Rancho Rehab and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Rancho Rehab and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Oct 1, 2024

  Based on interview and record review, the facility failed to ensure one resident (Resident #2) was free from abuse. On the evening of 9/19/24, the resident became upset with Licensed Practical Nurse A (LPN A) when he/she removed the resident's oxygen concentrator from the room. The resident, who had diagnoses of anxiety and chronic obstructive pulmonary disease (COPD- a common lung disease that makes it difficult to breathe by restricting airflow in the lung), was observed following LPN A out of his/her room telling LPN A he/she needed the oxygen. The resident became angry, yelling and cursing, and hit LPN A in the face at least twice. LPN A forced the resident to the ground and placed a knee on top of the resident. […]

• Immediate jeopardy, isolatedF678Feb 23, 2024

  Based on interview and record review, the facility failed to provide basic life support in a timely manner, including cardiopulmonary resuscitation (CPR, an emergency lifesaving technique used when someone's breathing or heartbeat has stopped) for one of four sampled residents who was a full code (all life saving measures to be performed) and found by staff without a pulse (Resident #1). The census was 91. The Administrator was informed on [DATE] at 3:18 P.M. of an Immediate Jeopardy (IJ), which began on [DATE]. […]

• Actual harm, isolatedF689Sep 11, 2025

  Based on observation, interview and record review, the facility failed to maintain an environment free of accident hazards by not maintaining water temperatures for resident consumption within a safe range to prevent the potential of skin burns for two residents. Staff provided a cup of hot water to a resident (Resident #2) who requested it to give to another resident (Resident #1) who wanted to make instant coffee in his/her room. Resident #2 took the cup of hot water to Resident #1's room, placed it on the over the bed table then left the room. […]

• Actual harm, isolatedF692Jul 25, 2022

  Based on interview and record review, the facility failed to document administration of enteral feedings as ordered and to document assistance provided to a resident who required assistance with meals/fluids for one of three sampled residents (Resident #1) in August of 2021. On 8/24/2021, the resident was transferred to the hospital and admitted to the intensive care unit with blood work that was consistent with significant dehydration and acute renal (kidney) dysfunction. The census was 89. The administrator was notified of past non-compliance, which occurred on 8/5/21. The facility provided training and in-services for all staff regarding the facility's change of condition and enteral feeding policies prior to the onsite. The noncompliance was removed and corrected on 1/12/22. […]

• No harm, potential for more than minimal, widespreadF812Mar 11, 2025

  Based on observation and interview, the facility failed to store food in accordance with professional standards for food service safety by failing to label, date, and cover food and failed to ensure an expired gallon of milk was discarded as indicated. The facility also failed to ensure kitchen equipment and the floor were kept clean during three of five days of observation. In addition, the facility failed to maintain records of dish washing temp logs as well as chloride testing logs. These deficient practices had the potential to affect all residents who consumed food from the facility kitchen. The census was 79. 1. […]