Smith Ranch Skilled Nursing & Rehabilitation Cente

In the surveyor’s words

From the most serious findings on record at Smith Ranch Skilled Nursing & Rehabilitation Cente, in the surveyor’s own words.

• Actual harm, patternF686Aug 22, 2023

  Based on observations, interviews, and record reviews, the facility failed to accurately assess and provide necessary services to prevent the development of a facility-acquired pressure ulcers (injuries to skin and underlying tissue resulting from prolonged pressure on the skin) and worsening of the pressure ulcer, for three out of five sampled residents, Resident 20, Resident 110, and Resident 29 when: 1. The facility did not identify the presence of a pressure ulcer timely for Resident 20, which resulted in the development of an Unstageable (Full thickness tissue loss in which the ulcer is covered with by slough - Slough is necrotic (dead) tissue that needs to be removed from the wound for healing to take place) and/or eschar (Eschar, pronounced es-CAR, is dead tissue that sheds or falls… […]

• Actual harm, patternF697Aug 22, 2023

  Based on observation, interviews and records review, the facility did not ensure a pain management program was provided to relieve pain and discomfort for one of three sampled residents (Resident 29), when staff did not administer pain medication to Resident 29 before wound treatment, as ordered by a physician. This failure resulted in Resident 29 experiencing pain and discomfort during wound treatment. (Reference F686) Findings: During a record review for Resident 29, the Face sheet (A one-page summary of important information about a resident) indicated Resident 29 was admitted on [DATE], with diagnoses including but not limited to Cutaneous T-cell lymphoma (CTCL- is a rare type of cancer that begins in white blood cells[responsible for protecting your body from infection]); Malignant… […]

• Actual harm, isolatedF686Jul 5, 2023

  Based on observation, interviews, and records review, the facility failed to ensure one of two sampled residents (Resident 1) with a pressure ulcer (localized damage to the skin and/or underlying soft tissue, usually over a bony area, or related to a medical or other device) received necessary interventions and services to promote healing and pain control when: 1. The facility did not provide pain medication to Resident 1 prior to wound treatment. This failure resulted to Resident 1 to experience pain and discomfort. 2. The facility did not complete the Nutritional Comprehensive Assessment for Resident 1 upon admission. This failure had the potential for further wound deterioration and delayed wound healing. (Reference F692) 3. […]

• Actual harm, isolatedF692Jul 5, 2023

  Based on interview, and records review, the facility failed to ensure that nutritional care and services were provided to one of two sampled Residents (Resident 1) when: a. The facility did not obtain Resident 1 ' s weight on admission and did not monitor Resident 1 ' s weekly weights. b. The facility did not complete the Nutritional Comprehensive Assessment for Resident upon admission. This failure resulted to a twenty (20) lbs. (pounds - any of various units of mass and weight) which yielded to 16 percent (%) weight loss for a period of seven days. Findings: a. […]

• No harm, potential for more than minimal, widespreadF575May 16, 2025

  Based on observation, interview and record review, the facility failed to publicly post California Department of Public Health (CDPH) contact information for residents residing in facility. This failure resulted in residents not being afforded the right to make a complaint to CDPH regarding concerns with their care or the facility. Findings: During an interview on 5/13/25 at 2:04 p.m. with Resident Council members, eight out of eight residents stated they did not know how or where to file complaints to CDPH and could not recall if information was publicly available in the facility. During a concurrent observation and interview on 5/13/25 at 2:56 p.m. with the Activities Director (AD), CDPH contact information was not posted on the first or second floor of the facility. […]