Sanders Ridge Health Campus

In the surveyor’s words

From the most serious findings on record at Sanders Ridge Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF602Jun 9, 2026

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure residents were free from misappropriation of property for 2 of 6 residents sampled for abuse, out of the total sample of 37, (Resident (R)33 and R67). The findings include:Review of the facility policy titled, Abuse and Neglect Procedural Guidelines, revised 06/27/2017, revealed misappropriation of property was defined as the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent. […]

• No harm, potential for more than minimal, isolatedF554May 15, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to assess a resident for their ability to self-administer medication for 1 of 15 sampled residents, (Resident (R)202). The findings include: Review of the facility policy titled, Medication Administration- General Guidelines, revised 01/2018, residents were allowed to self-administer medications when specifically authorized by the attending physician and in accordance with procedures for self-administration of medications. Review of the Resident Face Sheet revealed the facility admitted R202 on 05/09/2025, with diagnosis of gastroesophageal reflux disease (GERD). […]

• No harm, potential for more than minimal, isolatedF609May 15, 2025

  Based on interview, record review, facility document and policy review, the facility failed to timely report an allegation of physical abuse to the State Survey Agency (SSA) for 1 of 1 resident reviewed for abuse, out of the total sample of 15 (Resident (R) 152). The findings include: Review of the facility policy titled, Abuse, Neglect and Exploitation Procedural Guidelines, revised 12/16/2024, revealed its purpose was to develop and implement processes, which strived to ensure the prevention and reporting of suspected or alleged resident abuse and neglect. Per review, the Executive Director (ED) and Director of Health Services (DHS) were responsible for the implementation and ongoing monitoring of abuse standards and procedures. […]

• No harm, potential for more than minimal, isolatedF689May 15, 2025

  Based on interview, record review, and facility policy review, the facility failed to ensure medications were secured to prevent potential accidents for 1 of 1 residents reviewed for accidents, out of the total sample of 15 (Resident (R) 102). The findings include: Review of the facility policy titled, Medication Storage In The Facility, revised 11/2018, revealed, Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. Review of the Resident Face Sheet for R102 revealed the facility admitted the resident on 05/09/2025, with diagnoses of Alzheimer's disease and low back pain. […]

• No harm, potential for more than minimal, isolatedF600Jan 22, 2021

  Based on observation, interview, medical record review, and review of the facility's policy, it was determined the facility failed to protect one (1) of seven (7) sampled residents, Resident #1, from physical abuse. On 01/09/2021 at approximately 9:00 AM, a licensed nurse found Resident #2 lying in bed with Resident #1. Resident #2's pajama pants and briefs were down around his/her ankles. The licensed nurse on duty heard Resident #1 yelling from his/her room. When the nurse entered the room she witnessed Resident #2 pulling on Resident #1's shoulder, arm, leg, neck, and hair. […]