Pine Ridge Health Care LLP

In the surveyor’s words

From the most serious findings on record at Pine Ridge Health Care LLP, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 14, 2024

  Based on observations, interviews, and record reviews the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 preparation kitchen. * The facility did not ensure baking sheets did not have brown and/or black baked on build up and stacked together. * The facility did not ensure the juice dispenser wand did not have cream colored build up inside. * The facility did not ensure a handwashing sink had a trash can for disposable paper towels. […]

• No harm, potential for more than minimal, patternF880May 20, 2026

  Based on observations, interviews, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents with IV (intravenous) lines (Resident #75) and 1 of 2 staff performing fingerstick blood sugar checks (RN F) reviewed for infection control. *The facility did not initiate Enhanced Barrier Precautions (EBP) and ensure staff wore appropriate PPE when providing care on Resident #75 with a midline IV. *The facility did not ensure glucometers were disinfected with the appropriate EPA approved disinfectant by RN F. […]

• No harm, potential for more than minimal, patternF908May 20, 2026

  Based on observation, interview, and record review, the facility failed to maintain all mechanical and electrical equipment in safe operating condition for 1 of 1 facility kitchen. The vegetable freezer had accumulation of ice build-up with damaged and worn freezer door seals. This failure had the potential to affect residents by placing them at risk for food borne illness.Findings An observation of the vegetable freezer and interview on 05/18/2026 at 9:45 a.m., indicated the temperature was 20 degrees Fahrenheit. The vegetable freezer had excessive amount of ice built-up around the bottoms of door 1 and door 2 and both door seals were worn and torn. […]

• No harm, potential for more than minimal, patternF645Feb 14, 2024

  Based on interview and record review, the facility failed to ensure individuals identified with MI, DD or ID were evaluated for services for 2 of 3 residents reviewed for PASRR (Residents #04 and #50). * The facility did not have an accurate PASRR Level 1 Screening (P1) for Residents #04 and #50 upon admission therefore a PASRR Evaluation (PE) was not conducted. This failure could place residents who have a diagnosis of mental disorder, developmental disability or intellectual disability at risk for a diminished quality of life and not receiving necessary care and services in accordance with individually assessed needs. Findings included: 1. Record review of a face sheet dated 02/14/24 indicated Resident #04 was an [AGE] year-old female admitted on [DATE]. […]

• No harm, potential for more than minimal, patternF695Feb 14, 2024

  Based on observations, interviews, and record review, the facility failed to ensure that residents who needed respiratory care was provided such care, consistent with professional standards of practice for 3 of 18 residents reviewed for respiratory care and services. (Residents #6, #265, and #314) The facility failed to obtain a physician order for oxygen administration for Resident #6, Resident #265, and Resident #314. This failure could place the residents at risk of not receiving the appropriate care and services to maintain their highest level of well-being. Findings included: 1. […]