Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ridgewood Center, Genesis Healthcare during CMS and state inspections, most recent first.
A facility failed to include focus, triggers, or interventions for PTSD in a resident's care plan, despite the diagnosis being documented in the MDS. This oversight was confirmed by the Unit Manager during an interview.
The facility failed to adhere to professional standards in medication administration and wound care for three residents. A resident reported frequent late insulin administration, confirmed by records showing significant delays. Another resident's records revealed multiple instances of late medication administration. Additionally, undated dressings and unclear documentation were observed for two residents, indicating a lack of proper wound care management.
A facility failed to ensure a resident attending dialysis received necessary medications and care. The resident's MAR showed missed doses of Calcium Acetate and Midodrine HCL on dialysis days, with no orders to hold these medications. The care plan lacked details on the dialysis access site and necessary interventions. Staff confirmed these deficiencies.
The facility failed to store food trays in a dry and sanitary condition, as observed when a Dietary Aide dried wet trays with a dish towel. The Dietary Manager confirmed the trays were stored wet the previous night, violating FDA Food Code standards for air-drying equipment and utensils.
A facility failed to maintain complete medical records for a resident who passed away. The nursing progress note only recorded the time of death and that two RNs pronounced it, omitting required documentation such as clinical criteria for death determination. The facility's policy mandates detailed documentation, including assessment findings and notifications, which was confirmed by the DON.
A facility failed to prevent bloodborne pathogen exposure by using one insulin pen for two residents on multiple occasions. An LPN administered insulin from a pen designated for one resident to another, violating manufacturer instructions and facility policy. This practice was not initially recognized by another LPN, leading to repeated use of the pen for the original resident.
Failure to Address PTSD in Resident's Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident diagnosed with Post Traumatic Stress Disorder (PTSD). During a review of the resident's medical records, it was noted that the diagnosis of PTSD was documented in the Admission Minimum Data Set (MDS). However, the resident's comprehensive care plan lacked any focus, triggers, or interventions related to PTSD. This deficiency was confirmed during an interview with the Unit Manager, who acknowledged the absence of these critical elements in the care plan.
Medication and Wound Care Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards of care in the administration of medications for three residents. Resident #73 reported frequent late administration of insulin, with records confirming multiple instances where insulin was administered significantly later than the scheduled time. This included delays of over three hours on several occasions, which were confirmed by the Director of Nursing. Resident #101 also expressed concerns about the timeliness of medication administration. A review of their medication records revealed numerous instances where insulin and other medications were administered well beyond the acceptable time frame. This included insulin being given several hours late and other medications being administered hours after the scheduled time, which was again confirmed by the Director of Nursing. Additionally, the facility failed to properly document and manage wound care for Resident #273 and Resident #101. Observations revealed undated dressings on Resident #273's knee and multiple undated dressings on Resident #101's leg. There was also a lack of clear documentation regarding the dressing orders for Resident #101, as confirmed by a registered nurse. These deficiencies indicate a failure to maintain professional standards in medication administration and wound care management.
Failure to Provide Appropriate Dialysis Care and Medication Administration
Penalty
Summary
The facility failed to provide appropriate dialysis care and medication administration for a resident who attends dialysis three times a week. The resident was not administered physician-ordered medications, Calcium Acetate and Midodrine HCL, on specific dates when they were away for dialysis, as indicated by the Medication Administration Record (MAR) entries marked as 'AW' (away from center). There were no documented orders to hold these medications on dialysis days. Additionally, the resident's care plan did not specify the type of dialysis access site or include interventions to care for and monitor the access site. Interviews with staff confirmed the absence of necessary orders and care plan details, leading to the deficiency in care for the resident requiring dialysis services.
Improper Storage of Food Trays in Kitchen
Penalty
Summary
The facility failed to ensure that food trays were stored in a dry and sanitary condition in the main kitchen, as required by the U.S. FDA Food Code. During an observation, it was noted that Staff J, a Dietary Aide, picked up trays that were stored wet in a large stack and proceeded to dry each tray with a dish towel. This action was contrary to the FDA Food Code, which mandates that equipment and utensils must be air-dried or adequately drained before coming into contact with food and should not be cloth dried unless they have been air-dried first. An interview with Staff L, the Dietary Manager, confirmed the findings and revealed that the trays had been stored wet the previous night. The FDA Food Code specifies that cleaned equipment and utensils should be stored in a clean, dry location, not exposed to splash, dust, or other contamination, and should be stored in a self-draining position that allows air drying. The facility's failure to adhere to these standards resulted in the deficiency noted by the surveyors.
Incomplete Documentation of Resident Death
Penalty
Summary
The facility failed to maintain complete medical records for a resident who passed away, as evidenced by the review of the nursing progress note. The note, dated January 4, 2025, indicated the time of death and that two RNs pronounced the death, but lacked further required documentation. According to the facility's policy on pronouncement of patient death, effective May 1, 2023, the RN is required to document specific clinical criteria for determining and pronouncing death. This includes a description of the discovery of the patient, any treatment undertaken, findings from assessment such as absence of pulse and respirations, fixed pupils, and lack of response to stimuli, as well as the date and time of death, individuals notified, and results of any communications. An interview with the Director of Nursing confirmed the expectation that all clinical signs of death should be documented in the medical record.
Improper Use of Insulin Pen for Multiple Residents
Penalty
Summary
The facility failed to ensure residents were free from exposure to bloodborne pathogen transmission when staff used one insulin pen to administer insulin to two residents on multiple days. Specifically, a Licensed Practical Nurse (LPN) used a Lantus insulin pen designated for one resident to administer insulin to another resident on two consecutive days. This pen was then returned to the medication cart and subsequently used again for the original resident without the knowledge of another LPN, who was unaware of the pen's prior use for a different resident. The facility's records confirmed that both residents had active physician's orders for Lantus insulin, which was administered according to the schedule. However, the use of a single insulin pen for multiple residents contravened the manufacturer's instructions, the facility's pharmacy policy, and the Centers for Disease Control and Prevention (CDC) guidelines, all of which emphasize that insulin pens are for single-patient use only to prevent the risk of bloodborne pathogen transmission.
Removal Plan
- QA meeting was conducted
- The provider evaluated Resident #1 and Resident #2 and ordered Hepatitis panel and HIV blood tests and a retest for the hepatitis panel and HIV blood test was ordered
- Facility-wide audit of all residents insulin availability was conducted
- Education and competencies of facility's medication availability protocol, facility's insulin pen policy, and CDC's injection safety were conducted
- Insulin inventory sheet was created and initiated
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bedford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bedford Hills Center | 0.3 mi | — | 0 | 0 |
| Bedford Nursing & Rehabilitation Center | 1.2 mi | — | 7 | 1 |
| Maple Leaf Health Care Center | 2.8 mi | — | 2 | 0 |
| Mount Carmel Rehabilitation And Nursing Center | 3 mi | — | 0 | 0 |
| Hanover Hill Health Care Center | 3.1 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.