Bridgecrest Rehabilitation Suites

In the surveyor’s words

From the most serious findings on record at Bridgecrest Rehabilitation Suites, in the surveyor’s own words.

• Immediate jeopardy, patternF919Nov 14, 2023

  Based on observation, interview, and record review the facility failed to allow adequate equipment for residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 36 Resident rooms (102, 104, 110, 111, 112, 113, 114, 115, 117, 118, 119, 123, 125, 201, 202, 203, 205, 206, 207, 208, 209, 210, 211, 213, 215, 217, 218, 219, 303, 309, 311, 313, 314, 315, 317 and 319) out of 37 resident rooms reviewed for environment. […]

• Immediate jeopardy, isolatedF689May 17, 2024

  Based on interviews and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 (CR #1) of 6 residents reviewed for quality of care. The facility failed to ensure CR #1, who was cognitively impaired received adequate supervision when the facility sent her to the doctor's office unsupervised. CR #1 left the doctor's office and was found outside of the building next to a major freeway feeder road by the doctor's office manager. On 5/16/24 at 4:13 p.m. an immediate jeopardy (IJ) was identified. […]

• Actual harm, isolatedF777Jul 27, 2022

  Based on observation, interview, and record review the facility failed to promptly notify the ordering physician of results that fell outside of clinical range for 1 of 5 residents (CR #1 ) reviewed for diagnostic services. - The facility failed to timely report Resident #1's radiology findings of an acute left [CONDITION(S)] resulting in a delay of treatment in the hospital by over 36 hours This failure could place residents at risk for delayed identification and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings Include: Record review of CR #1's face sheet revealed a [AGE] year-old male admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF584May 3, 2024

  Based on observation, interview and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment for two of eighteen residents (Resident #27 and Resident #41) reviewed for safe, clean, homelike environment. -The facility failed to clean enteral feeding pumps and poles, which were dirty on 4/30/2024, 5/1/2024, and 5/2/2024 for Resident #27 and #41. -The facility failed to ensure the rooms were homelike and did not have peeling paint and well-maintained bedside tables on 4/30/2024, 5/1/2024, and 5/2/2024 for Resident #27 and Resident #41. This failure could affect the residents and place them at risk of an unsafe and an environment that was not homelike. […]

• No harm, potential for more than minimal, patternF657May 3, 2024

  Based on observation, interview and record review, the facility failed to ensure comprehensive care plans were reviewed and revised by the Interdisciplinary Team after each assessment for 4 (Resident #29, Resident #40, Resident #57, and Resident #41) out of 9 residents reviewed for care plan accuracy. -The facility failed to ensure Resident #29's most recent fall was care planned. -The facility failed to ensure Resident #40's hospice was care planned, along with her UTI/antibiotic. -The facility failed to ensure Resident #57's diet was updated on her care plan. -The facility failed to ensure Resident #41's PEG tube feeding was updated on her care plan. These failures could place residents at risk for their medical, physical, and psychosocial needs not being met. […]