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Liberty Ridge Health & Rehab Inspection Report, Violations & Safety Grade (LYNCHBURG, Virginia)

189 MONICA BLVD, LYNCHBURG, Virginia 24502

Phone: 4348472860

CMS Overall:4/5

Overview & Bed Count

Certified Beds
90
Avg Residents/Day
83.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Lynchburg City
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day0.470.71-0.24
Total Nurse Hours per Resident per Day3.423.88-0.46
CMS Staffing Rating2/52.5/5-
Nursing Staff Turnover39.0%47.5%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2024-06-05Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.G – Actual Harm
2024-06-05Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2024-06-05Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E – Moderate Harm Potential
2024-06-05Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-06-05Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-06-05Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2024-06-05Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2024-06-05Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-06-05Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.C – Minimal Harm Potential
2022-02-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2022-02-10Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2022-02-10Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2022-02-10Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-02-10Infection Control DeficienciesEnsure staff are vaccinated for COVID-19D – Moderate Harm Potential
2021-02-17Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2021-02-17Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2024-06-05Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2022-02-10Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2022-02-10Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2021-02-17Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2021-02-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2021-02-17Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential

Total Penalties & Fines

$10,033
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-06-05Fine$10,033-

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