Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Ridgeland Nursing Center Inc during CMS and state inspections, most recent first.
Surveyors found that food items in the kitchen's walk-in refrigerator, such as leftover meat, sausage links, orange juice, and cheese, were not labeled or dated, and prepared tea cups lacked proper lids. Additionally, meat patties were served at an unsafe temperature of 126°F before being reheated, with the Dietary Manager acknowledging the failure to meet required cooking standards.
A resident with severe cognitive impairment was unable to receive visitors after posted visiting hours due to facility restrictions and unanswered after-hours calls. A family member was denied re-entry after leaving briefly, and repeated attempts to contact staff via the posted phone number were unsuccessful. Staff interviews confirmed that the phone was not consistently answered after hours, and portable phones for resident use were often unavailable. These actions prevented the resident from receiving visitors and phone calls as desired.
Two residents were affected when bedside fall mats were found soiled with a dried brown substance and window blinds were observed to be bent and nonfunctional. Staff interviews revealed confusion over cleaning responsibilities, and the Administrator was unaware of the broken blinds, indicating a lack of consistent monitoring by maintenance.
Two residents were involved in a physical altercation, with one admitting to hitting the other after an accusation of theft. The incident was documented by an LPN and later confirmed by both residents in interviews. However, the DON did not report the event to the state survey agency as required by facility policy, nor were timely interviews conducted. This failure to report the abuse allegation had the potential to impact all residents.
The facility did not investigate an incident where two residents were involved in a physical altercation, despite both confirming the event and staff intervening. The facility's policy requires investigation of all alleged abuse, but the DON stated no investigation was conducted because abuse was not suspected.
Two residents who were transferred to the hospital did not receive the required written transfer notices, as confirmed by review of their electronic medical records and an interview with the Administrator, who stated the facility was not aware of the requirement to send such notices.
A resident with intellectual disabilities was administered continuous oxygen therapy at two liters per minute without an active physician order. Staff observations and interviews revealed that an LPN believed an order was in place, but had not recently verified it, while the NP confirmed the order had been discontinued and was unaware oxygen was still being given. The DON stated staff should check orders with each assessment, but the resident continued to receive oxygen therapy without a valid order.
A resident with intellectual disabilities was provided with bilateral side rails at family request without documented exploration of alternatives or assessment for entrapment risk. Staff interviews confirmed that alternatives were not considered and entrapment risk was not assessed prior to side rail use.
Two residents were not offered or administered the pneumococcal vaccine as required by facility policy, and there was no documentation of the vaccine being offered or refused. One resident with severe cognitive impairment and another who was cognitively intact both lacked evidence in their records of being offered or receiving the vaccine, despite their medical conditions indicating the need for immunization. The DON confirmed the absence of documentation and that the required process was not followed.
A facility failed to develop a comprehensive care plan for a resident with complex medical conditions, including anticoagulant therapy, leading to an incident where the resident sustained a bleeding injury. The MDS Coordinator was behind on care plans, and the facility lacked a process for revising them after interdisciplinary team meetings.
Improper Food Storage and Inadequate Cooking Temperatures Identified in Kitchen
Penalty
Summary
Surveyors observed multiple instances of improper food storage and handling in the facility's kitchen. During an inspection of the walk-in refrigerator, several food items, including leftover meat, sausage links, a pitcher of orange juice, and an opened package of cheese, were found without labels or dates. Additionally, prepared cups of tea did not have properly fitting lids, and the Dietary Manager (DM) was unable to account for the correct lids. The DM was unable to identify some of the unlabelled food items and acknowledged that the juice in the pitcher was not used for service, as the facility used a juice dispenser instead. Further observations revealed that food was not always cooked to the proper temperature before being served. The DM checked the temperature of meat patties being served and found them at 126°F, which is below the required safe temperature. Despite recognizing that the temperature was inadequate, the DM continued to serve some of the meat patties before reheating a portion to the correct temperature. Upon reheating, the patties reached 155°F but became dry and tough. The DM stated that the expected standard was to cook meat patties to 165°F with a holding temperature of 135°F.
Failure to Honor Resident Visitation Rights Due to Restricted Visiting Hours and Unanswered After-Hours Calls
Penalty
Summary
The facility failed to honor a resident's right to receive visitors of their choosing at any time, as required. A sign posted at the facility entrance restricted visiting hours to 7:00 AM to 7:00 PM, with re-entry after 7:00 PM only allowed with authorization via a listed phone number. Staff interviews confirmed this policy, and the receptionist stated she typically left before 5:00 PM, leaving after-hours calls to be answered by nursing staff. However, neither the Director of Nursing nor the Administrator had ever audited whether the phone was answered after hours, and both acknowledged that nursing staff were responsible for answering the phone but might be too busy to do so. A family member of a resident with severe cognitive impairment reported being denied re-entry after 7:00 PM despite attempting to call the posted number multiple times without success. Observations confirmed that the phone was not answered after hours and had no voicemail service. The family member also reported difficulty reaching the resident by phone during business hours, as calls were often not answered and portable phones were unavailable due to uncharged batteries. These actions and inactions resulted in the resident being unable to receive visitors or phone calls as desired, violating their rights and potentially affecting all residents in the facility.
Failure to Maintain Clean Equipment and Functional Room Furnishings
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable environment for residents by not ensuring that resident equipment and room furnishings were properly cleaned and maintained. Specifically, one resident's bedside fall mats were observed on multiple occasions to have a dried brown substance splattered on them. Interviews with housekeeping and CNA staff revealed confusion regarding responsibility for cleaning bedside equipment, with both groups indicating the other could be responsible. The Assistant Director of Nursing confirmed the mats were soiled and stated the expectation was for staff to clean spills immediately. The Director of Nursing indicated that housekeeping was responsible for cleaning the mats, but also expected staff to check and clean soiled equipment throughout their shifts. Additionally, another resident's window blinds were found to be bent and not in good working order during several observations. When the window was opened, the blinds flapped in the wind and could not be raised due to the bent slats, with the center of the blinds falling from the support. The Administrator was unaware of the issue and stated that maintenance was responsible for ensuring window blinds were in good working order, but acknowledged that she had not visually inspected the blinds or ensured consistent monitoring by maintenance staff. These deficiencies were identified through direct observation and staff interviews.
Failure to Timely Report Resident-to-Resident Abuse Incident
Penalty
Summary
The facility failed to report an allegation of resident-to-resident abuse involving two residents, as required by its Abuse Prevention Policy and Procedure. The policy mandates that any incident involving alleged mistreatment, neglect, exploitation, or abuse, including injuries of unknown source, must be immediately reported to the appropriate authorities, including the state survey agency. On the date in question, a nurse's note documented that one resident was "throwing punches" with another resident. Both residents later confirmed in interviews that a physical altercation occurred, with one resident stating he hit the other in the face after being accused of taking money. Staff intervened and separated the residents at the time of the incident. Despite the clear documentation and resident admissions of a physical altercation, the incident was not reported to the state survey agency as required. The Director of Nursing stated that abuse was not suspected and therefore the incident was not reported within the mandated two-hour timeframe. Additionally, the DON confirmed that interviews with the residents were not conducted within two hours of the incident, and the event was not entered into the facility's reportable logs. This failure to report had the potential to affect all residents receiving care in the facility.
Failure to Investigate Resident-to-Resident Abuse Allegation
Penalty
Summary
The facility failed to investigate an allegation of resident-to-resident abuse involving two residents. According to the facility's Abuse Prevention Policy and Procedure, any alleged mistreatment, neglect, or abuse must be documented and investigated, including gathering information about the incident, interviewing all pertinent parties, and maintaining records. However, a review of the records showed that after an altercation where one resident struck another in the face following an accusation of theft, there was no documented investigation into the incident as required by policy. Both residents involved had recent admissions and relevant diagnoses, with one being cognitively intact and the other moderately cognitively impaired. Interviews with both residents confirmed the physical altercation, and staff intervention was noted. Despite these facts, the DON stated that no investigation was conducted because abuse was not suspected, which was inconsistent with the facility's policy and procedures for handling such allegations.
Failure to Provide Required Written Transfer Notices for Hospital Transfers
Penalty
Summary
The facility failed to provide a written transfer notice containing all required information to two out of five residents, or their representatives, who were reviewed for hospital transfers. For one resident with intellectual disabilities and a BIMS score indicating cognitive intactness, there was no evidence in the electronic medical record (EMR) that a written notice of transfer was given after a facility-initiated hospital transfer. Similarly, for another resident with major depressive disorder and moderate cognitive impairment, the EMR did not show that a written notice of transfer was provided after two separate facility-initiated hospital transfers. Record reviews of the residents' admission records, quarterly Minimum Data Set (MDS) assessments, and various EMR tabs (Evaluations, Documents, Progress Notes) failed to reveal documentation of the required transfer notices. During an interview, the Administrator confirmed that the facility had not been sending out transfer notices when residents were discharged and stated unawareness of this requirement.
Oxygen Therapy Administered Without Active Physician Order
Penalty
Summary
The facility failed to ensure that a resident received safe and appropriate respiratory care by administering continuous oxygen therapy without an active physician's order. Record review showed that the resident was admitted with intellectual disabilities and had a care plan indicating continuous oxygen therapy. However, there was no current physician order for oxygen administration in the electronic medical record. Observations over several days confirmed that the resident was receiving oxygen at two liters per minute via nasal cannula. Interviews with staff revealed that an LPN believed there was an active order for continuous oxygen, but had not checked the order recently. The nurse practitioner confirmed that the order for oxygen had been discontinued and was unaware that the resident was still receiving oxygen. The DON stated that staff are expected to verify physician orders each time they assess a resident and to discontinue treatments when orders are discontinued. Despite these expectations, the resident continued to receive oxygen therapy without a valid order.
Failure to Assess Alternatives and Entrapment Risk Before Side Rail Use
Penalty
Summary
The facility failed to ensure that alternative measures were attempted prior to the installation of side rails and did not complete a proper assessment for the risk of entrapment for a resident with intellectual disabilities. Record review showed that the resident was admitted with intellectual disabilities and had a care plan intervention for bilateral side rails at the request of the family. However, there was no physician order for side rail use, and documentation did not show that alternatives to side rails were explored or that an entrapment risk assessment was completed. Observations confirmed that the resident was in bed with full side rails up on both sides. Interviews with the MDS Coordinator and the DON revealed that the facility was not exploring alternatives before using side rails and was not assessing for entrapment risk. The staff stated they were unaware of these requirements, and the only actions taken were a side rail assessment and obtaining signed consent, without considering or documenting alternative interventions or entrapment risk.
Failure to Offer and Document Pneumococcal Vaccinations
Penalty
Summary
The facility failed to ensure that residents were offered and received pneumococcal vaccinations as required by their own policy and current recommended practice guidelines. For one resident with severe cognitive impairment and multiple diagnoses, including metabolic encephalopathy, diabetes, and chronic kidney disease, records showed that the pneumococcal vaccine was not up to date and had not been offered. The resident's immunization record confirmed that neither the vaccine was administered nor the offer documented. For another resident, who was cognitively intact and had diagnoses including cerebral infarction and hemiplegia, the Minimum Data Set indicated the vaccine was up to date, but there was no supporting documentation in the immunization record to confirm administration or offer of the vaccine. During interviews, the DON confirmed that both residents had not received or been offered the pneumococcal vaccination prior to recent attempts to obtain consent or offer the vaccine. The DON also acknowledged the lack of evidence to support claims that the residents or their representatives had previously been offered the vaccination or had refused it. The facility's policy required that residents be offered the pneumococcal vaccination and that refusals be documented, but this was not done for the two residents reviewed.
Failure to Implement Comprehensive Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, who was admitted with multiple complex medical conditions, including acute duodenal ulcer with perforation, hypertension, and acute kidney disease with renal dialysis. The resident was assessed with a Brief Interview for Mental Status (BIMS) score indicating no cognitive impairment and required extended or total assistance for all activities of daily living (ADLs). Despite these needs, the care plan did not address the potential risk for accidents, skin condition, or increased bleeding related to the resident's anticoagulant therapy. The deficiency was further compounded by the facility's lack of a process for revising care plans after the interdisciplinary team identified a need for development or revision. The MDS Coordinator, who was solely responsible for care plan development and revisions, admitted to being behind on comprehensive care plans since January 2024. The facility had initiated a performance improvement plan and engaged a consulting agency to assist with training and education, but the care plans remained outdated, contributing to the incident where the resident sustained a bleeding injury requiring hospital treatment.
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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 Ridgeland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sprenger Healthcare Of Bluffton | 14.7 mi | — | 0 | 0 |
| Nhc Healthcare - Bluffton | 16.2 mi | — | 1 | 0 |
| Effingham Care & Rehabilitation Center | 18.9 mi | — | 5 | 0 |
| Resorts At Beaufort | 19.3 mi | — | 5 | 0 |
| Sprenger Health Care Of Port Royal | 19.5 mi | — | 1 | 1 |
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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.