Ridgecrest Community Care Center

In the surveyor’s words

From the most serious findings on record at Ridgecrest Community Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Jun 3, 2026

  Based on observation, record review and interview the facility failed to ensure staff followed enhanced barrier precautions during personal care provided to 1 (#66) of 1 resident observed and 2) failed to ensure staff sanitized hands during meal delivery to in-room residents. Findings: 1) Review of the policy and procedure Enhanced Barrier Precautions (EBP) dated August 2022 in part revealed:Policy Interpretation and Implementation2. EBPs employ targeted gown and glove use during high contact resident care activities when contact precautions do not otherwise apply.a. Gloves and gowns are applied prior to performing the high contact resident care activity (as opposed to before entering room).3. […]

• No harm, potential for more than minimal, patternF700Apr 2, 2025

  Based on observations, record reviews and interviews, the facility failed to ensure residents had an order for bed rails as stated in the facility's policy for 4 (#40, #52, #88 and #155) of 4 residents reviewed for bed rails. The facility failed to ensure that bed rails were maintained properly for 1 (#88) of 4 (#40, #52, #88 and #155) residents reviewed for bed rails. Findings: Review of the facility's Bed/Side Rail policy and procedure effective 11/28/2017 revealed the following, in part: 1.1 Purpose: To ensure a bed is appropriate for the resident and that if bed rails are required, they are utilized, installed, and maintained properly. 1.5 Policy Bed rails require a physician order and the order must state the reason for bed rail use. […]

• No harm, potential for more than minimal, patternF761Apr 2, 2025

  Based on observations, record review, and interviews, the facility failed to ensure 1) drugs and biologicals used in the facility were stored properly in a locked compartment by leaving a medication at resident's bedside for 1 (#57) of 1 residents reviewed for medication storage and 2) expired medications and resident supplies were not stored in the medication storage room and accessible for resident use. Findings: Review of the facility's Storage of Medications policy Revised November 2020 revealed the following, in part: The facility stores all drugs and biologicals in a safe, secure, and orderly manner. Policy Interpretation and Implementation 1. Drugs and biologicals used in the facility are stored in locked compartments under proper temperature, light, and humidity controls. […]

• No harm, potential for more than minimal, patternF695Mar 20, 2024

  Based on observations, record reviews and interviews, the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 5 (#14, #15, #29, #43, and #68) of 6 (#14, #15, #29, #43, #68, and #77) sampled residents reviewed for respiratory care. The facility failed to ensure: 1) nebulizer tubing and face mask were changed weekly for resident #43 and 2) nebulizer masks were stored properly when not in use for residents #14, #29, #43, #68 and 3) the nasal cannula was stored properly when not in use for resident #15. […]

• No harm, potential for more than minimal, patternF641Feb 1, 2023

  Based on record review and interview, the facility failed to ensure the assessment must accurately reflect the resident's status for 1 (#55) of 6 (#2, #22, #55, #67, #306, #309) residents who received dialysis services according to the CMS-672 Resident Census and Conditions of Residents form, by failing to ensure resident #55's assessment accurately reflected the resident's current dialysis access status. Findings: Review of the medical record revealed resident #55 was admitted to the facility on [DATE] with diagnoses including end stage renal disease. […]