Persimmon Ridge Rehabilitation Centre

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Jun 11, 2025

  Based on interview and record review, the facility failed to employ a qualified Dietary Manager. This deficiency had the potential to impact 77 of 77 residents who received meals from the facility kitchen. Findings include: During an interview, on 6/6/25 at 9:50 a.m., the Dietary Manager (DM) indicated she did not have a certification qualifying her to act as the Dietary Manager. She was hired in March 2025 and had not passed her certification test. During an interview, on 6/10/25 at 12:24 p.m., the Administrator indicated the former Dietary Manager (CNA 4), was currently employed as a CNA, and had a Manager's ServSafe certification. […]

• No harm, potential for more than minimal, widespreadF812Jun 11, 2025

  Based on observation and interview, the facility failed to store and prepare food under safe and sanitary conditions related to kitchen equipment and cleanliness. This deficient practice had the potential to affect 77 of 77 residents who received food from the facility kitchen. Findings include: During a kitchen observation, on 6/5/25 at 11:01 a.m., accompanied by the Dietary Manager (DM), the following was observed: Pieces of lettuce were on the floor in front of the prep table. Numerous food particles were on the floor between the prep table and the stove. A serving tray, sitting on the shelf under the food prep table, across from the warming table, had what appeared to be ketchup smeared on the tray, along with a torn salt packet. […]

• No harm, potential for more than minimal, widespreadF801Oct 30, 2023

  Based on interview and record review, the facility failed to ensure the dietary manager completed the required education to meet the qualifications for a dietary manager. This deficiency had the potential to affect 57 of 57 residents who received meals from the facility kitchen. Finding includes: Employee records were reviewed on 10/26/23 at 1:36 p.m. The records lacked documentation of the required certification for the Dietary Manager. During an interview, on 10/26/23 at 2:05 p.m., the Human Resources Director indicated the Dietary Manager began functioning in her role as the Dietary Manager on 10/9/22. […]

• No harm, potential for more than minimal, widespreadF812Apr 19, 2023

  Based on observation, record review, and interview, the facility failed to store food in a safe and hygienic manner in the facility kitchen. This deficient practice had the potential to affect all residents receiving meals from the facility kitchen. During a kitchen observation, on 4/19/23 at 9:25 a.m., the following was observed: Three unlabeled, undated plastic containers were on a movable dietary cart in the dry storage area. During an interview, at the time of the observation, the Administrator indicated the containers should be labeled and dated. Dietary Cook 2 indicated she had filled the plastic containers with dry cereal on 4/17/23. […]

• No harm, potential for more than minimal, patternF565Oct 30, 2023

  Based on observation, interview, and record review the facility failed to resolve continued Resident Council concerns regarding late mealtimes. Finding includes: Resident Council minutes were reviewed on 10/23/23 at 2:49 p.m., and indicated the following concerns: 6/21/23 Old Business - Dietary: The mealtimes have not improved on all meals. They get them late frequently. 6/21/23 New Business - Dietary: The Council feels the mealtimes have not improved. 6/26/23 Resident Council Feedback - Dietary Concerns - The Council feel the mealtimes have not improved. They feel they receive meals later than the scheduled times. Dietary department response - Dietary Supervisor continues to monitor service times and ensures they are on time. […]