Pine Ridge Skilled Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Pine Ridge Skilled Nursing and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Jun 30, 2026

  Based on record review, observation, interview, and policy review, the facility failed to ensure the menu and menu spreadsheets as planned by the Registered Dietitian were followed. This affected 47 of 47 residents who received food from the kitchen. The facility identified two (Resident #2 and #3) who did not receive food from the kitchen. The facility census was 49.Findings Include:1.Review of the lunch meal spreadsheet of 06/28/26 revealed all residents were to receive Italian chicken, noodles, peas, a roll and gelatin. […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2026

  Based on observation, interview, record review, and policy review, the facility failed to ensure the kitchen sanitation was maintained and provide meals in a sanitary manner. This had the potential to affect 47 of 47 residents who received food from the kitchen. The facility identified two (Resident #2 and #3) who did not receive food from the kitchen. The facility census was 49.Findings Include:Observation during initial kitchen tour on 06/28/26 at 8:35 A.M. the following was observed:1. In the reach in refrigerator there was an opened undated package of donuts. There was a plate of food unwrapped with no date or label. There were two large pans of gelatin dessert, undated and unlabeled. The reach in refrigerator had no thermometer inside.The deep freezer had no thermometer inside. […]

• No harm, potential for more than minimal, widespreadF814Jun 30, 2026

  Based on observation, interview and policy review, the facility failed to ensure the kitchen garbage was sealed.This had the potential to affect 47 of 47 residents who received food from the kitchen. The facility identified two (Resident #2 and #3) who did not receive food from the kitchen. The facility census was 49.Findings Include:Observation during initial kitchen tour on 06/28/26 at 8:35 A.M. revealed three garbage cans, not actively in use, were not covered.Interview on 06/28/26 at 8:35 A.M. the Administrator verified the three kitchen garbage cans were not actively in use and should have been covered.Observation on 06/29/26 at 12:15 P.M. with [NAME] #358 verified three garbage cans, which were not actively in use, were not covered.Observation on 06/30/26 at 8:45 A.M. […]

• No harm, potential for more than minimal, widespreadF908Jun 30, 2026

  Based on observation, interview and policy review, the facility failed to ensure essential kitchen equipment was operating and maintained in good condition. This had the potential to affect 47 of 47 residents who received food from the kitchen. The facility identified two (Resident #2 and #3) who did not receive food from the kitchen. The facility census was 49.Findings Include:1. Observation during the initial kitchen tour on 06/28/26 at 8:35 A.M. and on 06/30/26 at 12:15 P.M., of the large three-door refrigerator, revealed there was one quarter to one half inch of standing water on the bottom of the refrigerator shelf and dripping from the top of the refrigerator. Bags of food were wet from the dripping water. Observation on 06/28/26 at 1:20 P.M. […]

• No harm, potential for more than minimal, widespreadF921Jun 30, 2026

  Based on observation, interview and policy review, the facility failed to ensure a clean and safe homelike environment in resident living areas. This had the potential to affect all 49 residents residing in the facility. The facility census was 49.Findings Include:Observations on 06/28/26 at 8:15 A.M. through 06/30/26 at 2:45 P.M. the front lobby carpet had a heavily soiled pathway into the entrances to the resident unit 200 hallway, and unit 100 unit and the sitting area. There were six 4.0 inch by 6.0 inch heavy grayed areas scattered in the carpet. One of the areas was not adhered and raised from the floor with loose carpet string. In resident occupied room [ROOM NUMBER], there was a missing drawer front of the facility provided wardrobe. […]