Retirement Ranches Inc.

In the surveyor’s words

From the most serious findings on record at Retirement Ranches Inc., in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 28, 2024

  Based on observations, record review, and interview the facility failed to prevent an accident by not providing a safe transfer for 1 (R #4) of 4 (R #3, 4, 5 and 6) residents reviewed for falls when the facility failed to: 1. Ensure staff were adequately trained on how to use transfer lifts. 2. Identify number of staff needed for each resident to ensure a safe transfer. 3. Have a method for staff to determine for which residents the leg strap should be used. This deficient practice likely resulted in R #4 falling during transfer and sustaining a new fracture around the hardware in her femur (thigh bone) and a broken pelvis. The findings are: A. […]

• Actual harm, isolatedF684Oct 6, 2022

  Based on interview, observation, and record review, the facility failed to assess 1(R #1) of 1(R #1) resident following an injury which likely resulted in a delay in the diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings are: A. Record review of Facility Narrative Investigation Report (5) dated 09/12/22 for incident that occurred on 09/03/22 revealed R #1 was being wheeled down hallway in her wheelchair when R #1 foot dropped off pedal causing wheelchair to twist foot. Resident has tibia and 5th metatarsal fractures. B. Record review of Nursing progress note dated 09/04/22 at 9:03 am revealed, Yesterday (09/03/22) resident was being wheeled to the dining room and she let her left foot drop to the floor. It twisted the ankle. She has been having pain ever since then. […]

• No harm, potential for more than minimal, widespreadF578Nov 17, 2025

  Based on record review and interview, the facility failed to: 1. Ensure that all residents can request or refuse emergency and lifesaving care by failing to obtain and review residents' wishes regarding code status (instructions regarding the type of medical interventions a person wants in the event of a medical emergency), medical interventions (comfort measures such as pain relief or use of oxygen, use of medical treatment such as intubation) and artificial hydration/nutrition (the provision of nutrition and fluids by methods other than normal eating and drinking), 2. […]

• No harm, potential for more than minimal, widespreadF812Nov 17, 2025

  Based on observation and interview, the facility failed to store and serve food under sanitary conditions by not ensuring food items stored in facility's freezer were opened, labeled, and dated. This deficient practice is likely to affect 83 residents listed on the resident census list provided by the Administrator on 09/22/25 and could likely lead to foodborne illnesses in residents if food is not being stored properly and safe food handling practices are not adhered to. The findings are:A. On 09/22/25 at 10:43 am during observation of the facility's walk-in freezer the following items were found open, unlabeled and undated: 1. One open bag of what appeared to be frozen broccoli.2. One open bag of what appeared to be frozen pizza. 3. One open bag of what appeared to be frozen bacon. B. […]

• No harm, potential for more than minimal, widespreadF803Aug 1, 2024

  Based on observations, menu review, interview, and facility policy review, the facility failed to ensure menus were in place for all physician prescribed diets and failed to follow the menu for 80 of 80 census residents. This failure has the potential for residents to get the incorrect food in accordance with their diets; not receive nutritionally adequate meals; and receive repetitive food items. Findings include: Review of the facility's policy titled, Menus with a revised date of October 2017, revealed menus for regular and therapeutic diets are written at least two (2) weeks in advance and are dated and posted in the kitchen at least one (1) week in advance .The dietitian reviews and approves all menus .Copies of menus (as served including substitutions) are kept on file for at least… […]