Cypress Ridge Care Center

In the surveyor’s words

From the most serious findings on record at Cypress Ridge Care Center, in the surveyor’s own words.

• Actual harm, patternF623Aug 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure to notify four of six residents (Resident 1, 2, 3 and 4) regarding the transfer reasons when these four residents transferred from the long-term care Skilled Nursing Facility (LTC-SNF, refers as transferring SNF, LTC-SF: a nursing facility which provides 24-hours skilled nursing care for the residents who reside in the facility for a long term) to another long-term care SNF (refers as receiving SNF) even though these residents' needs, and services could be met at this transferring SNF. These residents did not endanger themselves or the other residents' safety in the transferring SNF. […]

• No harm, potential for more than minimal, widespreadF761May 21, 2021

  Based on observation, interview and record review, the facility failed to ensure medication and biologicals were stored and labeled appropriately when expired prescription and over the counter medications were found in the medication room; internal and external medications not stored separately; unlabeled and undated medications; incomplete medication refrigerator log and discontinued medications in the medication carts. These failures had the potential for residents to receive expired, incorrect and unsafe medications. Findings: 1. During the medication room observation with the assistant director of nursing (ADON) on 5/17/21 at 9:20 a.m. the following items were found: a. […]

• No harm, potential for more than minimal, patternF684Dec 16, 2025

  Based on interview and record review, the facility failed to properly reconcile medications and wound care treatment orders upon admission from the hospital for one of three sampled residents (Resident 1). when:1.The wound care treatment order was not transcribed from the hospital discharge instructions from 9/5/2025 to 9/11/2025, which resulted in two missed wound care treatments.2. There was no documented evidence that wound care treatment was provided on 9/15/2025.3. Two insulin aspart orders were not transcribed from the hospital discharge instructions onto the facility's medication list from 9/5/2025 to 9/16/2025. […]

• No harm, potential for more than minimal, patternF804May 16, 2025

  Based on observation, interview and record review, the facility failed to ensure palatability and nutritive value of cooked foods were maintained when: 1. Three of forty-nine facility residents, (Residents 33, 61 and 51), received food from the kitchen and complained that the food tasted bland (lacking taste or flavor); and, 2. Minced/moist (dietary modification where food is prepared to be soft, moist and easily swallowed with minimal chewing required) country fried steak, soft/bite-sized (foods that are soft, tender, moist and easily broken down by chewing) country fried steak, vegetable or veggie patties and mashed potatoes (made by mashing boiled or steam potatoes) were held in the heated oven for an extended period. […]

• No harm, potential for more than minimal, patternF812May 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure cooking and kitchen equipment were maintained and kept in accordance with professional standards for food safety when: 1. There were unsanitary cooking equipment stored in the kitchen; and, 2. Ice scoop for the ice machine was placed on top of a dusty and uncleaned tray. These failures had the potential to cause the growth of micro-organisms which could cause foodborne illness (illness resulting from contaminated food) and cross-contaminated food for the ninety-five residents who received food from the facility kitchen. Findings: 1. […]