Ridgecrest Regional Transitional Care And Rehabili
RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILI in RIDGECREST, CA — inspection on March 6, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a concurrent interview and record review on 3/5/25 at 8:53 a.m. with IP, the facility's surveillance activities for infection control were reviewed. IP stated he only monitored hand hygiene which included hand washing and hand rub, and donning on and doffing of Personal Protective Equipment (PPE- clothing and equipment that is worn or used to provide protection against hazardous substances and/or environments). IP stated I try to go out to the floor every other day and on every shift. IP stated he observed Certified Nursing Assistants, Licensed Vocational Nurses, Registered Nurses, Administrator, Physical Therapists, Transportation, and Environmental Services. IP stated the glucometer use and cleaning was not part of his surveillance.
During a review of the facility's Hand Hygiene Monitoring Tool (HHMT), dated January 2025, February 2025, and March 2025, the HHMT did not indicate an adherence rate or the actions taken to correct non-compliance. IP stated he did on-the-spot education but did not document it. IP stated he only collected data. IP did not provide tracking and trending reports, analysis of surveillance, or actions taken to correct non-compliance.
During a review of the facility's P&P titled, Monitoring Compliance with Infection Control, dated 8/2019, the P&P indicated, Policy Statement: Routine monitoring and surveillance of the workplace are conducted to determine compliance with infection prevention and control policies and practices. 6.
The infection preventionist and/or the IPC committee provides reports to the QAPI [Quality Assurance and Performance Improvement] committee that reflect: all infection surveillance data.
2.
During a concurrent observation and interview on 3/3/25 at 10:32 a.m. in Resident 6's room, Resident 6 had a dressing to right leg. Resident 6 state she had an ulcer (open sore) to right side of her heel.
During a review of Resident 6's MDS dated [DATE], the MDS indicated Resident 6 had a BIMS score of 15.
555877
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555877 B.
Wing 03/06/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Ridgecrest Regional Transitional Care and Rehabili 1081 North China Lake Boulevard Ridgecrest, CA 93555