disorder.
Failed to ensure admission orders were obtained and verified by the physician for Resident 66.
Failed to develop a comprehensive care plan to direct the staff to provide the cares the resident required to meet the resident's activities, indwelling Foley catheter and PEG tube for Resident 66.
Failed to develop and implement a comprehensive person-centered care plan for Resident 66 that includes measurable objectives and timeframes to meet medical, nursing, and psychosocial needs.
Failed to provide restorative services to prevent decline in mobility for Residents 36 and 34 and to prevent increase in discomfort for Resident 32.
Failed to ensure a resident admitted with an indwelling Foley catheter was assessed for the continued need of the catheter for Resident 66.
Failed to provide sufficient nursing staff to meet the resident's needs for a restorative exercise program resulting in a decline in condition for Resident 36.
Failed to ensure psychosocial needs were met for residents with dementia, specifically Resident 32 who was moved from the Memory Care Unit to general population without adequate planning or support.
Failed to minimize the possibility of a fire by not ensuring that the stove top in the Therapy Gym was turned off and lacked a procedure for its use.
Suspended heating unit installed in the Hummingbird Electrical room was low enough to be touched, increasing potential for harm to staff.
Allowed use of power strips in resident rooms and offices that were not hospital grade, increasing potential for electrical fire.
Failed to conduct fuel test for the emergency generator, risking failure of emergency power supply.
Failed to assess the integrity, resistance, leakage current, and appropriate UL listing of power strips used in resident rooms.
Failed to provide a complete fire evacuation plan including fire triangle evacuation and smoke compartment evacuation plan.
Report Facts
Deficiencies cited: 12
Facility census: 73
Total capacity: 82
Power strip use: 5
Restorative care audit frequency: 3
Restorative care audit frequency: 2
Restorative care audit frequency: 1
Generator load test frequency: 12
Generator continuous test frequency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed complaint investigation and correspondence |
| Ruth Becker | Administrator | Facility administrator named in report and correspondence |
| Staff C | Interviewed regarding care plan and catheter diagnosis | |
| Staff A | Interviewed regarding resident communication and care plans | |
| Staff D | Observed providing care to Resident 66 | |
| Staff E | Observed providing care to Resident 66 | |
| Staff F | Therapy staff member interviewed regarding restorative care | |
| Staff G | Interviewed regarding communication and tube feeding care | |
| Administrator | Interviewed regarding admission orders and fire safety | |
| Maintenance Staff A | Interviewed regarding fire safety, power strips, and generator testing | |
| DON | Director of Nursing | Interviewed regarding multiple care plan and staffing issues |
| RN-M | Registered Nurse | Interviewed regarding care plan for Resident 32 |
| OT-N | Occupational Therapist | Interviewed regarding therapy for Resident 34 |
| RA-I | Restorative Aide | Interviewed regarding restorative care staffing |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 1, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Ridgewood Rehabilitation & Care Center on February 1, 2018, focusing on allegations related to resident mobility, care according to practitioner's orders, food form, bladder elimination care, and discharge notices.
Complaint Details
The complaint investigation addressed five allegations: failure to assist residents in maintaining mobility, failure to provide care according to practitioner's orders, failure to ensure food form meets resident needs, failure to provide bladder elimination care, and failure to give appropriate discharge notice. All allegations were found to be unsubstantiated with the facility in compliance.
Findings
The investigation found the facility in compliance with all regulatory requirements regarding mobility maintenance, care and services per practitioner's orders, food form meeting resident needs, bladder elimination care, and appropriate discharge notices.
Report Facts
Residents sampled: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the report as Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 9, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Ridgewood Rehabilitation & Care Center on January 9, 2018, regarding allegations of inadequate fluid intake to prevent dehydration, failure to ensure food/fluid consistency meets resident needs, and failure to safely secure residents during transport.
Complaint Details
The complaint allegations were not substantiated as the facility met all regulatory requirements related to hydration, dietary needs, and transport safety.
Findings
The investigation found no violations related to the allegations. The facility ensured adequate fluid intake, appropriate food/fluid consistency, and safe securing of residents during transport with properly functioning wheelchair tie-downs and safety belts.
Report Facts
Number of residents interviewed for dining services: 4
Number of resident dietary intake notes reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the report as Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health |
Inspection Report
Renewal
Capacity: 82
Deficiencies: 0
Date: Jul 1, 2017
Visit Reason
The document package relates to the renewal of the Skilled Nursing Facility license for Ridgewood Rehabilitation & Care Center due to a change of ownership effective July 1, 2017.
Findings
The documents include the license issuance, change of ownership information, Alzheimer's Special Care Unit Disclosure, facility lease agreement, and detailed descriptions of the Memory Support Household program and services.
Report Facts
total_capacity: 82
memory_support_capacity: 22
daily_room_rate_standard_companion: 167
daily_room_rate_deluxe_companion: 171
daily_room_rate_standard_private: 174
daily_room_rate_deluxe_private: 178
level_of_care_rates: Array
memory_support_daily_rate: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Ryan | Administrator | Named as facility administrator in Nursing Home Licensure Application (page 4) and Alzheimer's Special Care Unit Disclosure (page 9). |
| Julie Knobbe | Contact | Contact person for legal owning entity VSL Seward, LLC (page 9). |
| Jack D. Vetter | Chairman of the Board and CEO | Board of Directors and Officer for Vetter Senior Living and subsidiaries (page 6) and signatory on lease agreement (page 46). |
| Glenn Van Ekeren | President | Board of Directors and Officer for Vetter Senior Living and subsidiaries (page 6) and signatory on lease agreement (page 46). |
| Shari Terry | Chief Operations Officer | Signed letter regarding change of ownership (page 35). |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 82
Deficiencies: 15
Date: May 1, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Ridgewood Rehabilitation & Care Center from May 1, 2017 to May 4, 2017 by the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint investigation included allegations of misappropriation, failure to complete investigations timely, respect and dignity, protection from behaviors and abuse, injury prevention, evaluation of change in condition, MDS coding accuracy, and appropriate positioning. The allegation of failure to complete written investigations within 5 working days was substantiated without a violation being written. The allegation of failure to ensure residents' MDS was coded correctly was substantiated with a violation.
Findings
The facility was found to be in compliance with most allegations except for failure to complete written investigations within 5 working days and failure to ensure residents' MDS was coded correctly. The facility failed to ensure residents 74 and 77 had access to their personal funds accounts on evenings and weekends. Resident 55's bathing preferences were not fully met. The MDS assessments for Residents 11 and 84 were inaccurate. Several life safety code deficiencies were identified including issues with egress doors, emergency lighting, exit signage, hazardous area enclosures, fire alarm notification, portable fire extinguisher inspections, electrical panel circuit directories, and fire drills.
Deficiencies (15)
Failed to complete written investigations within 5 working days.
Failed to ensure residents' MDS was coded correctly.
Failed to ensure residents 74 and 77 had access to their personal funds accounts on evenings and weekends.
Failed to ensure Resident 55 received bathing type and frequency based on preference.
Failed to ensure MDS assessments accurately reflected Resident 11 and 84's status.
Failed to maintain magnetically locked exterior egress door with correct access code.
Failed to provide a second required exit from basement corridor without passing through intervening room.
Failed to provide emergency egress lighting to basement exit in Classroom.
Failed to provide exit signs to direct occupants and post 'NO EXIT' signs at doors that could be mistaken for an exit in multiple smoke compartments.
Failed to separate hazardous areas by smoke resistive partitions and self-closing and latching doors in basement.
Failed to install visual notification devices for automatic fire alarm system in Meadowlark enclosed courtyard.
Failed to conduct monthly inspections on portable fire extinguishers.
Failed to provide complete circuit directories for electrical panels.
Failed to provide a separate Life Safety Branch for the Type II essential electrical system.
Failed to hold fire drills under varied conditions during 1st, 2nd, and 3rd shifts.
Report Facts
Reports investigated: 7
Resident records reviewed for MDS accuracy: 23
Facility census: 68
Licensed capacity: 82
Fire drills: 12
Fire extinguisher inspection date: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Ryan | Administrator | Named as facility administrator in the report. |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit | Signed the complaint investigation report. |
| Maintenance Staff A | Interviewed regarding fire door lock, emergency lighting, exit signage, fire extinguisher inspection, electrical panel issues, and fire drills. | |
| Assistant Director of Nursing | Interviewed regarding MDS coding inaccuracies. | |
| Director of Nursing | Interviewed regarding Resident 55 bathing preferences and MDS documentation. | |
| Business Office Director | Interviewed regarding resident personal funds access. | |
| LPN-A | Licensed Practical Nurse | Interviewed regarding resident access to personal funds lockbox. |
| NA-B | Nursing Assistant | Interviewed regarding meal set up and encouragement for Resident 11. |
| Social Services Coordinator | Interviewed regarding resident trust account education and resident council meetings. |
Inspection Report
Renewal
Capacity: 87
Deficiencies: 0
Date: Mar 23, 2017
Visit Reason
This document is a Nursing Home Licensure Renewal Application and related materials for Ridgewood Rehabilitation & Care Center, verifying the facility's license renewal and compliance with statutory requirements.
Findings
The document includes detailed information about the facility's memory support household philosophy, admission and discharge criteria, staffing, training, safety, environmental features, life enrichment programs, family support, and care/communication techniques. It confirms the facility meets regulatory requirements for licensure renewal.
Report Facts
Total licensed capacity: 87
Number of beds to be relicensed: 82
Memory Support Household maximum endorsed capacity: 22
Daily room rates: 167
Daily room rates: 171
Daily room rates: 174
Daily room rates: 178
Level of care daily rates: 25
Level of care daily rates: 34
Level of care daily rates: 46
Level of care daily rates: 54
Level of care daily rates: 64
Level of care daily rates: 73
Memory support daily rate: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Ryan | Administrator | Named in Nursing Home Licensure Renewal Application (page 2). |
| Stacy Quakenbush | Director of Nursing | Named in Nursing Home Licensure Renewal Application (page 2). |
| Jack D. Vetter | Chair of the Board & CEO | Named in Vetter Related Corporations Directors and Officers list (page 4). |
| Julie Knobbe | Contact for Seward Living Center, Inc. | Named in Alzheimer's Special Care Unit Disclosure application (page 6). |
Notice
Capacity: 82
Deficiencies: 0
Date: Sep 15, 2016
Visit Reason
The document serves to acknowledge the decrease in the number of licensed beds at Ridgewood Rehabilitation & Care Center due to the transfer of 5 beds to another facility, effective October 1, 2016.
Findings
The letter confirms the decrease in licensed beds from 87 to 82 Medicare certified beds as requested by the facility and reflected in the Health Insurance Benefits Agreement.
Report Facts
Licensed beds decrease: 5
Previous licensed beds: 87
Current licensed beds: 82
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit | Signed the letter acknowledging bed decrease and amendment. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 75
Deficiencies: 3
Date: Jun 15, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to change fall interventions after residents were identified at risk for falls, failure to put interventions in place to prevent injuries, and failure to use fall interventions to prevent injuries.
Complaint Details
The complaint alleged the facility failed to change fall interventions after residents were identified at risk for falls, failed to put interventions in place to prevent injuries, and failed to use fall interventions to prevent injuries. The investigation included resident record reviews, observations, interviews, and review of incident logs. The complaint was substantiated with findings of deficient practices.
Findings
The investigation found that the facility failed to review and revise care plans for residents at risk of falls, did not implement or update fall interventions, and failed to ensure adequate supervision and accident prevention measures. Specific residents had documented falls with injuries and the facility did not timely update care plans or implement safety interventions. Additionally, the facility failed to maintain complete and accurate clinical records regarding follow-up care after a resident's fall with injury.
Deficiencies (3)
Failure to review and revise care plans for residents at risk of falls (Residents 1, 3, and 5).
Failure to implement fall interventions and supervision to prevent accidents (Residents 3 and 5).
Failure to maintain complete and accurate clinical records describing care and follow-up after a fall with injury (Resident 5).
Report Facts
Facility census: 75
Fall risk score: 16
Fall risk score: 14
Fall risk score: 22
Pain level: 9
Incident review period: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed letter regarding complaint investigation |
| Edward Remm | Administrator | Facility administrator addressed in the report |
| DON (Director of Nursing) | Interviewed regarding fall investigations and care plan updates | |
| RN A | Registered Nurse | Interviewed regarding resident positioning and fall interventions |
| Charge Nurse Y | Interviewed regarding fall interventions and safety measures |
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 10
Date: Mar 22, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility fails to ensure residents are free from abuse and fails to ensure written investigations are completed in five working days.
Complaint Details
The complaint alleged the facility failed to ensure residents are free from abuse and failed to complete written investigations within five working days. The investigation included resident record reviews, observations, and interviews with residents, family, and staff.
Findings
The facility was found to be in compliance with abuse prevention and timely investigations. Observations showed positive staff interactions and adequate resident environment. Review of personnel files confirmed appropriate actions for negligent employees. Investigations were completed within required time frames.
Deficiencies (10)
Resident 2's MDS did not reflect current functional limitations of lower extremities.
Facility failed to update care plans with new interventions to address weight loss for Residents 33 and 89 and pressure ulcers for Resident 2.
Facility failed to initiate treatment to promote healing of a community acquired stage 2 pressure ulcer for Resident 2, resulting in wound deterioration.
Facility failed to provide ongoing assessment and nutritional supplements for Residents 33 and 66 experiencing weight loss and at nutritional risk.
Facility failed to ensure administration of medications via PEG tube were given separately for Resident 50.
Facility failed to ensure expired blood glucose supplies were not available for resident use for all diabetic residents.
Facility failed to provide 8 feet of clear width for exit corridors in 3 of 7 smoke compartments affecting 38 residents.
Facility failed to have the range hood suppression system inspected every six months.
Facility failed to label and segregate empty oxygen tanks from full ones in 3 of 3 oxygen storage rooms.
Facility failed to provide a remote manual stop for the emergency generator located outside the generator enclosure.
Report Facts
Facility census: 64
Resident 89 weight loss: 18.5
Resident 33 weight loss: 11
Pressure ulcer size: 1.9
Pressure ulcer size: 2.2
Corridor width: 7
Corridor width measured: 83.5
Expired saline bottle volume: 100
Medication doses: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Edward Remm | Administrator | Named in complaint letter and plan of correction |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed complaint investigation letter |
| Don Fritz | Assistant State Fire Marshal | Approved waiver requests and plans of correction for fire safety deficiencies |
| Maintenance Staff A | Confirmed generator remote manual stop deficiency | |
| Safety A | Confirmed corridor width and oxygen cylinder storage deficiencies | |
| LPN-A | Licensed Practical Nurse | Observed administering mixed medications via PEG tube |
| LPN-C | Unaware of blood glucose strip expiration requirements | |
| RN-B | Unaware of blood glucose strip expiration requirements | |
| RN-J | Registered Nurse | Reported discontinuation of nutritional supplement order for Resident 66 |
| DON | Director of Nursing | Provided multiple interviews regarding care plan and medication administration deficiencies |
| ADON | Assistant Director of Nursing | Provided multiple interviews regarding care plan and pressure ulcer deficiencies |
| DM | Dietary Manager | Confirmed nutritional interventions for Resident 89 |
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 0
Date: Mar 19, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Ridgewood Rehabilitation & Care Center from March 16, 2015 to March 19, 2015. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.
Complaint Details
The complaint alleged the facility failed to treat residents with respect and dignity, failed to meet nutritional needs, failed to implement or follow the plan of care, failed to provide a safe environment for residents at risk for elopement, and failed to provide appropriate positioning transfer. All allegations were found to have no violations after investigation.
Findings
The facility was found to be in compliance with respect to treating residents with respect and dignity, meeting nutritional needs, implementing the plan of care, providing a safe environment for residents at risk for elopement, and providing appropriate positioning and transfer services. No violations were identified related to these allegations. The facility census was consistently reported as 57 residents during the investigation.
Report Facts
Facility census: 57
Inspection Report
Annual Inspection
Census: 58
Deficiencies: 14
Date: Nov 6, 2012
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including housekeeping, maintenance, food sanitation, life safety, and fire safety codes.
Findings
The facility failed to maintain housekeeping and maintenance services, failed to provide an environment free of accident hazards, failed to maintain sanitary food preparation areas, and had multiple life safety code violations including smoke door separations, emergency lighting, sprinkler maintenance, fire safety training, means of egress obstructions, combustible decorations, flammable curtains, oxygen cylinder storage, and electrical wiring issues.
Deficiencies (14)
Failed to provide maintenance of three resident rooms with scratched and splintered doors and walls.
Failed to provide environment that minimizes accident hazards due to jagged fire door covering.
Failed to maintain sanitary conditions in kitchen including soiled freezer, dusty storage bins, and greasy ovens.
Failed to ensure smoke separation doors resist passage of smoke with gaps greater than 1/8 inch.
Failed to provide emergency lighting of required duration and illumination in dining room and exit discharge areas.
Failed to maintain sprinkler heads free of corrosion in Bath House.
Failed to train staff on kitchen hood fire suppression system and fire procedure.
Failed to maintain means of egress free of obstructions due to oxygen concentrator blocking exit.
Failed to verify decorations in corridors are flame retardant.
Failed to maintain facility free from highly flammable curtains and insulating window film without flame retardant rating.
Failed to restrain oxygen cylinders in storage room.
Failed to post 'oxygen in use' signage outside resident room where oxygen is used.
Failed to secure shut-off valve and label propane tank for emergency generator fuel supply.
Used power strips and electrical adaptors as permanent wiring in resident rooms and laundry.
Report Facts
Facility census: 58
Facility census: 38
Facility census: 22
Deficiency count: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Caldwell | Administrator | Named in relation to signature on report and plan of correction |
| Katharine Achor | Health Quality Review/LSC Specialist | Named in relation to certification and enforcement |
Inspection Report
Deficiencies: 0
Date: Oct 24, 2011
Visit Reason
The inspection was conducted to assess compliance with regulations related to long term care facilities and skilled nursing facilities, including fire protection and life safety codes.
Findings
The facility was found to be in compliance with applicable regulations for long term care and skilled nursing facilities, except for fire protection in one instance. The building appeared to provide a reasonable degree of fire and life safety at the time of inspection.
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 6
Date: Aug 3, 2010
Visit Reason
The inspection was conducted due to complaints regarding failure to report an elopement, failure to honor dietary choices related to religious preferences and food dislikes, failure to prevent pressure sores, failure to prevent urinary tract infections, and failure to maintain sanitary food service conditions.
Complaint Details
The visit was complaint-related due to allegations of failure to report an elopement, failure to honor dietary preferences, failure to prevent pressure sores, failure to prevent urinary tract infections, and failure to maintain sanitary food service. The complaint was substantiated as evidenced by the deficiencies cited.
Findings
The facility was found deficient in multiple areas including failure to report an elopement to appropriate state agencies, failure to honor residents' dietary choices, failure to prevent pressure sores, failure to prevent urinary tract infections, and failure to maintain sanitary food service and infection control practices. Corrective actions and plans of correction were provided for each deficiency.
Deficiencies (6)
Failed to report an elopement for one resident to the appropriate state agencies as required.
Failed to honor dietary choices related to religious preferences and food dislikes for two residents.
Failed to prevent pressure sores for residents and failed to implement interventions to facilitate wound healing and prevent recurrence.
Failed to prevent urinary tract infection by not ensuring proper pericare for a resident with an indwelling catheter.
Failed to maintain sanitary food service conditions related to infection control and food handling.
Failed to have a qualified Food Service Director on a full-time basis.
Report Facts
Facility census: 59
Sample size: 15
Non-sampled residents: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Caldwell | Administrator | Named in relation to plan of correction and interview regarding elopement reporting and dietary manager status. |
| Cook H | Mentioned in relation to dietary deficiencies and food preparation. | |
| Cook M | Mentioned in relation to dietary deficiencies and food preparation. | |
| Cook N | Mentioned in relation to dietary deficiencies and food preparation. | |
| Nursing Assistant A | Mentioned in relation to feeding a resident ham against dietary restrictions. | |
| Nursing Assistant G | Mentioned in relation to toileting care and cleansing a resident. | |
| Nursing Assistant B | Mentioned in relation to PROM exercises and hand washing observations. | |
| ADON | Assistant Director of Nursing | Interviewed regarding hand protection for resident. |
| LPN L | Interviewed regarding medication administration. | |
| Director of Nursing | Interviewed regarding resident positioning and dietary manager status. |
Document
Capacity: 87
Deficiencies: 0
Date: APP2016
Visit Reason
The document serves to provide licensing renewal information, occupancy permit details, and program guidelines for Ridgewood Rehabilitation & Care Center, including memory support household policies and room/service charges.
Findings
The document does not contain inspection findings but includes certification of licensure renewal, occupancy permit approval, detailed program descriptions for memory support care, and facility service rates.
Report Facts
Total licensed capacity: 87
Renewal fees: 1550
Renewal fees: 1750
Renewal fees: 1950
Memory Support Daily Rate: 10
Daily Room Rates - Standard Room: 157
Daily Room Rates - Deluxe Room: 161
Companion Room Rates - Standard Room: 164
Companion Room Rates - Deluxe Room: 168
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Caldwell | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Stacy Quakenbush | Director of Nursing, R.N. | Named on the Nursing Home Licensure Renewal Application. |
Notice
Capacity: 82
Deficiencies: 0
Date: APP2018
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Ridgewood Rehabilitation & Care Center through the date indicated on the renewal card.
Findings
The document confirms that Ridgewood Rehabilitation & Care Center meets statutory requirements for SNF/NF dual certification and is licensed through 3/31/2019. It includes facility ownership, capacity, and service information.
Report Facts
Total licensed capacity: 82
Maximum endorsed capacity: 22
Base Rate: 186
Staffing numbers: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Becker | Administrator | Named as facility administrator in renewal application. |
| Jeanne Schoen | Director of Nursing | Named as Director of Nursing in renewal application. |
| Peg Becker | Administrator | Named as Administrator in renewal application. |
| Jack D. Vetter | CEO and Chairman of the Board | Named as CEO and Chairman of the Board in ownership and signature sections. |
| Glenn Van Ekeren | President | Named as President in ownership information. |
| Julie Knobbe | Contact name for legal owning entity VSL Seward, LLC. |
Notice
Capacity: 82
Deficiencies: 0
Date: APP2019
Visit Reason
This document serves to verify that Ridgewood Rehabilitation & Care Center's SNF/NF dual certification license is renewed and valid through the date indicated on the renewal card. It includes ownership information and facility details.
Findings
The document confirms the facility meets statutory requirements for licensure as a skilled nursing facility/nursing facility with dual certification. It provides ownership, accreditation, and capacity details, but does not include inspection findings or deficiencies.
Report Facts
Total licensed beds: 82
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Becker | Administrator | Named in facility licensing information |
| Jeanne Schoen | Director of Nursing | Named in facility licensing information |
| Bo Botelho | Interim CEO, Interim Director of Public Health | Signed licensure verification |
Document
Capacity: 82
Deficiencies: 0
Date: APP2020
Visit Reason
The document includes a nursing home licensure renewal application and Alzheimer's Special Care Unit Disclosure for Ridgewood Rehabilitation & Care Center, along with related regulatory and licensing information.
Findings
The documents verify licensure renewal, describe the Alzheimer's Special Care Unit philosophy, admission and discharge criteria, staffing patterns, safety procedures, physical environment, life enrichment programs, family support, and fees for care at Ridgewood Rehabilitation & Care Center.
Report Facts
Total licensed capacity: 82
Maximum capacity for Alzheimer's beds: 22
Cost/Fees of care: 207
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jack D. Vetter | Authorized Representative | Signed the renewal application and Alzheimer's Special Care Unit Disclosure as authorized representative. |
| Ruth (Peg) Becker | Administrator | Named as Administrator of Ridgewood Rehabilitation & Care Center in the renewal application. |
| Joanne Schoen | Director of Nursing | Named as Director of Nursing in the renewal application. |
| Julie Knobbe | Contact for Alzheimer's Special Care Unit Disclosure | Named contact person for the Alzheimer's Special Care Unit Disclosure. |
| Gary J. Anthone, MD | Chief Medical Officer, Director, Division of Public Health | Named on the licensure certificate. |
Notice
Capacity: 82
Deficiencies: 0
Date: APP2021
Visit Reason
This document serves as a licensure renewal application and certification for Ridgewood Rehabilitation & Care Center, verifying that the facility meets statutory requirements for SNF/NF dual certification and includes renewal of licensure and Alzheimer's Special Care Unit endorsement.
Findings
The documents confirm the facility's licensure renewal status, certification for various therapies and special care units, and provide detailed information about ownership, capacity, and care philosophies for the Alzheimer's Special Care Unit.
Report Facts
Total licensed beds: 82
Maximum capacity for Alzheimer's beds: 22
Cost/Fees of care: 217
Cost/Fees of care: 228
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth (Peg) Becker | Administrator | Named as administrator in the Nursing Home Licensure Renewal Application. |
| Joanne Schoen | Director of Nursing, R.N. | Named as Director of Nursing in the Nursing Home Licensure Renewal Application. |
| Peg Becker | Administrator | Named as administrator in the Alzheimer's Special Care Unit Disclosure. |
| Julie Knobbe | Contact name | Named contact for Alzheimer's Special Care Unit Disclosure. |
| Jack D. Vetter | Chairman of the Board and CEO | Named as Chairman of the Board and CEO in corporate documents and signed the Alzheimer's Special Care Unit Disclosure. |
| Glenn Van Ekeren | President | Named as President in corporate documents. |
Document
Capacity: 82
Deficiencies: 0
Date: APP2022
Visit Reason
This document set serves as a licensure renewal application and certification for Ridgewood Rehabilitation & Care Center, including renewal of skilled nursing facility license, occupancy permit, and Alzheimer's Special Care Unit endorsement.
Findings
The documents certify that Ridgewood Rehabilitation & Care Center meets statutory requirements for licensure renewal as a skilled nursing facility with a total licensed capacity of 82 beds and includes special care services such as Alzheimer's and memory care. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 82
Maximum capacity for Alzheimer's beds: 22
Cost/Fees of care: 230
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Becker | Administrator | Named as Administrator on Nursing Home Licensure Renewal Application. |
| Joanne Schoen | Director of Nursing | Named as Director of Nursing on Nursing Home Licensure Renewal Application. |
| Brian Stuhr | Authorized Representative | Signed as authorized representative on Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure. |
| Jack D. Vetter | Chairman of the Board and CEO | Named as Chairman of the Board and CEO on Directors and Officers list. |
| Glenn Van Ekeren | President | Named as President on Directors and Officers list. |
Document
Capacity: 82
Deficiencies: 0
Date: APP2023
Visit Reason
The documents pertain to the renewal of the nursing home license for Ridgewood Rehabilitation & Care Center, including applications for Alzheimer’s Special Care Unit endorsement and occupancy permits.
Findings
No inspection findings or deficiencies are reported. The documents provide administrative and licensing information, facility capacity, and descriptions of the Memory Support Household program.
Report Facts
Total licensed beds: 82
Maximum capacity for Alzheimer’s beds: 22
Cost/Fees of care: 235
Cost/Fees of care: 246
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Schoen | Administrator | Named as Administrator on the Nursing Home Licensure Renewal Application (page 2) and Alzheimer’s Special Care Unit Disclosure Application (page 6). |
| Amanda Wassinger | Director of Nursing | Named as Director of Nursing on the Nursing Home Licensure Renewal Application (page 2). |
| Brian Stuhr | Named as contact person and authorized representative on multiple documents including the Nursing Home Licensure Renewal Application (page 2) and Alzheimer’s Special Care Unit Disclosure Application (pages 6 and 12). | |
| Glenn Van Ekeren | President | Named as President on the Board of Directors and Officers list for Vetter Senior Living & Related Disregarded LLC (page 3). |
| Jack D. Vetter | Chairman of the Board and CEO | Named as Chairman of the Board and CEO on the Board of Directors and Officers list for Vetter Senior Living & Related Disregarded LLC (page 3). |
| Eldora D. Vetter | Secretary | Named as Secretary on the Board of Directors and Officers list for Vetter Senior Living & Related Disregarded LLC (page 3). |
| Mark Manchester | Deputy State Fire Marshal | Named as inspector on the Nebraska State Fire Marshal Occupancy Permit (page 4). |
Notice
Capacity: 82
Deficiencies: 0
Date: APP2024
Visit Reason
The documents serve to verify the renewal of the SNF/NF dual certification license for Ridgewood Rehabilitation & Care Center, confirm occupancy permit details, and provide Alzheimer's special care unit disclosure and renewal application information.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal, specify the licensed bed capacity, and outline the Alzheimer's special care unit program philosophy, staffing, and environmental considerations.
Report Facts
Total licensed beds: 82
Maximum capacity for Alzheimer's beds: 22
Daily room rates: 240
Daily room rates: 251
Level I: Minimum Assistance rate: 35
Level VI: Total Assistance rate: 83
Memory Support Daily Rate: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Schoen | Administrator | Named in licensure renewal application and Alzheimer's special care unit disclosure. |
| Amanda Wassinger | Director of Nursing | Named in licensure renewal application. |
| Brian Stuhr | Contact name / Authorized representative | Named in licensure renewal application and Alzheimer's special care unit disclosure. |
Document
Capacity: 82
Deficiencies: 0
Date: APP2025
Visit Reason
The document set pertains to the renewal of the nursing home license for Ridgewood Rehabilitation & Care Center, including submission of renewal application forms and related certifications.
Findings
No inspection findings or deficiencies are reported in the documents. The materials focus on licensure renewal, facility capacity, ownership, and Alzheimer’s special care unit program details.
Report Facts
Total licensed beds: 82
Maximum capacity for Alzheimer's beds: 22
Renewal application date: Mar 13, 2025
Applicant signature date: Mar 23, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Schoen | Administrator | Named as the facility administrator on the Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure. |
| Brian Stuhr | Authorized Representative | Named as contact and authorized representative on the Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure. |
| Glenn Van Ekeren | President | Listed as President of Vetter Senior Living and related entities owning the facility. |
Report
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