Ridgecrest Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Ridgecrest Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 2, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure dietary staff practiced good hand washing to prevent potential cross contamination for the residents who received meal trays from 1 of 1 kitchen. These failed practices had the potential to affect 103 residents who received meals from the kitchen (Total Census: 105), as documented on a list provided by the Dietary Manager on 7/31/2024. The findings are: 1. On 07/30/24 at 3:15 PM, Dietary aide (DA) #5 picked up tray cards and packets of condiments and placed them in the trays, contaminating her hands. Without washing her hands, she picked up clean glasses by their rims and placed them on the trays to be used in serving lunch beverages to the residents. […]

• No harm, potential for more than minimal, widespreadF725Sep 15, 2023

  48807 48808 Based on interview and record review, the facility failed to ensure sufficient nursing staff were available to meet the needs of residents who required assistance with activities of daily living. This failed practice had the potential to affect all 111 residents who resided in the facility. The findings included: 1. During an interview on 09/12/23 at 11:38 AM, Certified Nursing Assistant (CNA) #2 confirmed Resident #57 is scheduled for showers on Mondays and Thursdays, and confirmed they were not charted for yesterday or today and could not identify when the last bath or shower was documented. CNA #2 said the CNAs are overwhelmed and it's hard to chart on so many people, and further stated it is usually just one CNA on the hall. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2023

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practice had the potential to affect 109 residents who received meals from the kitchen, (total census: 111), as documented on a list provided by Dietary Supervisor #1 on 09/13/23 at 11:55 PM. The findings are: 1. On 09/12/23 at 12:08 PM, Dietary Employee (DE) #1 opened the door to the Storage Room and went in. DE #1 unzipped a bag that contained slices of cheese, without washing her hands, she removed slices of cheese from the bag and bagged them individually to be served to the residents for snack. 2. […]

• No harm, potential for more than minimal, widespreadF812Jul 1, 2022

  Surveyor: [NAME], Patricia Based on observation and interview, the facility failed to ensure food items stored in the refrigerator had a use by date and was promptly discarded, kitchen equipment was maintained in clean condition, and dishes were clean before storing to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 111 residents who received meals from the kitchen (total census: 114), as documented on the Diet List provided by nurse Consultant on 6/30/22. The findings are: 1. On 6/30/22 at 10:33 AM, the knife rack attached to the wall near bulk flour bin had a crusty whitish residue on the top of it. 2. […]

• No harm, potential for more than minimal, widespreadF812Apr 15, 2021

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerators were covered, dated and labeled, dietary employee had covering for facial hair, cleaned kitchen pans were allowed to air dry before stacking/storage, an ice and water dispenser and a juice machine were maintained in clean condition to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen and water from the dispenser on the 700 hall. These failed practices had the potential to affect 103 residents who received meals from the kitchen and 10 residents who received water from the 700 hall dispenser, (total census: 108), as documented on a list provided by the Certified Dietary Manager on 04/08/2021. The findings are: 1. […]