Inspection visit
Health inspection
1 citation recorded
Inspector’s narrative
What the inspector wrote
This survey cited 1 deficiency, 1 of them serious (actual harm or immediate jeopardy). The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment,
and neglect by anybody.
Level of Harm - Actual harm
Residents Affected - Few
Based on interviews and record reviews, the facility failed to keep R4 free from abuse for one out of five
residents reviewed for abuse. This failure resulted in R4 sustaining abrasions to the face and right wrist. A
reasonable person would feel terrified and scared to be attacked by being punched and kicked while on the
floor.
Findings include:
On 04/03/2024 at 12:06 PM, R4 was alert and oriented to person, place, and date. R4 had a red mark near
the right eye, abrasions underneath the left eye, and a red mark to right wrist. R4 stated getting into an
altercation on Monday with another resident (R5). R4 was scared because the other resident was slamming
bedroom door loudly. The resident was running and cursing in the hall. R4 went to the nurses' station to ask
what was going on. R4 headed back towards the bedroom. R4 stated [resident] was using [resident's]
freedom of speech. I was scared with what was going on. So, I started using my freedom of speech. R4
stated the resident went into the bedroom and then all of a sudden came back out and started attacking R4
with punches. [Resident] just came out and started hitting me. I got a few scratches on my head and face.
R4 stated It was a vicious attack.
On 04/04/2024 at 10:58 AM, R10 stated The [resident] from across the hall was slamming the door real
hard and annoying people. That [R5] was on something. [R5] was mad at everybody. R10 stated R4 asked
R5 what was wrong and R5 got mad. R10 was waiting for the elevator to go downstairs when [R10]
overheard R4 and R5 arguing.
On 04/03/2024 at 12:22 PM, V8 (Activity Aide) stated the other resident involved in the altercation was R5.
V8 stated [R5] was already agitated and running around here. V8 stated [R4] came up here near the
nurses' station asking what's going on and why was [R5] agitated. I think [R4] got involved and started
saying stuff like 'I'm not scare of you.' V8 stated R5 went back to bedroom while R4 stayed standing in the
hallway. V8 stated Then [R5] came running out [R5's] room. I saw [R5] punching and kicking [R4]. [R5] had
history of aggressive behaviors and when [R5] gets worked up [R5] gets ready to fight. You got to put [R5]
on one-to-one when [R5's] agitated.
On 04/03/2024 at 2:52 PM, V12 (Housekeeping Director) stated R4 was standing by the elevators near
[R4's] room with arms crossed. R5 was standing close to R4. As V12 headed to the main entrance of the
building, V12 head screaming. I turned around and [R5] was attacking [R4]. [R4] was lying down on the
floor on [R4's] back. [R5] was standing over [R4] and punching. [R5] was also kicking [R4].
On 04/04/2024 at 10:11 AM, V15 (Certified Nurse Aide) stated R4 was on the floor and R5 was hitting and
punching R4. V15 stated [R5] was agitated. One thing about [R5] is if [R5] get angry, [R5] will
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 3
Event ID:
145832
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145832
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/05/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Ryze at the Ridge
6450 North Ridge Blvd
Chicago, IL 60626
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0600
Level of Harm - Actual harm
Residents Affected - Few
keep going back and forth. V15 stated R5 started getting agitated around 10:00 AM. R5 went to bedroom
and slammed the door. V15 stated I think it was like 30 minutes of [R5] going back and forth. R5 came to
the nurses' station and then a few minutes later, staff heard screaming. V15 stated when R5 gets agitated,
they involve social service and behavioral aides. They'll try to calm R5 down. V15 stated Monday that didn't
happen.
On 04/04/2024 at around 11:15 AM, V16 (Psychiatric Rehabilitation Services Director stated) stated when
residents are experiencing behaviors, staff usually call social services to talk to the residents. During the
morning of the altercation, V16 stated there were no social workers in the building. V16 did not arrive until
after the altercation between R4 and R5. V16 stated since there was no social worker in the building, the
staff should have attempted to talk and redirect R5. The staff should have had R5 on one-to-one
monitoring.
On 04/03/2024 at 12:39 PM, V10 (Restorative Aide) stated R5 has history of verbal aggression. When
[R5's] like that, we have to tell the nurse and have the male CNAs (Certified Nurse Aides) watch [R5]. Get
social service to deal with it and calm [R5] down. Sometimes might need one-to-one.
On 04/03/2024 at 12:18 PM, V7 (R5's assigned Nurse time of altercation) stated was not aware of R5's
behaviors until after the altercation.
On 04/04/2024 at 12:58 PM, V20 (Assistant Director of Nursing) stated if R5 is agitated, R5 needs
one-to-one monitoring. V20 stated if R5 was pacing or running down the hall, that was abnormal behavior
for [R5]. V20 stated staff should have intervened and assessed the situation to see why [R5] was pacing
and running down the hall.
R5's comprehensive care plan contains a focus that documents in part that R5 has the potential to be
physically and verbally aggressive (initiated 02/28/2024). One intervention documents in part:
Monitor/document/report [as needed] any [sign and symptoms] of resident posing danger to self and others
(initiated 02/28/2024).
V7's progress note about R4, dated 04/01/2024 10:00 AM, documents in part: Resident was in an alleged
physical altercation by co-peer without provocation in the hallway. Noted with some abrasions to the facial
area.
V7's progress note about R5, dated 04/01/2024 10:00 AM, documents in part: Resident physically attacked
co-resident without provocation in the hallway. Staff intervened immediately and separated residents.
Resident shouted that is what you get for talking.
R4's After Visit Summary papers from the hospital, dated 04/01/2024 1:23 PM, documents in part diagnosis
of Abrasion.
Facility presented a plan of correction education titled Behavioral Health: Behavioral Assessment,
Management, Documentation & Interventions at the end of January to the nurses, CNAs, activity staff, and
social service staff. Training went over early signs of agitation which included fidgeting, restlessness, and
pacing. Proactive approach included immediate interventions such as removing the resident from the
situation to a quiet location; providing one-to-one calming, reassurance, and allowance to vent frustration;
and increasing monitoring such as one-to-one or 15-minute safety checks. Slide six of the presentation
documents in part: However, based on the presence of resident-to-resident altercations, if the facility did not
evaluate the effectiveness of the interventions and staff did
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145832
If continuation sheet
Page 2 of 3
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145832
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/05/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Ryze at the Ridge
6450 North Ridge Blvd
Chicago, IL 60626
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0600
Level of Harm - Actual harm
not provide immediate interventions to assure the safety of residents, then the facility did not provide
sufficient protection to prevent resident-to-resident abuse. Redirection alone is not a sufficiently protective
response to a resident who will not be deterred from targeting other residents for abuse once he/she has
been redirected.
Residents Affected - Few
Facility's Abuse Policy and Prevention Program, dated 10/2022, documents in part: This facility affirms the
right of our residents to be free from abuse, neglect, exploitation, misappropriation of property, deprivation
of goods and services by staff or mistreatment. This facility therefore prohibits abuse, neglect, exploitation,
misappropriation of property, and mistreatment of residents.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145832
If continuation sheet
Page 3 of 3
Reading this as a family member? Your long-term care ombudsman is a free advocate for residents and families.
Back to topCitations
1 citation recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F600 - Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
FAQ · About this visit
Common questions about this visit
What happened during the April 5, 2024 survey of RYZE AT THE RIDGE?
This was a inspection survey of RYZE AT THE RIDGE on April 5, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at RYZE AT THE RIDGE on April 5, 2024?
Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect b..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.