Falcon Ridge Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Nov 1, 2023

  Based on observation, interview, and record review, the facility failed to ensure the residents had the right to be free from abuse for one (Resident #2) out of three residents reviewed for abuse, in that: The facility failed to prevent a physical altercation between Resident #1 and Resident #2 that led to Resident #2 sustaining an abrasion to his left ear, redness to the back of the left side of his head and neck, causing him to have a headache and experience dizziness. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 10/31/23 at 3:00 PM. […]

• Actual harm, patternF809Jul 27, 2023

  Based on observation, interview, and record review, the facility failed to ensure that each resident received, and the facility provided at least three meals daily, at regular times comparable to normal mealtimes in the community for five (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) out of five residents reviewed for timely meals, in that: The facility failed to serve breakfast to Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5 until over an hour after the scheduled mealtime on 07/27/23. […]

• Actual harm, isolatedF689Oct 23, 2025

  Based on observation, interview and record review the facility failed to ensure each resident received adequate supervision and assistance devices during a mechanical lift transfer for 1 of 5 residents (Resident #1) reviewed for accidents. The facility failed to ensure Resident #1 was transferred per mechanical lift by two people. CNA A transferred Resident #1 from his bed to his motorized wheelchair without the assistance of another person. This failure could place the residents at risk of not receiving the care and services to meet their needs and puts them at risk for injury. Findings included: Review of an undated face sheet for Resident #1 reflected a [AGE] year-old male admitted to the facility on [DATE] and readmitted on [DATE]. […]

• No harm, potential for more than minimal, widespreadF727Jul 1, 2026

  Based on record review and interview, the facility failed to use the services of a Registered Nurse for at least 8 consecutive hours a day, 7 days a week, for 1 of 1 facility reviewed for RN coverage. The facility did not have RN coverage on [DATE], [DATE], [DATE], [DATE], and [DATE].This failure could have placed residents at risk of not receiving adequate care or monitoring of staff that required the supervision or decision making of an RN. Record review of the facility's resident roster, dated [DATE], revealed a census of 90 residents. […]

• No harm, potential for more than minimal, widespreadF812Jan 25, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen reviewed for sanitation. The facility failed to discard of food products that were past the use by date or in accordance with facility policy in the double door refrigerator, walk-in refrigerator, walk-in freezer, and dry storage area. The facility failed to label and date food products in the walk-in freezer and walk-in refrigerator. The facility failed to close food product bags in the walk-in freezer to prevent exposure to air. The facility failed to prevent mold growth on bottled products in the walk-in refrigerator. The facility failed to clean the industrial can opener. […]