Ridgecrest Regional Transitional Care and Rehabili

In the surveyor’s words

From the most serious findings on record at Ridgecrest Regional Transitional Care and Rehabili, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 8, 2024

  Based on observation, interview, and record review, the facility failed to protect one of two sampled residents from abuse (Resident 1) when Resident 2, who had a history of inappropriate behavior, was not adequately supervised. This failure resulted in abuse when Resident 2 touched Resident 1's breasts and perineal area. Findings: During a review of Resident 1's clinical record the Record of Admission (ROA), indicated Resident 1 was admitted on [DATE]. The SOAP [Subjective, Objective, Assessment and Plan - method of documentation used by healthcare workers] Note dated 3/14/22 at 11:09 a.m., indicated, Major neurocognitive disorder [decreased mental function and loss of ability to do daily tasks] due to dementia [a group of symptoms affecting memory, thinking and social abilities], R/O… […]

• No harm, potential for more than minimal, widespreadF583May 19, 2026

  Based on interview and record review, the facility failed to implement their own policy and procedure (P&P) titled, Release of Information, for 88 of 89 residents (Resident 1, Resident 3, Resident 4, Resident 5, Resident 6, Resident 7, Resident 8, Resident 9, Resident 10, Resident 11, Resident 12, Resident 13, Resident 14, Resident 15, Resident 16, Resident 17, Resident 18, Resident 19, Resident 20, Resident 21, Resident 22, Resident 23, Resident 24, Resident 25, Resident 26, Resident 27, Resident 28, Resident 29, Resident 30, Resident 31, Resident 32, Resident 33, Resident 34, Resident 35, Resident 36, Resident 37, Resident 38, Resident 39, Resident 40, Resident 41, Resident 42, Resident 43, Resident 44, Resident 45, Resident 46, Resident 47, Resident 48, Resident 49, Resident 50,… […]

• No harm, potential for more than minimal, widespreadF880Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to follow infection control practices for 33 of 33 sampled residents when:1. A Water Management Program (WMP) was not developed and implemented to identify, assess, monitor, and prevent the potential growth of opportunistic waterborne pathogens (germs that grow well in water) in the facility's water system. This failure had the potential to result in serious illness or death of residents, visitors, and staff. 2. Linens and other laundry items were left wet and unattended in washing machines after environmental services staff work shift ended. […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure a sanitary environment within the foodservice operation and safe food handling when: 1. One of six sampled residents (Resident 34) had three unopened milk cartons left unrefrigerated in her room. This failure had the potential for Resident 34 to consume spoiled milk and develop foodborne illness. 2. Raw pasteurized shell eggs were stored under a pan of covered raw beef inside a walk-in refrigerator. This failure had the potential for cross-contamination and placed residents at an increased risk of foodborne illness. 3. […]

• No harm, potential for more than minimal, widespreadF908Mar 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure essential equipment was maintained in safe operating condition when: 1. A food preparation sink located in the kitchen had an air gap and floor sink drain in accordance with the Food and Drug Administration Food Code (FDAFC), dated 2022. Facility failure to ensure proper plumbing installation may result in potential health hazards such as cross connections, back siphonage or backflow. These conditions may result in the contamination of food, utensils, equipment, or other food-contact surfaces. (FDAFC, 5-402.11, 2022) 2. Two of two ice-machines located near two different nursing stations had an air gap per the ice-machine's manufacturer's guidelines (MG) and FDAFC, dated 2022. […]