Redlands Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF803Apr 23, 2026

  Based on observation, interview, and record review, the facility failed to follow the menu for 70 of 71 residents when residents were served one (1) ounce of strawberry topping instead of two (2) ounces for Regular and Small portions and four (4) ounces for Large portions as indicated on the menu, during breakfast on April 22, 2026.This failure had the potential to result in lower caloric content of meals served and contribute to a decline in nutritional status and undesirable weight loss when recipes are not followed for 70 medically compromised residents.During tray line (when cook serves food on plates for each resident according to the menu) observation on April 22, 2026, at 07:03 AM, in the kitchen, the cook served strawberry topping using a 1-ounce purple-handle scoop to all 70… […]

• No harm, potential for more than minimal, widespreadF880Apr 23, 2026

  Based on observation, interview, and record review, the facility failed to maintain infection control practices when:1) A Certified Nursing Assistant (CNA3) did not performing hand hygiene when providing care between Resident 93 and Resident 89.2) Treatment Nurse 1 (TN 1) did not wear a gown while applying a wound dressing to a skin tear (a wound where the top layer of skin gets torn away from the layer right beneath it.) on Resident 47's hand while Resident 47 was on enhanced barrier precautions (EBP - a set of infection control practices focused on using personal protective equipment (PPE) like gowns and gloves during specific high-contact resident care activities for residents at increased risk of acquiring infection).These failures resulted in increased risk for the cross contamination… […]

• No harm, potential for more than minimal, widespreadF812Feb 2, 2024

  Based on observation, interview, and record review the facility failed to ensure safe and sanitary food preparation and storage practices in the kitchen when: 1. Crumbs were found on the bottom shelf of second reach-in freezer. This had the potential for microorganism growth to be inadvertently transferred to food. 2. Black greasy grime on the floor in the space between the stove and stainless steel counter. This had the potential for microorganism growth and to attract pests. 3. Four Bulk bin container, that were storing flour, sugar, thickener and oats, the lids were broken and were held together with masking tape. This had the potential to attract pests. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2022

  Based on observation, interview, and record review, the facility failed to ensure the safe storage, preparation, distribution, and/or serving of food for the residents when: 1) One out of six staff members working in the facility kitchen was not wearing a hair net that covered all her head hair. 2) One out of one can opener in the facility kitchen was not clean when readily available and installed for kitchen staff use. 3) One out of one facility ice machine was not clean, per internal inspection of the ice machine's components. 4) One can of food was found to be expired and readily available within the facility's dry food storage area. 5) One food bowl used for serving pureed meals to indicated residents was not clean. […]

• No harm, potential for more than minimal, patternF803Feb 2, 2024

  Based on observation, interview, and record review the facility failed to follow the gluten free menu and meet nutritional needs for 3 residents ( Resident 11, 71, 45). This failure had the potential to affect the nutritional status of these already medically compromised residents. Findings: During an observation on January 29, 2024, at 11:50 AM, in the kitchen, the Cook was serving residents lunch and for Resident 11 and 71 the Cook served two bowls of 3 bean chili and did not serve the corn bread. […]