Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 River Landing At Sandy Ridge during CMS and state inspections, most recent first.
A resident with Alzheimer’s disease, a fractured femur, and severe cognitive impairment required substantial assistance with toileting and personal hygiene. During observed perineal care after the resident had urinated and had a bowel movement, a nurse aide wiped the anal area multiple times without changing to a clean area of the wipe and then wiped from the anal area toward the vaginal area, contrary to facility training and standard practice. In interviews, the aide reported knowing the correct technique of cleaning the vaginal area first and then the anal area, front to back, with a clean surface for each wipe, but stated that difficulty seeing, nervousness, and rushing contributed to the improper technique. The nurse mentor and DON confirmed that proper perineal care, as taught in annual education and skills fairs, is intended as an infection control measure to help prevent UTIs.
A nurse failed to follow the facility’s and manufacturer’s instructions for disinfecting an individually assigned glucometer after a FSBS check. Instead of keeping the device visibly wet with an approved disinfectant for the required two-minute contact time and allowing it to air-dry before storage, the nurse wiped it once and immediately placed the still-wet glucometer into a clear plastic bag in the med cart. A unit supervisor initially stated that glucometers were only cleaned when visibly soiled with blood and expressed no concern with this practice, despite the written protocol requiring cleaning after every use with full contact time and air-drying. Leadership later confirmed that staff were educated at orientation and annual skills fairs to clean glucometers after each use, maintain proper wet contact time, and allow them to dry in open air, but there was no system in place to ensure the required two-minute contact time was consistently met.
A medication cart on the 100 hall was found unlocked and unattended, with staff and residents nearby. Nurse #1 noted issues with the keypad lock, but confirmed the cart could be secured manually. Nurse #2 stated the mechanical lock was used instead of the keypad. The DON acknowledged the keypad issues on the 100 and 300 Hall carts, expecting nurses to manually lock them.
Improper Perineal Care Technique During Assisted Toileting
Penalty
Summary
A deficiency occurred when a nurse aide provided perineal care that did not follow infection control standards for wiping direction and use of clean surfaces. The resident involved had a fractured left femur, Alzheimer's disease, and was severely cognitively impaired per a recent MDS, requiring substantial to maximum assistance with toileting hygiene and setup/cleanup assistance with personal hygiene. Her care plan identified an ADL self-care deficit with an intervention for assistance with toileting and dressing as needed. During an observed toileting episode after urination and a bowel movement, the aide first wiped the resident’s anal area with a disposable wipe in an upward motion toward the back, then continued to wipe the anal area three times in an up-and-down motion without turning to a clean area of the wipe after each pass. The aide then changed gloves, moved in front of the resident, and performed perineal care to the vaginal area by reaching between the resident’s legs and wiping from the anal area toward the vaginal area, repeating this motion with a clean area of the same wipe from the anal area forward toward the vaginal area. In subsequent interviews, the aide stated she was familiar with the resident’s toileting needs, acknowledged that usual perineal care practice was to clean the vaginal area first and then the anal area using a clean side of the wipe each time, and stated she knew not to wipe from the anal area toward the vaginal area. She attributed her actions during the observation to difficulty seeing due to the resident’s leaning position, nervousness, and rushing. The nurse mentor and DON both confirmed that facility training and standard practice were to wipe the vaginal area front to back, then the anal area front to back, using a clean surface of the cloth for each wipe, and that proper perineal care was considered an infection control measure to help prevent urinary tract infections.
Failure to Follow Glucometer Disinfection Protocol and Contact Time Requirements
Penalty
Summary
The deficiency involves the facility’s failure to implement its infection prevention and control program and follow manufacturer instructions and facility policy for disinfecting a blood glucose meter (glucometer). The facility’s written Glucometer Cleaning Protocol stated that glucometers were assigned to individual residents, were not to be shared, and were to be cleaned and sanitized after each use. The protocol required use of an approved disinfectant wipe after each use, wiping all surfaces (top, bottom, and sides), following a two-minute contact time, and allowing the glucometer to air-dry before placing it in a clean area away from contamination. Manufacturer instructions similarly required use of an EPA-registered disinfectant or germicidal wipe, adherence to the product label instructions for proper cleaning time, and ensuring the meter was completely dry before testing a resident’s glucose level. The disinfecting wipe instructions specified a two-step process (preclean and then disinfect) and that the surface remain visibly wet for two minutes. During a continuous observation of a finger stick blood sugar (FSBS) procedure, a nurse was seen returning to the medication cart after testing, wiping the glucometer once with an approved disinfecting wipe, discarding the wipe, and immediately placing the still-wet glucometer into a clear plastic storage bag, which was then placed in the medication cart. Timing of the process showed that the disinfectant solution did not remain on the glucometer for the required two-minute contact time, and the glucometer surface was not dry when it was placed in the plastic bag. The nurse reported that her usual process was to wipe the glucometer with a disinfectant wipe, immediately place it into a plastic storage bag, and put the open bag in the medication cart to air-dry, stating she would return later to seal the bag. She explained she did not like to leave glucometers on top of the medication cart because they should be locked inside the cart. Interviews with supervisory staff revealed inconsistent understanding and implementation of the facility’s protocol. The House Mentor for the unit initially stated that glucometers were only cleaned when visibly soiled with blood and that staff were trained to clean glucometers only when visibly soiled because each resident had an individually assigned glucometer; she expressed no concern with the observed nurse’s cleaning and storage method and did not mention the two-minute contact time or the need for air-drying before bagging. When later providing the written protocol, the House Mentor pointed to the section stating glucometers were to be cleaned after every use, not only when visibly soiled. Other leadership staff stated that nurses received education at hire and during annual skills fairs on wiping glucometers so they were visibly wet and allowing appropriate dry time in open air before placing them in plastic bags, and that the observed nurse should have followed this process. It was also noted that the facility did not have a process in place to measure or ensure the two-minute contact time for the disinfectant.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to secure resident medications in an unattended medication cart on the 100 hall. During a continuous observation, the medication cart was found unlocked with the locking mechanism in the unlocked position. Staff and residents were present near the cart at the time. Nurse #1 explained that the keypad lock sometimes did not engage, but the cart could be locked manually by pushing the center locking mechanism. Nurse #2 confirmed that the keypad was not necessary for securing the cart, as the mechanical lock was used. The Director of Nursing (DON) revealed that the keypads on the 100 and 300 Hall medication carts were non-functional, and the pharmacy had been notified. It was expected that nurses manually engage the mechanical lock to secure the carts.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 225 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Colfax
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Summerstone Health And Rehabilitation Center | 5.7 mi | ★★★★★ | 7 | 0 |
| North Carolina State Veterans Home Kernersville | 5.7 mi | ★★★★★ | 0 | 0 |
| Piney Grove Nursing And Rehabilitation Center | 5.9 mi | ★★★★★ | 1 | 0 |
| Maryfield Nursing Home | 6 mi | ★★★★★ | 1 | 0 |
| The Shannon Gray Rehabilitation & Recovery Center | 6.3 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for River Landing At Sandy Ridge.
100% money-back within 48 hours.
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.