All citations for Complete Care at Ridgewood LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Ridgewood LLC

Last standard health inspection on record

August 12, 2025

Showing 1 to 25 of 32 citations

  1. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  2. No harm, with potential for more than minimal harm

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of May 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2024).

  3. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    A waiver was granted (September 28, 2023).

  4. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    A waiver was granted (May 12, 2023).

  5. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 24, 2023).

  6. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  7. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 21, 2025).

  8. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  10. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  11. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  12. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2024).

  13. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2024).

  14. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2024).

  15. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2024).

  16. No harm, with potential for more than minimal harm

    Meet requirements for the installation and maintenance of electrical systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2024).

  17. No harm, with potential for more than minimal harm

    Install resident room doors of proper design and width.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0233, Egress Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 24, 2023).

  18. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    A waiver was granted (May 12, 2023).

  19. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0541, Services Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 24, 2023).

  20. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  21. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  22. No harm, with potential for more than minimal harm

    Properly provide smoke detection systems in areas open to corridors.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

  23. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  24. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

  25. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0541, Services Deficiencies. Inspection of August 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.