Redlands Community Hospital D/P SNF

In the surveyor’s words

From the most serious findings on record at Redlands Community Hospital D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Dec 4, 2025

  Based on observation, interview, and record review, the facility failed to maintain infection control practices when: 1. Resident 4's Enhanced Barrier Precautions (EBP-an infection control guideline that requires staff to wear a gown and gloves while performing high-contact care activities with all residents who are at higher risk of acquiring or spreading infectious diseases) protocol were not followed in accordance with facility's policy and procedure (P&P). 2. One glucose monitoring (a device used to measure the amount of sugar (glucose) in the blood) device was found visibly soiled with dried white substance while docked (recharged) at the nurse's station. […]

• No harm, potential for more than minimal, widespreadF812Nov 16, 2023

  Based on observation, interview, and record review the facility failed to maintain a sanitary kitchen in accordance with professional standards for food safety when: 1. In the kitchen entrance, there was no available hair restraints (such as hair nets and beard restraints) for kitchen staff and visitors to use. 2. Three kitchen staff, who had beards, were not wearing beard restraints while working inside the kitchen. These failures had the potential to cause foodborne illnesses to 8 medically compromised residents who receive food served by the kitchen. Findings: During a concurrent observation and interview, on November 13, 2023, at 8:29 AM, with the Kitchen Manager (Manager 1), the kitchen entrance was inspected. […]

• No harm, potential for more than minimal, widespreadF812Oct 13, 2022

  Based on observation, interview, and record review, the facility failed to follow proper sanitation and food safety practices to prevent foodborne illnesses when wet trays were stacked and stored together in the kitchen. This failure had the potential to promote bacterial growth that could lead to foodborne illnesses for a medically compromised population of seven out of seven residents who received nutrition from the facility's kitchen. Findings: During a concurrent observation and interview, with the Director of Food and Nutrition (DFN) on October 10, 2022, at 12:15 PM, 12 half-size pans and eight (8) full-size pans (pans- cooking utensils that are built with a flat bottom and raised sides to hold or prepare food ingredients. […]

• No harm, potential for more than minimal, isolatedF684Dec 4, 2025

  Based on interview and record review, the facility failed to ensure the nursing staff provided treatment appropriately for one of seven sampled resident (Resident 18) when the nursing staff did not check Resident 18's blood glucose (sugar) daily as ordered. This failure resulted in Resident 18 inadequately monitored for blood sugar, which had the potential to cause uncontrolled blood sugar and negatively affect Resident 18's health and safety.Findings: During a review of Resident 18's admission Records (contains demographic and medical information), undated, Resident 18 was admitted to the facility on [DATE] with diagnoses that included malignant neoplasm of female breast (breast cancer, abnormal cells in the breast grow uncontrollably and form a tumor), metastatic cancer to the spine… […]

• No harm, potential for more than minimal, isolatedF732Dec 4, 2025

  Based on observation, interview, and record review, the facility failed to post facility name, and the total number and the actual hours worked per shift for licensed and unlicensed staff daily. This failure resulted in residents, family, and staff being unable to see if the unit is staffed appropriately.Findings: During a concurrent observation, interview, and record review on December 3, 2025, at 5:51 AM in the Transitional Care Unit (TCU) with the Registered Nurse (RN 1), the in-unit staffing list (a posted list visible to residents, family, and staff, that outlines how many hours all patient care staff classifications are working during a given shift) was posted on a television monitor. […]