Flint Ridge NRSG & Rehab CTR

In the surveyor’s words

From the most serious findings on record at Flint Ridge NRSG & Rehab CTR, in the surveyor’s own words.

• Actual harm, isolatedF692Sep 11, 2024

  Based on closed medical record review, policy review and interview, the facility failed to prevent a severe weight loss for Resident #2, a resident who received all nutrition via enteral feedings. This affected one resident (#2) of three residents reviewed for nutrition. The census was 72. Actual Harm occurred on 08/03/24 when Resident #2 was assessed to sustain a 10.55% weight loss (with the weight loss occurring between 07/30/24 and 08/03/24). The dietician was not notified and no new nutritional interventions were implemented. The resident continued to lose weight resulting in a 13.8% severe weight loss within 30 days of admission. […]

• Actual harm, isolatedF697Sep 11, 2024

  Based on observation, medical record review, policy review and interview, the facility failed to ensure Resident #37 was comprehensively assessed for pain and failed to develop an individualized pain management program to timely identify and prevent pain associated with the resident's pressure ulcers. This affected one resident (#37) of one resident reviewed for pain management. The census was 72. Actual Harm occurred on 09/05/24 when Resident #37 was observed yelling and moaning during pressure ulcer (wound) care. […]

• No harm, potential for more than minimal, widespreadF812Apr 21, 2023

  Based on observation, staff interview and policy review, the facility failed to ensure food was prepared and served in a sanitary manner. This had the potential to affect 76 of 77 residents residing in the facility. The facility identified one resident (Resident #19), to receive an alternate form of nutrition not provided by the kitchen. Findings include On 04/21/23 at 11:30 A.M. observation of the tray line revealed Dietary Cook #284 used her gloved hands to brush crumbs off of the counter, obtained scoops from a drawer, touched a food cart and obtained a pair of tongs from a drawer. The Dietary Cook returned to the tray line, without removing her gloves and washing her hands, opened a package of sandwich buns and placed a piece of fish on the bun using her gloved hands instead of tongs. […]

• No harm, potential for more than minimal, widespreadF880Jul 23, 2021

  Based on observation, record review, facility policy and procedure and interview, the facility failed to maintain acceptable infection control practices including proper procedures for residents in droplet isolation and/or quarantine to prevent the spread of infection including COVID-19. This affected five residents (#37, #212, #311, #312 and #313) and had the potential to affect all 66 residents residing in the facility. Findings include: 1. Review of the medical record for Resident #311 revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On 07/12/21 at 9:30 A.M. Maintenance Director #16 was observed standing in Resident #311's room assisting the resident with her television. Maintenance Director #16 was observed wearing only a surgical mask. […]

• No harm, potential for more than minimal, patternF880Sep 3, 2025

  Based on observations, interviews and facility policy review, the facility failed to perform hand hygiene during medication administration. This affected nine residents (#19, #30, #36, #46, #49, #59, #65, #76, and #83) of 15 residents receiving medications during afternoon medication administration and had the potential to affect all 28 residents residing on the Main Unit hallway. The facility census was 80.Findings Include: An observation on 08/28/25 from 11:45 A.M. to 12:25 P.M. revealed Registered Nurse (RN) #234 completed noon medication administration on the Main Unit hallway. RN #234 prepared and administered medication for Resident #52, returned to the medication cart to begin preparation of medications for Resident #83 without sanitizing or washing hands. […]