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Inspection visit

complaint

RIDGES AT HEALDSBURG, THELicense 4968037511 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

...Continued from 9099 Additionally, facility is under Stipulation and Order and Waiver (Stip) as of 6/30/22. As a requirement of the Stipulation and Waiver; and Order dated July 18, 2022, page four (4), line items 26-27 and page five (5), line items 1-5, each Memory Care unit and Assisted Living unit will be staffed independently such that the units do not share direct care staff. The medication tech will not be a direct care staff but may provide support/backup when not distributing medication…and staff breaks and lunch shall be staggered so there is adequate staff coverage. LPAs review of staffing schedule for 5/6/25 shows that there are two (2) direct care staff scheduled for day shift for MC1, with one Med Tech present. However, both the Med Tech and one of the direct care staff are scheduled to take lunch at the same time, 10:00am, leaving only one direct care staff on duty during the lunch break. LPA review of staffing schedule for 5/6/25 shows that there is one (1) direct care staff scheduled for day shift for MC2, with one Med Tech present. However, both the Med Tech and the one (1) direct care staff are scheduled to take lunch at the same time, 10:30am. During investigation, LPAs reviewed resident roster indicating which residents require a two-person assist. Review of roster indicates there are three (3) residents (R1, R2, and R3) in MC1 that require a two-person assist and one (1) resident (R4) in MC2 that requires a two-person assist. So, based on the care needs of residents, facility is found to be out of compliance with the Stip. Based on LPAs’ record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-9099D, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to Administrator Rodriguez. Signature on form confirms receipt of documents.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87219(f)Type B

    In facilities licensed for fifty (50) persons or more, one staff member shall have full-time responsibility to organize, conduct and evaluate planned activities, and shall be given such staff assistance as necessary in order... This requirement not met by licensee as evidenced by: Based on LPAs review of Monthly Quality Assurance Audit per stipulation dated 1/31/2025 & 2/26/2025, Licensee did not create a monthly activity calendar for Memory Care, which poses an potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger... This requirement not met by licensee as evidenced by: Based on LPAs review of Monthly Quality Assurance Audit per stipulation dated 5/2/2025 in Dementia Care, scissors were stored on the outside of the medicine care in Memory Care building two (2) which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(i)Type B

    Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor...established procedures or which are otherwise to be disposed of shall be destroyed ...This requirement not met by licensee as evidenced by: Based on LPAs review of Monthly Quality Assurance Audit per stipulation dated 5/1/2025, Licensee did not ensure discontinued medications were destroyed, which poses an potential health, safety or personal rights risk to persons in care.

  • 87555(b)(23)Type B

    All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food...shall be stored in covered containers at appropriate temperatures. This requirement not met by licensee as evidenced by: Based on LPAs review of Monthly Quality Assurance Audit per stipulation dated 2/27/2025, food products were not covered or marked with an expiration date, which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.269(a)(6)Type A

    Enumerated rights... a)Residents...shall have all of the following rights:(6) To care, supervision, and services that meet their individual needs...delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met by licensee as evidenced by: Based on LPA and Admin record review, the licensee did not comply with the section cited above in that staffing in MC1 and MC2 is not sufficient per resident care needs requiring a two person assist, which poses a immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 6, 2025 inspection of RIDGES AT HEALDSBURG, THE?

This was a complaint inspection of RIDGES AT HEALDSBURG, THE on May 6, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to RIDGES AT HEALDSBURG, THE on May 6, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "In facilities licensed for fifty (50) persons or more, one staff member shall have full-time responsibility to organize,..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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