Eastridge

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Aug 12, 2025

  The facility had a census of 17 residents. Based on observation, interview, and record review, the facility failed to ensure an environment free from accident hazards when the facility left the active steam table, heating up to 180 degrees Fahrenheit (F), unattended and accessible to residents in the area. The facility reported three cognitively impaired, independently mobile residents who could potentially access the steam table without staff knowledge. This deficient practice placed three cognitively impaired, independently mobile residents in Immediate Jeopardy, and others at risk. The facility also failed to ensure residents did not have access to an unlocked blanket warmer. Findings included: - On 08/10/25 at 10:00 AM, the facility dining room was empty of residents and staff. […]

• Actual harm, isolatedF689Mar 23, 2022

  The facility identified a census of 18 residents, with 8 residents included in the sample. Four residents were sampled for accidents. Based on observation, record review, and interview, the facility failed to ensure that a Hoyer lift (a mechanical device used to assist in transferring a resident) full body sling strap (a fabric device used to help suspend and attach to the Hoyer lift when transferring a resident) was fully inserted and clasped into the hook on the lift arm of the Hoyer lift. As a result, Resident (R) 5 slipped from the sling and was lowered to the floor, which resulted in a fractured left ischial tuberosity (the curved bone that makes up the bottom of the pelvis). […]

• No harm, potential for more than minimal, widespreadF727Aug 12, 2025

  The facility identified a census of 17 residents. The sample included eight residents. Based on record review and interview, the facility failed to provide a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week. This placed the residents at risk of decreased quality of care.Findings included:- The Payroll Based Journaling (PBJ) report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) 2025 Quarter One indicated the facility did not have RN hours on 11/30/24, 12/22/24, 12/25/24, and 12/28/24.Upon review of the facility's actual working nursing schedule from November 2024 and December 2024, it was revealed that the facility failed to have RN coverage on 12/28/24.On 08/11/25 at 03:05 PM, Administrative Staff A provided licensed… […]

• No harm, potential for more than minimal, widespreadF851Aug 12, 2025

  The facility identified a census of 17 residents. Based on record review and interview, the facility failed to submit accurate staffing information to the federal regulatory agency through Payroll Based Journaling (PBJ) when the facility failed to submit accurate registered nurse (RN) and licensed nurse coverage 24 hours a day. Findings included:- The PBJ Staffing Data Report CASPER Report 1705D provided by the Centers for Medicaid and Medicare (CMS) for Fiscal Year (FY) 2025, quarter one and quarter two documented the following triggered areas: Quarter one: one-star staffing rating, no RN hours, and failed to have licensed nursing coverage 24 hours a day. […]

• No harm, potential for more than minimal, widespreadF880Mar 4, 2021

  The facility identified a census of 21. The sample included 13 residents. Based on observations, record review, and interviews, the facility failed to maintain adequate infection control practices and hand hygiene during meal service, failed to disinfect Hoyer lift (total body mechanical lift used to transfer residents) and sit-to-stand lift (lift designed to assist resident from sitting to standing position for transfers) between resident use, failed to transport soiled linens in a sanitary manner to soiled utility room, and failed to perform hand hygiene between donning (put on) and doffing (take off) gloves during foley catheter (tube inserted into the bladder to drain urine into a collection bag) care for Resident (R) 14. […]