Jackson Ridge Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 3, 2021

  Based on clinical record review, facility policy and staff interviews, the facility failed to provide adequate supervision and failed to ensure the resident environment remained as free of accident hazards as is possible for one of four residents reviewed who fell and [MEDICAL CONDITION] the legs from a baseboard heater. [MEDICAL CONDITION] hospitalization , surgical intervention, grafts, a [DEVICE] and resulted in pain. (Resident #1) The facility reported a census of 49 residents. Findings include: The Minimum Data Set ((MDS) dated [DATE] documented Resident #1 had the ability to sometimes make self understood and understand others, inattention, disorganized thinking and cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF812Apr 26, 2022

  Based on observation, record review and staff interviews, the facility failed to store and serve food under sanitary conditions in order to maintain food quality and reduce the risk of food-borne illness. The facility identified a census of 54 residents. Findings Include: 1. The initial tour of the kitchen on [DATE] at 9:43 AM with the Dietary Manager revealed the following: a. At 9:45 AM, a mop bucket with mop in discolored water which leaned up against the stove while a pan of ground beef cooked. b. At 9:47 AM, the refrigerator labeled F had a 48 oz (ounce) jar of Thick and Easy thickened water without a date when opened and a 48 oz bottle Thick and Easy thickened apple juice undated when opened. c. […]

• No harm, potential for more than minimal, patternF584Aug 6, 2026

  Based on observation, document review, and staff interview the staff failed to ensure a safe and homelike environment to address missing or loose floor molding, door frames, and wall scrapes/gouges. The facility identified a census of 62 residents. Findings include:Observations on 8/4/25 at 1:10 PM and 8/5/26 at 12:34 PM of the Unit 2 revealed the following:a. room [ROOM NUMBER] approximately 24 inches of the right lower door frame pulled over one inch out from the wall. b. room [ROOM NUMBER] approximately 14 inches of floor molding pulled away from the wall by the left head of the bed and approximately 16 inches of florr molding pulled away from the wall below the right side of the bed. c. […]

• No harm, potential for more than minimal, patternF812Jun 5, 2026

  Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure that records including dishwashing, refrigerator, and food temperatures logs were consistently documented, completed, and monitored. The facility reported a census of 58 residents.Findings include: On 5/28/26 at 1:00 PM, observation revealed that the facility lacked documentation of appropriate sanitizing of the dishwashing machine, and food and refrigerator temperature logs. Review of the Dishwashing Record, Low-Temperature/Chemical Log for May 2026 indicated staff were instructed to report in parts per million (ppm) is less than (space left blank) ppm. Report if temperature is less than (space left blank) Fahrenheit. […]

• No harm, potential for more than minimal, patternF803Jun 26, 2025

  Based on observation, document review, clinical record review, policy review, and staff interview, the facility failed to serve the Dietician approved menu for 5 of 5 residents receiving a pureed diet. (Residents #1, #8, #19, #43, #46). The facility identified a census of 59 residents. Findings include: An untitled document provided by the facility on 6/23/25 documented Residents #1, #8, #19, #43, and #46 on pureed diets. A 6/24/25 Week Two Dietician approved Menu for Tuesday documented the following puree menu: a. Beef cube pepper steak, 1 serving (4 ounces (Oz.) b. French onion rice, 1 serving (4 Oz) c. Buttered peas, #12 scoop d. […]