Ranch House Senior Living LLC

In the surveyor’s words

From the most serious findings on record at Ranch House Senior Living LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 31, 2023

  The facility reported a census of 50 residents, with 13 residents included in the sample, including two residents reviewed for accidents. Based on observation, interview, and record review the facility failed to prevent a fall with fracture for cognitively impaired Resident (R)35 when staff did not assess for the safe use of an electric lift chair. On 07/15/23, staff found R35 on the floor in front of her fully raised electric lift chair and required transfer to the emergency room where R35 was diagnosed with a fractured (broken) clavicle (collar bone). […]

• Actual harm, isolatedF686Mar 11, 2021

  The facility census totaled 48 residents with 10 residents in the sample and three resident's reviewed for braces/splints/immobilizers and pressure ulcers. Based on observation, interview, and record review the facility failed to provide Resident (R)8 with appropriate weekly skin assessments to include assessing the areas of skin under his right leg immobilizer (brace), even after placement of a tighter fitting immobilizer brace on 02/23/21. Three days after discharge from the facility, the wound clinic identified R8 had two unstageable eschar (dead tissue) pressure ulcers (a localized injury (wound) to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure) to the right posterior calf and the other to the right posterior proximal calf. […]

• No harm, potential for more than minimal, widespreadF812Jul 31, 2023

  The facility census totaled 50 residents with one central kitchen. Based on observation, interview, and record review the facility failed to store, prepare and serve foods safely and in a sanitary manner which included failure to date and reseal open food items in the refrigerator and freezer; failure to clean and disinfect the food thermometer while taking the temperature of food items; and failure to use gloves appropriately when handling/serving of food. This had the potential to affect all 50 residents receiving meals from the kitchen. […]

• No harm, potential for more than minimal, widespreadF868Jul 31, 2023

  The facility reported a census of 50 residents. Based on interview and record review, the facility failed to maintain a quality assessment and assurance committee that consisted at the minimum of the director of nursing services, the medical director or his/her designee, at least three other members of the facility's staff, at least one of who must be the administrator, owner, board member or other individual in a leadership role, and the infection preventionist, as required. Findings included: - Review of the facility's Quality Assurance Performance Improvement (QAPI) sign in sheets, revealed a lack of documentation of the Infection Preventionist in attendance from July 2022 until current. […]

• No harm, potential for more than minimal, widespreadF880Jul 31, 2023

  The facility reported a census of 50 residents with 13 residents sampled. Based on observation, interview and record review, the facility failed to maintain an effective infection control program when they failed to provide safe and sanitary care for one Resident (R) 20, regarding his urinary catheter (insertion of a catheter into the bladder to drain the urine into a collection bag), for R3, in regards to incontinent care, R2 in regards to failure to change gloves from dirty to clean during wound care, and failure to change gloves in the kitchen who served food to all of the residents of the facility. […]