Ridgecrest Rehab & Skilled Nursing Center

In the surveyor’s words

From the most serious findings on record at Ridgecrest Rehab & Skilled Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 30, 2023

  Based on observations, staff interviews, and review of the facility policy titled, Receiving & Storing Perishable, Non-Perishable Foods, Dry Storage, the facility failed to label, and date opened food items and properly thaw frozen foods. The deficient practice had the potential to promote foodborne illnesses associated with bacterial growth for 27 of 28 residents consuming an oral diet. Findings include: Review of the undated policy titled, Receiving & Storing Perishable, Non-Perishable Foods, Dry Storage revealed products requiring thawing will be handled in the following manner, frozen meats may also be submerged under cold running water to thaw. Products will be labeled the day they are received, and stock will be rotated. FIFO (First in, First out). […]

• No harm, potential for more than minimal, widespreadF812Nov 18, 2021

  Based on observations, record review, staff interview, and review of the facility documents titled, Receiving and Storing Perishable, Non-Perishable Foods, Dry storage and Personal Hygiene the facility failed to label dry food items on the date they were received; and the Dietary Manager failed to wear a hair net on three of three survey days. This deficient practice had the potential to affect all 18 residents receiving an oral diet. Findings include: 1. Review of the undated facility document titled, Receiving and Storing Perishable, Non-Perishable Foods, Dry storage revealed products will be labeled the day they are received, and stock will be rotated. Each item will be labeled with the month, day, and year. […]

• No harm, potential for more than minimal, patternF695Jul 30, 2023

  Based on observations, staff interviews, record review, and review of the facility's policy titled, CPAP/BIPAP Cleaning/Infection Control, the facility failed to ensure oxygen equipment was properly stored while not in use for two of three Residents (R)#3 and (R#135) receiving Continuous Positive Airway Pressure (CPAP) respiratory treatment and failed to have a current physician order for one of three residents (R#3) with usage of CPAP. The facility also failed to ensure that oxygen equipment was dated and properly stored for one of three residents R#8. […]

• No harm, potential for more than minimal, isolatedF656Dec 7, 2025

  Based on staff interviews, record review, and review of the policy titled Care Plan Policy, the facility failed to develop a care plan for one resident (R) (R19) related to psychotropic/antianxiety medication use. The sample size was 25 residents. Findings include:A review of the facility policy titled Care Plans, last reviewed September 2025, revealed that the facility would ensure timely reviews of residents' statuses and any changes in their needs. A further review revealed that the Director of Nursing (DON) was responsible for ensuring that care was provided in accordance with the care plan.A review of the Minimum Data Set (MDS) OBRA Quarterly Assessment, dated 9/24/2025, revealed that Section N (Medications) revealed that psychotropic medications were administered and prescribed for… […]

• No harm, potential for more than minimal, isolatedF554Dec 5, 2024

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Self-Administered Medications, Treatments, the facility failed to ensure one of 27 sampled residents (R) (R438) was assessed to determine if the practice of self-administration of medications would be safe, that physician's orders were obtained, and that medications were safely secured. The deficient practice had the potential to result in medication errors and to allow access to medications otherwise not prescribed by a physician to other residents. […]