Inspection Reports for
Rocky Ridge Manor

Complaint #2713651 involved an allegation by Resident #1 that Restorative Nurse Aide E asked the resident to suck his/her breast and play with him/her. The facility failed to report this allegation to the state within two hours and did not conduct a full investigation. The accused staff was not suspended and continued to work. The Administrator acknowledged the allegation should have been reported and investigated.

The facility failed to report allegations of possible abuse immediately to the Administrator and within two hours to the state licensing agency. Additionally, the facility did not complete a full and documented investigation of the abuse allegation, and the accused staff member was not suspended pending investigation.

The complaint involved Resident #1 who was denied smoke breaks by the Social Services Director (SSD) as a form of punishment despite not having a guardian's permission. The resident also alleged abuse by staff, including verbal and physical abuse, which was not reported to the state licensing agency in a timely manner. The facility failed to fully investigate these allegations and did not suspend accused staff pending investigation.

The facility failed to ensure residents were treated with dignity when a staff member withheld a resident's smoke breaks improperly. Additionally, the facility failed to timely report and fully investigate two allegations of abuse involving the same resident, including failure to notify the state licensing agency and incomplete investigations.

The complaint investigation focused on Resident #1's sexually abusive behaviors towards Residents #2, #3, and #4. The facility failed to implement new care plans or interventions to prevent further abuse and failed to report multiple abuse allegations to the State Survey Agency within the required two-hour timeframe.

The facility failed to protect residents from sexual abuse by Resident #1, who exhibited sexually inappropriate behaviors towards multiple residents. Staff failed to implement new interventions or care plans to prevent further abuse. Additionally, the facility failed to timely report multiple allegations of abuse to the State Survey Agency as required.

The facility had multiple deficiencies including failure to accommodate resident needs for call light placement, incomplete PASARR screening, failure to update care plans for hospice services, inadequate assistance with activities of daily living, insufficient meaningful activities programming, improper catheter and wound care infection control practices, delayed pain management, lack of trauma-informed care for a resident with PTSD, incomplete nurse aide competency evaluations, and failure to maintain a clean and safe environment.

The complaint involved an allegation that CNA J restrained and was rough with Resident #1 on 12/08/23. The allegation was reported late by Dietary Aide G on 12/09/23. The facility delayed reporting to the state survey agency until 12/09/23 evening. The investigation included interviews with multiple staff and confirmed delayed reporting and failure to immediately protect residents during the investigation.

The facility failed to report an allegation of abuse immediately to administration and within two hours to the state survey agency. The investigation revealed that staff delayed reporting the abuse, and the alleged perpetrator was suspended pending investigation. The facility policies require immediate reporting and suspension of employees alleged to commit abuse.

The facility was found deficient in multiple areas including failure to provide Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) at Medicare discharge, inconsistent documentation and inclusion of resident code status in care plans, lack of physician orders and cleaning protocols for BIPAP machines, failure to complete timely side rail assessments and obtain physician orders, and failure to provide pneumococcal vaccines and obtain proper consents for influenza vaccines.