Above 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 Cedar Ridge Inn during CMS and state inspections, most recent first.
A resident with a history of cerebral infarction, dementia, and glaucoma did not receive ordered Dorzolamide HCI-Timolol Maleate eye drops after an LPN accidentally discontinued the medication in the system without a physician’s order. The MAR showed the drops were not administered because no active order was available, and nursing documentation later confirmed the facility had discontinued the eye drops without provider authorization. In interviews, the administrator and DON acknowledged that the medication had been stopped in error and that there was no physician order to discontinue it.
A resident with COPD, acute respiratory failure, pulmonary fibrosis, and recent hospitalization for UTI and sepsis returned from the hospital on palliative care with an order for continuous O2 at 2 L/min via nasal cannula. After arrival, staff removed the ambulance’s portable O2 and attempted to use the facility’s O2 concentrators, which were ineffective, while the resident was restless and grabbing at the air. The resident’s daughter reported a period without O2 while staff tried different concentrators and searched for equipment, estimating about 15 minutes before a portable O2 tank was brought back, at which point the NP pronounced the resident deceased. The DON later questioned why a portable O2 tank had not been used when the concentrators failed, and the NP stated the concentrator in use at the time of her assessment was not working properly.
A resident's oxygen cylinder was observed unsecured next to their recliner while not in use, contrary to facility policy requiring all oxygen tanks to be properly supported or chained. The DON confirmed that oxygen cylinders should not be stored unsecured in resident rooms, as this could lead to accidents.
The facility's kitchen was found to be unsanitary, with dust and grime on walls, ceilings, and vents, and the deep fry area not cleaned daily. The ice machine in the therapy kitchen did not drain through an air gap, risking bacterial contamination. The Dietary Supervisor and Director of Maintenance acknowledged these issues, with the latter failing to document cleaning schedules.
The facility failed to maintain a homelike environment for residents using the outdoor patio due to unrepaired water damage. The fascia and soffit were damaged, with peeling paint and exposed wood visible to residents. The Maintenance Director was aware of the damage but did not follow up on repair calls made a year ago. The Administrator was unaware of the issue and agreed that the condition was not homelike.
The facility failed to ensure a safe environment by not using foot pedals when propelling two residents in wheelchairs, leading to potential hazards. Additionally, the resident courtyard had exposed sharp edges and nails, posing safety risks. The lack of proper evaluation and documentation regarding wheelchair use and the unsafe courtyard conditions contributed to the deficiency.
A facility failed to promptly identify and report the loss of a controlled medication for a resident. The discrepancy in the count of lorazepam tablets was not detected during shift change audits, and the DON did not notify the consultant pharmacist within the required timeframe. This delay in reporting could lead to potential drug misuse or diversion.
A resident with acute renal failure and other serious health conditions was not provided a salt-free diet as required. Despite the hospital's discharge instructions for a cardiac diet, the facility's orders listed a regular diet, and the resident's care plan noted a liberalized diet. The Dietary Manager and Registered Dietician failed to ensure the resident's dietary restrictions were documented and followed, leading to the deficiency.
Unauthorized Discontinuation of Glaucoma Eye Drops
Penalty
Summary
Facility staff failed to ensure that services met professional standards of quality when an ordered glaucoma eye drop medication for one resident was discontinued without a physician’s authorization. The resident was admitted with diagnoses including cerebral infarction, dementia, and glaucoma. Physician orders showed multiple start dates for Dorzolamide HCI-Timolol Maleate eye drops for both eyes, to be administered in the morning, evening, and at 5:00 a.m., with discontinuation dates entered in the record. Review of the medication administration record for March revealed that the resident did not receive the ordered eye drops because an active order was no longer available. Further review of nursing progress notes documented that the Dorzolamide HCI-Timolol Maleate eye drops had been discontinued by the facility on a specific date without a physician’s order to do so. During interviews, the administrator acknowledged that the eye drops were discontinued by accident and confirmed there was no physician authorization for discontinuation. An LPN reported that she accidentally discontinued the eye drops and did not realize the error for five days, at which point she recognized that the medication had been stopped in error. The DON also stated that the eye drop medication should not have been discontinued by accident because there was no physician order to discontinue it.
Failure to Provide Continuous Oxygen per Physician Orders Due to Equipment Failure
Penalty
Summary
The deficiency involves the facility’s failure to provide continuous oxygen (O2) as ordered for a resident with significant pulmonary conditions. The resident had diagnoses including fracture of the left femur, COPD, acute respiratory failure, and pulmonary fibrosis, and had recently been hospitalized for a UTI and sepsis. Hospital records indicated diagnoses of pulmonary fibrosis, sepsis, and UTI, with a recommendation for palliative care. Upon discharge back to the facility, the physician’s order specified O2 at 2 liters per minute continuously via nasal cannula. Nursing progress notes documented that the resident arrived at the facility on a stretcher wearing 2 liters of O2, was restless and grabbing at the air, and was placed in bed while staff attempted to transition her from the ambulance’s portable O2 to the facility’s O2 concentrator. According to the nursing notes and interviews, the first O2 concentrator was ineffective, and the resident was temporarily placed on a portable O2 tank with a mask. The facility nurse then attempted to use various connectors and obtained another O2 concentrator, which also did not work properly. The resident’s daughter reported that once staff removed the ambulance’s portable O2 and attempted to use the facility concentrator, there was a period during which the resident was not on O2 while staff searched for another concentrator, and that it took approximately 15 minutes for the nurse to return with a portable O2 tank, by which time the nurse practitioner (NP) stated the resident had died and did not need O2. The DON later stated he questioned why a portable O2 tank had not been used when the concentrators were not working to maintain continuous O2 per the physician’s order. The NP confirmed that when she arrived, the resident was on O2 from a facility concentrator that was not working properly and that she did not know how long it had been malfunctioning before the resident’s death.
Failure to Secure Oxygen Cylinder
Penalty
Summary
The facility failed to secure an oxygen cylinder for one resident, resulting in the oxygen tank being left unsecured next to the resident's recliner while not in use. According to the facility's oxygen safety policy, all oxygen cylinders, whether full, empty, connected, or unconnected, must be properly chained or supported in racks, sturdy portable carts, or approved stands to prevent them from falling. Observation confirmed the unsecured oxygen tank, and during an interview, the DON acknowledged that portable oxygen containers should not be stored unsecured in resident rooms, as this could cause an accident.
Sanitation Deficiencies in Kitchen and Ice Machine Drainage
Penalty
Summary
The facility failed to maintain the kitchen in a sanitary manner, which was observed during a survey. The kitchen had visible dust and grime on the walls, ceiling, and deep fry area, and the vents near the food preparation area were also dusty. The Dietary Supervisor admitted that the walls and ceiling had not been washed for over a year, and the deep fry area was not cleaned daily as required. The Director of Maintenance confirmed that the kitchen vents had not been cleaned since the previous year and did not document the cleaning schedule. Additionally, the ice machine in the therapy kitchen did not drain through an air gap, which is necessary to prevent wastewater from backing up into the ice machine drain pipes and potentially causing bacterial contamination. The Director of Maintenance was aware of this issue but mistakenly believed that draining into a pump was sufficient. The Administrator and the Director of Maintenance acknowledged that the ice machine should drain through an air gap to prevent bacterial growth, but this was not being done.
Failure to Maintain Homelike Environment Due to Unrepaired Water Damage
Penalty
Summary
The facility failed to maintain a homelike environment for residents using the outdoor patio located outside the main dining room due to unrepaired water damage. Observations revealed that the fascia and soffit of the building were damaged, with peeling paint and exposed wood covered in a black substance. This area was used by residents for smoking, making the damage visible to them. The Maintenance Director acknowledged awareness of the damage, attributing it to water runoff, and admitted to contacting an outside company for repairs about a year ago but did not follow up. The Administrator was unaware of the damage and stated that the Maintenance Director was responsible for building maintenance. He agreed that the condition of the building was not homelike and that residents should not have to see it in such a state.
Failure to Ensure Safe Environment and Proper Wheelchair Use
Penalty
Summary
The facility failed to maintain a safe environment free from accident hazards, as evidenced by staff propelling residents in wheelchairs without using foot pedals. Two residents, one with moderate cognitive impairment and another with severe cognitive impairment, were observed being moved in their wheelchairs without foot pedals, causing their feet to drop to the ground. This practice was not evaluated for safety, and there was no documentation indicating that the residents or their representatives were informed of the potential hazards or had chosen not to use foot pedals. Additionally, the facility did not maintain a safe resident courtyard. Observations revealed that two wooden fence pickets were not attached to the rails, exposing sharp nail points, and a metal landscape edging had a sharp corner exposed. The Maintenance Director was unaware of these hazards, and the Administrator confirmed that the courtyard was not safe for residents. The Occupational Therapy staff did not have a written policy regarding the use of foot pedals when propelling residents in wheelchairs, and the therapy treatment program included wheelchair management training. However, the lack of proper evaluation and documentation regarding the use of foot pedals, combined with the unsafe conditions in the courtyard, contributed to the facility's failure to provide a hazard-free environment.
Failure to Identify and Report Missing Controlled Medication
Penalty
Summary
The facility failed to ensure proper pharmaceutical services by not promptly identifying the loss of a controlled medication for a resident. The facility's Controlled Medications-Administration Policy requires a physical inventory of all controlled medications to be conducted by two licensed nurses or equivalent personnel at each shift change, with any discrepancies reported immediately to the Director of Nursing (DON). However, a discrepancy was found in the count of lorazepam tablets for a resident, where the Controlled Medication Accountability Record indicated a remaining balance of 35 tablets, but only 34 tablets were found in the blister pack. This discrepancy was not identified or reported in a timely manner. The DON did not notify the facility's consultant pharmacist of the missing controlled medication within the required 24-hour period. The consultant pharmacist, who conducts monthly and random audits, was not informed of the incident until later, delaying the investigation process. The failure to maintain an accurate count and promptly report the missing medication could lead to potential drug misuse or diversion. The staff involved, including a Certified Medication Aid (CMA) and a nurse, stated that they counted the medication together and found the count to match, indicating a lapse in the reconciliation process.
Failure to Provide Salt-Free Diet for Resident with Special Dietary Needs
Penalty
Summary
The facility failed to provide a diet that met a resident's special dietary needs, specifically a salt-free diet, for a resident with multiple serious health conditions, including acute renal failure, ventricular tachycardia, and cardiogenic shock. Despite the hospital discharge paperwork indicating a need for a cardiac diet, the facility's physician orders listed a regular diet, and the resident's care plan noted a liberalized diet per the resident's request. The resident expressed concerns about being served meals with salt, which he had to return, and he communicated his dietary needs to the Dietary Manager upon admission. Interviews with the facility's staff, including the Dietary Manager, Registered Dietician, and Medical Director, revealed a lack of adherence to the resident's dietary restrictions. The Dietary Manager acknowledged the resident's need for a salt-free diet but failed to update the meal ticket accordingly. The Registered Dietician expected the Dietary Manager to note the resident's dietary restrictions, while the Medical Director emphasized the facility's approach to providing a homelike environment with liberalized diets. However, the facility did not ensure the resident's specific dietary needs were met, leading to the deficiency.
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 39 citations issued within 25 miles in the last 12 months — including the 2 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 Farmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| San Juan Care Center | 3.9 mi | ★★★★★ | 1 | 0 |
| Farmington Wellness & Rehabilitation | 3.9 mi | ★★★★★ | 10 | 0 |
| Life Care Center Of Farmington | 4 mi | ★★★★★ | 8 | 1 |
| Aztec Healthcare | 10.3 mi | ★★★★★ | 5 | 1 |
| Bloomfield Nursing And Rehabilitation Center | 12.3 mi | ★★★★★ | 15 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.