Pine Ridge Post Acute

In the surveyor’s words

From the most serious findings on record at Pine Ridge Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF602Feb 8, 2024

  Based on interview and record review, the facility failed to ensure 1 of 3 residents (Resident 1) reviewed for abuse investigations was free from misappropriation of property. Resident 1, who had impaired thinking and lacked the ability of a reasonable person to provide informed consent for either purchases made by staff member or designations to bank accounts, experienced harm when they suffered a substantial loss of monetary funds after staff accessed their financial accounts for personal gain without permission and placed other residents at risk for financial exploitation. Findings included . […]

• Actual harm, isolatedF607Jun 22, 2022

  Based on observation, interview, and record review, the facility failed to implement written abuse and neglect policies and procedures related to the required resident protection, reporting and investigation of abuse and neglect allegations for 2 of 3 residents (Resident 2 and Resident 1) reviewed for abuse and neglect. These failures caused harm to Resident 2 and Resident 1 and placed other residents at risk for harm and abuse and/or neglect. Findings included . A review of the facility policy titled, Abuse-Washington dated and revised on 02/2019 showed the facility would protect residents from abuse, report and investigate allegation of abuse to appropriate reporting authority. The policy directed the facility staff to: 1. […]

• Actual harm, isolatedF684Jun 22, 2022

  Based on observation, interview, and record review, the facility failed to comprehensively assess, monitor, and treat skin breakdown for 1 of 3 residents (Resident 1) reviewed for non-pressure skin condition. Additionally, the facility failed to implement written policies and procedures related to the treatment and management of skin breakdown for Resident 1. These failures caused harm to Resident 1 who developed a Moisture Associated Skin Damage (MASD), experienced pain, and placed other residents at risk for harm and unmet care needs. Findings included . […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2026

  Based on observation, interview, and record review, the facility failed to ensure foods were handled appropriately in accordance with professional standards of food safety for 1 of 2 Freezers (Kitchen Freezer), 2 of 3 Refrigerators (Kitchen Walk-in Refrigerator & Olympic Dining Room Refrigerator), 1 of 2 Dry Storage Room (Kitchen Mini Storage), and 1 of 3 Staff (Staff M), reviewed for food services. The failure to label, cover, and discard food items past the use by date and perform hand hygiene placed the residents at risk for foodborne illness (caused by the ingestion of contaminated food or beverages), cross contamination, and a diminished quality of life.Findings included.Review of the facility's policy titled, Dietary: Food Storage, revised on 07/25/2024, showed, Leftover food items… […]

• No harm, potential for more than minimal, widespreadF812Aug 28, 2023

  Based on observation, interview, and record review, the facility failed to ensure food items in the refrigerator were labeled and dated. Additionally, the facility failed to ensure the kitchen thermometer was properly sanitized between use for 1 of 1 kitchen. These failures placed the residents at risk for cross contamination, food borne illness (caused by the ingestion of contaminated food or beverages), and a diminished quality of life. Findings included . Review of the facility's policy titled, Discard date, reviewed in February 2019, showed food will be dated and prepared for storage to prevent deterioration, dehydration [lack of total body water, which could cause physical and mental deterioration] or food borne illness. […]