Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at West Ridge Specialty Care during CMS and state inspections, most recent first.
A deficiency was cited for failure to provide restorative nursing programs as care planned for three residents with mobility limitations, contractures, and cognitive or communication deficits. Therapy and care plans specified RNPs several times per week, including PROM, LE strengthening, standing in parallel bars with a gait belt, use of an omnicycle, knee brace application with skin checks, and trunk flexion exercises, but residents reported not receiving these programs and electronic documentation showed minimal or no entries beyond a single refusal. The restorative RN acknowledged that restorative programs had not been done for about a month after the restorative aide left, and multiple CNAs and the DON reported that restorative aides were routinely pulled to work on the floor, that staffing had worsened, and that restorative and bathing care were not occurring as planned. No facility policy on restorative services was provided when requested.
The facility failed to provide and document scheduled showers and baths for multiple residents who required staff assistance with ADLs, despite care plans and policies requiring such hygiene care. Cognitively intact and cognitively impaired residents with significant medical conditions, including arthritis, fractures, heart failure, renal disease, dementia, and mobility limitations, were scheduled for one or two showers or baths per week, yet electronic records showed repeated missed bathing episodes over several months without documentation of refusals or reasons. Several residents reported not receiving showers as scheduled, while multiple CNAs, a CMA, an RN, and the DON acknowledged that staffing shortages, loss of a second full‑time bath aide, lack of a dedicated bath aide on certain halls, and frequent pulling of bath and restorative aides to floor assignments resulted in residents on specific halls often receiving only one shower per week and in restorative and bathing services not occurring as planned.
A resident dependent on staff for toileting and hygiene was repeatedly left in saturated briefs and bedding for extended periods, as confirmed by multiple staff members. Staff reported that a CNA failed to complete required rounds, resulting in several residents being left wet and in soiled conditions. Despite grievances and staff reports, facility leadership did not consistently follow up or document investigations into these incidents, leading to a failure to uphold resident dignity and timely care.
A resident with multiple health conditions reported that a CNA swore at her, but the facility failed to report the suspected abuse to the state agency within the required two-hour timeframe. Despite the incident being reported to the DON later that morning, the administrative team only became aware of it the next day, indicating a delay in communication and reporting.
Failure to Provide Planned Restorative Nursing Programs Due to Staffing and Implementation Gaps
Penalty
Summary
The deficiency involves the facility’s failure to provide restorative nursing programs as care planned for three residents, resulting in a lack of implementation of ordered restorative interventions over an extended period. For one resident with intact cognition, a history of right femur fracture, limited lower extremity range of motion, and wheelchair use, therapy disciplines (OT and PT) recommended a restorative nursing program (RNP) 2–7 times per week. The recommended program included static standing in parallel bars, use of a left knee brace with skin checks, specific wheelchair leg rest positioning, seated lower extremity strengthening and reaching activities, and later additions such as use of an omnicycle, PROM to both knees, standing tolerance in parallel bars with a gait belt, and trunk flexion exercises. The resident’s care plan was revised to reflect these interventions 2–6 days per week for up to 15 minutes as tolerated. However, the resident reported not receiving restorative programs for at least two weeks, and documentation showed that the RNP had previously been marked as “resolved” and then re‑recommended, with no evidence that the newly care‑planned interventions were being consistently carried out. Another cognitively intact resident with limited upper extremity range of motion, muscle weakness, lack of coordination, reduced mobility, a history of falls, and wheelchair use was care planned for a restorative PROM program. The care plan specified use of an omnicycle for both lower extremities, PROM to the left knee and ankle, and general lower extremity exercises with a three‑pound weight on the right leg for up to 15 minutes, 2–6 days per week as tolerated. A restorative monthly review documented that this resident participated in the restorative program “as offered most days” and that goals to maintain strength and range of motion were ongoing. However, point‑of‑care documentation for the 30‑day lookback period showed “not applicable” for one date and lacked other restorative documentation, and the resident reported not having received restorative programs recently. A third resident with severe cognitive impairment, non‑Alzheimer’s dementia, arthritis, left shoulder pain, muscle weakness, a history of falls, and wheelchair dependence (requiring staff for all motion except eating) was identified on the MDS as participating in at least 15 minutes of active range of motion through a restorative program. The care plan called for an RNP to maintain strength and transfer ability and directed staff to document refusals. A restorative monthly summary stated the resident participated with encouragement and that the program continued with the current plan of care. The April documentation survey report instructed staff to complete forward leans using a basketball hoop for 3 sets of 10 repetitions, 2–6 times per week, with a Monday/Thursday schedule. The only documented entry showed a refusal on one date, with no other restorative documentation and no nursing progress notes reflecting additional refusals. Staff interviews further established that restorative programs were not being provided as planned. The restorative RN reported coordinating restorative programs for approximately 26 residents and acknowledged that restorative programs had not been done for about a month, noting that the facility’s restorative aide had left and that participation was to be documented in the EMR under point‑of‑care tasks. Multiple CNAs stated that restorative aides were routinely pulled from restorative duties to work on the floor, that staffing had worsened since early in the year, and that they themselves had not been completing restorative programs. They also reported that residents had complained about not receiving restorative services. The DON acknowledged ongoing staffing challenges, confirmed that the restorative aide left after being pulled to the floor as a CNA, and stated that staffing issues caused problems with residents receiving restorative programs, bathing, and restorative services. When surveyors requested a policy regarding restorative services, the facility did not provide one.
Failure to Provide and Document Scheduled Showers and Baths Due to Staffing Shortages
Penalty
Summary
The deficiency involves the facility’s failure to provide scheduled showers and baths, and to document refusals or reasons for missed care, for multiple dependent residents requiring assistance with activities of daily living (ADLs). The facility’s own ADL Support policy from March 2018 required that appropriate care and services, including hygiene and bathing, be provided in accordance with each resident’s care plan. For several residents, care plans specified staff assistance with bathing and set schedules for showers or baths, yet electronic documentation and staff and resident interviews showed that these scheduled services were not consistently provided or offered, and that missed showers were often not explained in the record. One cognitively intact resident who used a motorized wheelchair and required maximum assistance for bathing was care planned for showers twice weekly on Tuesdays and Fridays. Monthly reports showed that while all scheduled showers occurred in January, there were missed showers in February, March, and April without documentation explaining why they did not occur. This resident reported not receiving a scheduled shower on a recent Friday and stated that no one came to provide it. Another cognitively intact resident with a right femur fracture, limited lower extremity range of motion, and moderate assistance needs for bathing was also scheduled for twice-weekly showers on Tuesdays and Fridays. Documentation showed multiple missed showers in February, March, and April, with only some refusals recorded and no explanation for other missed showers. This resident stated he was supposed to receive two showers per week, felt he needed them, and reported only refusing a shower once when he had already received one the previous day. Additional residents with varying levels of cognitive impairment and extensive medical conditions, including anemia, heart failure, renal failure, Parkinson’s disease, dementia, diabetes, arthritis, and a history of falls, were also affected. One resident dependent on staff for personal hygiene and care planned as an assist of one for bathing had a bath schedule of Fridays and Sundays, but documentation showed a 10‑day gap with no recorded baths or refusals. Another severely cognitively impaired resident, reliant on staff for bathing and participating in restorative range-of-motion exercises, had a Monday/Thursday bath schedule with multiple multi‑day gaps in January, February, and March where no baths or refusals were documented. A further resident, cognitively intact but dependent on staff for bathing and with multiple cardiac and vascular diagnoses, had a Tuesday/Friday bath schedule with several multi‑day periods in January, March, and into April where no baths or refusals were recorded. Staff interviews consistently linked these missed or undocumented showers and baths to staffing shortages and the lack of a dedicated bath aide for certain halls. Multiple CNAs and a CMA acknowledged that some residents did not receive or were not offered showers as scheduled, particularly on the 300 and 400 halls, and that residents on those halls often received only one shower per week. Staff reported that there was only one full‑time bath aide after early December, that the second bath aide position remained unfilled despite attempts to use facility or agency staff, and that there was no extra staff on weekends to catch up on missed showers. Several staff members, including CNAs and an RN, stated that bath aides and restorative aides were routinely pulled to work the floor when staffing was low, resulting in bathing and restorative care not occurring as planned. The DON acknowledged ongoing staffing challenges and stated that these issues caused problems with residents receiving showers and restorative services as scheduled, despite her expectation that staff follow the care plans.
Failure to Provide Timely Incontinence Care and Maintain Resident Dignity
Penalty
Summary
The facility failed to protect a resident's right to a dignified existence by not providing timely perineal care after episodes of incontinence. Clinical record review showed that a resident with hemiplegia, anxiety, and depression was frequently incontinent and dependent on staff for toileting hygiene. The resident was found on multiple occasions in saturated briefs and bedding, with staff documentation indicating that the resident remained in soiled conditions for extended periods. Staff interviews confirmed that this was not an isolated incident, as several staff members reported that residents assigned to a particular CNA were often left wet and required complete bed changes at shift change. Multiple staff, including CNAs, an RN, and an LPN, reported ongoing issues with the same CNA failing to complete rounds and change residents as required, resulting in residents being left in soiled briefs and bedding. Staff described finding residents with dark, wet briefs and bed pads with urine rings, and noted that rooms had persistent odors. Staff also reported that grievances had been filed regarding this CNA's conduct, and that the issue had persisted for over a year, with some staff escalating concerns to charge nurses and the DON. Despite these reports and grievances, facility leadership, including the Administrator and DON, were either unaware of recent grievances or had not followed up on them. Documentation of follow-up to grievances was lacking, and there was no evidence that audits or investigations were consistently conducted in response to staff concerns. The facility's own policy required prompt response to toileting needs and care that promoted dignity, but this was not consistently provided to the resident in question or to other residents affected by the same staff member.
Failure to Timely Report Suspected Abuse
Penalty
Summary
The facility failed to report suspected abuse to the proper state agency within the required two-hour timeframe. On the early morning of July 24, 2024, a resident with intact cognition and multiple health conditions, including anemia, coronary artery disease, heart failure, renal failure, diabetes mellitus, thyroid disorder, and chronic obstructive pulmonary disease, reported that a Certified Nurse Aide (CNA) swore at her. The resident required assistance with activities of daily living and had fallen during the shift, requiring help to get up. Despite the incident being reported to the Director of Nursing (DON) later that morning, the facility did not notify the state agency until 10:58 am, missing the two-hour reporting window. Staff B, another CNA, confirmed hearing Staff A curse at the resident but did not report the incident to the charge nurse. The administrative team only became aware of the situation the following morning, indicating a delay in communication and reporting. The facility's past non-compliance checklist noted a failure to investigate and report verbal abuse timely, and an in-service education form directed staff to report all allegations of abuse immediately to the charge nurse. The DON emphasized that staff should report any situations they are unsure about regarding abuse.
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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 Knoxville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Accura Healthcare Of Knoxville, Llc | 1.5 mi | ★★★★★ | 10 | 1 |
| Accura Healthcare Of Pleasantville, Llc | 9.9 mi | ★★★★★ | 1 | 0 |
| The Cottages | 12.9 mi | ★★★★★ | 15 | 0 |
| Chariton Specialty Care | 21.9 mi | ★★★★★ | 3 | 0 |
| Good Samaritan - Indianola | 23.2 mi | ★★★★★ | 20 | 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 July 2026) and official state health department websites.