Ridgecrest Village

In the surveyor’s words

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

• Immediate jeopardy, isolatedF757Sep 26, 2024

  Based on observation, interview, and record review the facility failed to hold warfarin, an anticoagulant medication (Coumadin, brand name for warfarin) following a documented International Normalized Ratio (INR) documented as 7.8 on 4/8/24 for one of one resident reviewed for warfarin administration (Resident #19). The resident received doses of warfarin on 4/8/24 and 4/9/24 when the medication was to be held. The resident's INR was documented as 9.3 on 4/10/24. The resident was found with blood on their arms and legs on 4/13/24. Resident sent to the hospital and admitted for INR of 8.2, Hemoglobin (Hgb) of 8.6, and treated with Vitamin K (antidote). This deficient practice resulted in an Immediate Jeopardy (IJ) to the health and safety of the resident. […]

• Immediate jeopardy, isolatedF689Aug 8, 2024

  Based on observations, clinical record review, and resident and staff interviews the facility failed to identify and respond to an elopement in a timely manner for 1 of 1 residents reviewed for elopement (Resident #1). Resident #1 eloped from the facility on 7/20/24 at approximately 3:00 a.m., was found at 7:20 a.m. by facility staff on a neighboring business property approximately 100 yards from the facility. Facility staff initially identified the resident was missing at 6:50 a.m., notified management staff at 7:08 a.m., and staff went outside and looked for the resident at 7:15 a.m. […]

• Actual harm, isolatedF600Oct 2, 2025

  Based on clinical record review, resident and staff interviews, provider interview and facility policy review, the facility failed to provide a safe environment free from physical abuse for 1 resident (Resident #64). This resulted in harm to the resident in the form of a displaced fracture to the lower end of the right humerus and a non-displaced fracture to the head of the right radius. The facility reported a census of 55. Findings include: The Minimum Data Set (MDS) for Resident #64, dated 08/12/2025, documented the following diagnoses: Anemia, Atrial Fibrillation, Coronary Artery Disease, Hypertension, Cerebrovascular Accident (Stroke), and Non-Alzheimer's dementia. It further documented her hospice status. […]

• No harm, potential for more than minimal, widespreadF812Oct 2, 2025

  Based on observation, record review and staff interviews the facility failed to store food properly, handle food correctly for 3 out of 3 meals observed and maintain clean refrigerator and microwave to prevent food borne illnesses. The facility identified a census of 55 residents. Findings include:1.) During the initial tour of the kitchen on 9/29/25 at 10:01 AM observed the following boxes open to air with plastic bags inside not sealed and not labeled or dated in the walk in freezer of the main kitchen:-Large bag of peas opened to air -Ice cream on cart 3 large containers lids not on tight, partially used and not dated- 5 gallon container of ice cream on shelf partially used and no lid on container - Peach Danish open - Croissants- Pizza dough- Gluten free pizza crust - Regular pizza… […]

• No harm, potential for more than minimal, widespreadF865Oct 2, 2025

  Based on the previous Center for Medicare and Medicaid Services (CMS) Statement of Deficiencies forms, staff interview, current CMS Statement of Deficiencies form and facility policy review the facility failed to carryout Quality Assurance (QA) activities to prevent reoccurrence of deficiencies. The facility reported a census of 55 residents. Findings include: Review of the CMS 2567 report dated 9/26/24, included deficiencies related to F0865 (QAPI Program/Plan, Disclosure/Good Faith Attempt) at a D, F0812 Food Procurement, Store/Prepare/Serve-Sanitary, F0868 QAA Committee, and F0880 Infection Prevention & Control. […]