Settlers Ridge Care Center

In the surveyor’s words

From the most serious findings on record at Settlers Ridge Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF692Aug 26, 2022

  Based on observation, interview and record review, the facility failed to ensure residents maintained acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance to maintain proper hydration and health for one (Resident #1 ) of thirteen residents reviewed for nutritional status. The facility failed to: Ensure Resident #1 maintained proper nutrition and hydration, was assessed by the RD in a timely manner, and interventions were implemented when Resident #1 had significant weight loss and a change in mental status from his admission on [DATE] until he was sent to the hospital on [DATE]. These failures resulted in Resident #1 being hospitalized from [DATE] until [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, isolatedF580Aug 26, 2022

  Based on interview and record review, the facility failed to immediately consult with the resident 's physician when there was a significant change in the resident 's physical status and a need to alter treatment significantly for one (Resident #1) of thirteen residents reviewed for notification of changes. The facility failed to immediately consult with Resident #1 's physician when he had significant weight loss and a change in mental status from his admission on [DATE] until he was sent to the hospital on [DATE] which resulted in Resident #1 being hospitalized from [DATE] until [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . His labs at the hospital on [DATE] were BUN 62, Creatinine 2.49. […]

• No harm, potential for more than minimal, patternF656Apr 2, 2026

  Based on interviews and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 5 of 5 residents (Resident #33, #57, #10, #65, and #16) reviewed for comprehensive care plans.The facility failed to ensure Resident #33, #57, #10, #65 and #16's comprehensive care plan addressed their goals, needs, strengths, medical, nursing, mental, and psychosocial needs.This deficient practice could place residents at risk for not receiving proper care and services due to inaccurate care plans.Findings included:Record review of… […]

• No harm, potential for more than minimal, patternF812Apr 2, 2026

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen safety. The facility failed to ensure food in the facility's dry storage, and refrigerator areas were labeled and dated according to guidelines. The facility failed to seal lids securely on containers in the refrigerator area and dry storage pantry. These deficient practices could affect residents who received meals or snacks from the kitchen and place them at risk for cross contamination and other food-borne illnesses.Findings Included: 3/31/2026 Dry Pantry area revealed 12 plastic round maroon bowls had plastic lids that were unsealed, exposed to the air, not… […]

• No harm, potential for more than minimal, patternF908Apr 2, 2026

  Based on observation, interview, and record review the facility failed to maintain essential equipment in operating condition by failing to maintain walk-in refrigerator and walk-in freezer coolant fans for 1 of 1 kitchens reviewed for equipment in operating condition. The facility failed to maintain the coolant fans in the walk-in freezer and in the walk-in refrigerator for operating condition.The facility's failure to maintain coolant fans in operating condition had the potential to place all residents at risk for cross-contamination and increased risk of foodborne illness. Findings Included:Walk-in refrigerator revealed dripping liquid from the coolant fan within the refrigerator. Walk-in freezer revealed ice build up on the coolant fan within the freezer. […]