Ridgecrest Healthcare and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 15, 2021

  Based on interview and record review the facility failed to ensure adequate supervision and assistive devices to prevent accidents were provided for 1 or 5 residents reviewed for accidents. (Resident #1) CNA A did not use a gait belt while assisting Resident #1 to transfer to scales to be weighed. Resident #1 fell , resulting in the refracturing of her left femur (large bone in the top portion of leg). This was determined to be past non-compliance with actual harm due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey. This failure could place residents who require assistance with transfers at risk for accidents and injury. […]

• No harm, potential for more than minimal, widespreadF812Jun 13, 2024

  Based on observation, interviews, and record reviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food storage, labeling, dating, and kitchen sanitation. The facility failed to ensure food in the facility's refrigerator, was labeled and dated according to guidelines. The facility failed to ensure food in the facility's freezer, was labeled and dated according to guidelines. The facility failed to ensure the ice machine, located in the facility's kitchen, was cleaned. […]

• No harm, potential for more than minimal, patternF842Apr 14, 2026

  Based on interviews and record review, the facility failed to ensure in accordance with professional standards of practices, the medical records on each resident were accurately documented for 1 of 7 residents (Resident #1) reviewed for accurate medical records. The facility failed to ensure a pulse and blood pressure was not recorded for Resident #1 on 3/26/26 when she was discharged to the hospital on 3/25/26 and had not returned to the facility. The facility failed to ensure the ADON charted the correctly dated vital signs on skilled nursing notes for Resident #1 on 3/22/26, 3/23/26, and 3/24/26. The facility failed to ensure the ADON did not chart skilled nursing notes on Resident #1 on 3 days (3/26/26, 3/27/26, and 3/28/26) after she had been admitted to the hospital. […]

• No harm, potential for more than minimal, patternF804Jul 31, 2025

  Based on observations, interviews, and record review, the facility failed to provide food that was palatable, attractive, and at a safe and appetizing temperature for 1 of 3 meals (lunch meal) reviewed for palatability, attractiveness, and appetizing. The dietary staff failed to provide food that was palatable and appetizing temperature for the lunch meal on 7/29/25.The facility failed to follow puree recipe for carrots served on 7/29/25 (lunch meal). These failures could place residents at risk of decreased food intake, hunger, and unwanted weight loss. The findings included: 1. Record review of the menu indicated the lunch meal items on 7/29/25 included roasted turkey, carrots, scalloped potatoes, roll and cheesecake. […]

• No harm, potential for more than minimal, patternF812Jul 31, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in (1 of 1) kitchen reviewed for dietary services, in that: 1) The Dietary staff failed to label and date all food items. 2) Dietary staff failed to effectively reseal, label and date frozen and refrigerated food items. These failures could place residents at risk for food contamination and foodborne illness. […]