Inspection Reports for Ridgecrest Rehab & Skilled Nursing Center
8329 Steven's Ln, Columbus, GA 31909, United States, GA, 31909
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 15, 2025, found no deficiencies after a revisit survey verified correction of prior issues cited in December 2024. Earlier inspections showed multiple deficiencies related primarily to medication management, including psychotropic medication orders without stop dates, failure to assess residents for safe self-administration of medications, and oxygen therapy care plan compliance. Prior reports also noted infection control and food safety issues, as well as some life safety code deficiencies involving fire alarm sensitivity testing and exit door signage. Complaint investigations were unsubstantiated, and no fines or enforcement actions were listed in the available reports. The facility appears to have addressed previous deficiencies effectively, as recent follow-up surveys confirmed corrections and the latest inspection was clean.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
5.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
39 residents
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Deficiencies: 1
Date: Dec 7, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with care planning requirements, specifically regarding the development and implementation of care plans for residents using psychotropic/antianxiety medications.
Findings
The facility failed to develop a care plan for one resident related to psychotropic/antianxiety medication use. The Director of Nursing acknowledged the oversight and confirmed that the resident did not have a care plan addressing the use of such medications.
Deficiencies (1)
Failed to develop and implement a complete care plan that meets all the resident's needs, specifically for psychotropic/antianxiety medication use for one resident.
Report Facts
Sample size: 25
Medication dosage: 0.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Acknowledged oversight in care plan development for psychotropic medication use |
Inspection Report
Deficiencies: 0
Date: Jan 15, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction for Ridgecrest Rehab & Skilled Nursing Center following a survey completed on January 15, 2025.
Findings
The report contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Re-Inspection
Census: 39
Deficiencies: 0
Date: Jan 15, 2025
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the December 5, 2024, recertification survey.
Findings
All deficiencies cited in the prior recertification survey were found to be corrected during this revisit survey.
Inspection Report
Deficiencies: 0
Date: Jan 15, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction for Ridgecrest Rehab & Skilled Nursing Center following a state inspection.
Findings
The report contains initial comments but does not provide detailed findings or deficiencies in the provided page.
Inspection Report
Re-Inspection
Census: 39
Deficiencies: 0
Date: Jan 15, 2025
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the December 5, 2024, recertification survey.
Findings
All deficiencies cited in the prior recertification survey were found to be corrected during this revisit survey.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 14, 2025
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as noted by the surveyor.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 14, 2025
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The surveyor noted that all previously cited deficiencies had been corrected during the follow-up visit.
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Dec 5, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication self-administration, residents' rights regarding advance directives, care plan implementation, oxygen therapy, and psychotropic medication use at Ridgecrest Rehab & Skilled Nursing Center.
Findings
The facility was found deficient in multiple areas including failure to assess and document resident competency for self-administration of medications, failure to provide written information about rights to accept or refuse medical or surgical treatment, failure to follow care plans for oxygen therapy, failure to administer oxygen according to physician orders, and failure to ensure psychotropic medications were not ordered as needed beyond 14 days without a stop date.
Deficiencies (5)
Failed to ensure one of 27 sampled residents was assessed for safe self-administration of medications, obtain physician orders, and secure medications properly.
Failed to provide residents and/or their representatives written information regarding the right to accept or refuse medical or surgical treatment for three of 33 residents.
Failed to follow the care plan for oxygen therapy for two of eight residents to ensure oxygen flow rate was set based on physician order.
Failed to provide safe and appropriate respiratory care by not administering oxygen according to physician orders for two of eight residents receiving oxygen.
Failed to ensure psychotropic medications were not ordered as needed beyond 14 days and/or failed to indicate a stop date for the extension for one of 27 sampled residents.
Report Facts
Residents sampled: 27
Residents sampled: 33
Residents affected: 3
Residents affected: 2
Oxygen flow rate ordered: 2
Oxygen flow rate observed: 3
BIMS score: 11
BIMS score: 15
PRN psychotropic medication duration limit: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) AA | Named in medication self-administration and oxygen therapy findings | |
| Director of Nursing (DON) | Named in medication self-administration, oxygen therapy, and psychotropic medication findings | |
| Social Services Director (SSD) | Named in advance directive rights findings | |
| MDS Coordinator | Named in care plan and oxygen therapy findings | |
| Registered Nurse (RN) BB | Named in psychotropic medication findings | |
| Respiratory Therapist | Named in oxygen therapy findings |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Dec 5, 2024
Visit Reason
The inspection was conducted as a State Licensure survey at Ridgecrest Rehab and Skilled Nursing Center from December 3 through December 5, 2024, to determine compliance with State Long Term Care Requirements.
Findings
The facility was cited for multiple deficiencies including failure to ensure psychotropic medications were not ordered as needed beyond 14 days without a stop date, failure to assess a resident for safe self-administration of medications and secure medications properly, failure to follow care plans for oxygen therapy for two residents, and failure to ensure nurses observed medication administration properly.
Deficiencies (4)
Psychotropic medications were ordered as needed (PRN) beyond 14 days without a stop date for one resident (R25).
One resident (R438) was not assessed for safe self-administration of medications, physician orders were not obtained, and medications were not safely secured.
Failure to follow care plan for oxygen therapy for two residents (R437 and R28) with oxygen flow rates not set as ordered.
Nurse left medications at bedside instead of observing resident take them, contrary to facility expectations.
Report Facts
Sampled residents: 27
Medication dosage: 0.5
Oxygen flow rate: 2
Oxygen flow rate observed: 3
Oxygen flow rate observed: 2.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) AA | Interviewed regarding medication administration and leaving medications at bedside | |
| Director of Nursing (DON) | Interviewed regarding requirements for stop dates on PRN psychotropic medications and expectations for medication administration observation | |
| Registered Nurse (RN) BB | Interviewed regarding hospice orders and medication stop dates |
Inspection Report
Routine
Census: 34
Deficiencies: 5
Date: Dec 5, 2024
Visit Reason
A standard survey was conducted at Ridgecrest Rehab and Skilled Nursing Center from December 3, 2024, through December 5, 2024, to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found not in substantial compliance with several Medicare/Medicaid regulations including failure to assess resident competency for self-administration of medications, failure to provide written information on advance directives, failure to follow care plans for oxygen therapy, failure to administer oxygen according to physician orders, and failure to ensure psychotropic medications had appropriate stop dates.
Deficiencies (5)
Failed to ensure one of 27 sampled residents was assessed for safe self-administration of medications, obtain physician orders, and secure medications properly.
Failed to provide residents and/or their representatives written information regarding the right to accept or refuse medical or surgical treatment for three of 33 residents.
Failed to follow the care plan for oxygen therapy for two of eight residents to ensure oxygen flow rate was set based on physician order.
Failed to ensure oxygen was administered according to physician order for two of eight residents receiving oxygen.
Failed to ensure psychotropic medications were not ordered as needed beyond 14 days and/or failed to indicate a stop date for the extension for one of 27 sampled residents.
Report Facts
Residents sampled: 27
Residents reviewed for advance directive information: 33
Residents receiving oxygen therapy: 8
Oxygen flow rate: 2
Oxygen flow rate observed: 3
BIMS score: 11
Lorazepam dosage: 0.5
Lorazepam order duration: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN AA | Licensed Practical Nurse | Named in medication administration deficiency and oxygen therapy findings |
| Director of Nursing | Director of Nursing | Named in multiple findings including medication administration, oxygen therapy, and psychotropic medication order deficiencies |
| Social Services Director | Social Services Director | Named in advance directive information deficiency |
| MDS Coordinator | MDS Coordinator | Named in oxygen therapy care plan deficiency |
| Respiratory Therapist | Respiratory Therapist | Named in oxygen therapy deficiency |
| RN BB | Registered Nurse | Named in psychotropic medication order deficiency |
Inspection Report
Life Safety
Census: 34
Capacity: 84
Deficiencies: 1
Date: Dec 4, 2024
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance due to failure to provide sensitivity testing for the fire alarm system, affecting the entire facility. Records review and staff interviews confirmed the absence of a current fire detector sensitivity test.
Deficiencies (1)
Failure to provide sensitivity testing for the fire alarm system.
Report Facts
Census: 34
Certified beds: 84
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings regarding fire alarm sensitivity testing during the facility tour |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 21, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Ridgecrest Rehab & Skilled Nursing Center following a regulatory inspection.
Findings
The document contains a summary statement of deficiencies identified during the inspection, but no specific deficiencies or severity levels are detailed on the page provided.
Inspection Report
Follow-Up
Census: 27
Deficiencies: 0
Date: Sep 21, 2023
Visit Reason
A health revisit survey was conducted to verify correction of deficiencies cited during the July 30, 2023 Standard Survey.
Findings
All deficiencies cited as a result of the July 30, 2023 Standard Survey were found to be corrected.
Inspection Report
Life Safety
Deficiencies: 0
Date: Sep 6, 2023
Visit Reason
A Life Safety Code revisit was conducted to verify correction of previously cited deficiencies.
Findings
All previously cited Life Safety Code deficiencies had been corrected at the time of the revisit.
Inspection Report
Routine
Deficiencies: 2
Date: Jul 30, 2023
Visit Reason
A State Licensure survey was conducted at Ridgecrest Rehab & Skilled Nursing Center from July 28, 2023 through July 30, 2023 to assess compliance with state health regulations.
Findings
The facility was found deficient in infection control practices related to a resident diagnosed with Clostridium difficile, including failure to maintain isolation precautions and proper signage. Additionally, the facility failed to label and date opened food items and improperly thawed frozen foods, posing a risk of foodborne illness to residents.
Deficiencies (2)
Failed to ensure infection control practices were maintained for one resident diagnosed with Clostridium difficile, including lack of isolation orders, removal of isolation signage despite ongoing symptoms, and inconsistent staff knowledge about isolation status.
Failed to label and date opened food items and properly thaw frozen foods, including unlabeled cooked sweet potatoes, open bags of frozen foods without dates, and improper thawing of fish filets.
Report Facts
Residents consuming oral diet: 27
Residents total: 28
Medication dosage: 250
Medication dosage: 500
Medication duration: 10
Observation date: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN CC | Registered Nurse | Stated isolation was discontinued after antibiotic therapy despite ongoing symptoms; no isolation order was written |
| CNA GG | Certified Nurse Aide | Reported resident #11 continued to have loose foul-smelling stools and was told resident was not on isolation |
| DON | Director of Nursing | Verified no isolation order existed and physician was not notified after treatment completion despite ongoing symptoms |
| LPN FF | Licensed Practical Nurse | Believed resident #11 was still on isolation; unaware isolation had been discontinued |
| DM | Dietary Manager | Confused about resident #11 isolation status; confirmed lack of labeling and dating of food items |
| DC II | Dietary Cook II | Confirmed failure to label/date food items and improper thawing practices |
| CNA HH | Certified Nurse Aide | Informed Dietary Manager that resident #11's food should be on Styrofoam tray due to isolation precautions |
Inspection Report
Routine
Census: 28
Deficiencies: 5
Date: Jul 30, 2023
Visit Reason
A standard routine survey was conducted to assess compliance with Medicare/Medicaid regulations at Ridgecrest Rehab & Skilled Nursing Center.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including failure to properly assess and monitor residents' skin conditions, failure to follow physician orders for skin assessments, improper storage and documentation of respiratory equipment, failure to label and date food items properly, and inadequate infection control practices related to a resident with Clostridium difficile.
Deficiencies (5)
Failed to create a baseline care plan including minimum healthcare information for assessing and monitoring a Peripheral Intravenous (PIV) infiltration causing a hematoma on a resident's left forearm.
Failed to provide treatment and care in accordance with professional standards for two residents related to PIV infiltration and failure to follow physician orders for weekly skin assessments for a resident on anticoagulant therapy.
Failed to ensure oxygen equipment was properly stored and dated, and failed to have a current physician order for CPAP usage for residents receiving respiratory treatment.
Failed to label and date opened food items and properly thaw frozen foods, risking foodborne illnesses for residents consuming oral diets.
Failed to ensure infection control practices were maintained for a resident diagnosed with Clostridium difficile, including lack of isolation signage and discontinuation of isolation precautions despite ongoing symptoms.
Report Facts
Resident census: 28
Number of sampled residents: 22
Number of residents affected: 2
Number of residents receiving CPAP: 3
Number of residents consuming oral diet: 27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN CC | Registered Nurse, Unit Manager, Infection Control Preventionist | Responsible for wound care and infection control; interviewed regarding PIV injury and CPAP usage |
| LPN DD | Licensed Practical Nurse | Assigned nurse for resident with PIV injury; interviewed about care and orders |
| DON | Director of Nursing | Interviewed regarding PIV injury, CPAP orders, and infection control practices |
| CNA EE | Certified Nursing Assistant | Reported bruise on resident's arm |
| CNA GG | Certified Nurse Aide | Interviewed about resident CPAP usage and isolation precautions |
| LPN FF | Licensed Practical Nurse | Interviewed about CPAP usage and isolation precautions |
| RN AA | Registered Nurse | Noticed CPAP without order and removed equipment |
| DC II | Dietary Cook II | Interviewed about food labeling and thawing practices |
| DM | Dietary Manager | Interviewed about food storage and labeling policies |
| CNA HH | Certified Nursing Assistant | Reported isolation precautions for resident with C-diff |
Inspection Report
Routine
Deficiencies: 5
Date: Jul 30, 2023
Visit Reason
The inspection was conducted to assess compliance with healthcare regulations related to resident care, treatment, infection control, and food safety at Ridgecrest Rehab & Skilled Nursing Center.
Findings
The facility failed to create and implement appropriate care plans and monitoring for residents with Peripheral Intravenous (PIV) injuries, failed to follow physician orders for skin assessments, did not ensure proper respiratory equipment storage and orders, failed to label and date food items properly, and did not maintain infection control practices for a resident with Clostridium difficile.
Deficiencies (5)
Failed to create a baseline care plan including minimum healthcare information for a resident with a PIV infiltration causing a hematoma.
Failed to provide appropriate treatment and care according to orders and resident preferences for two residents related to PIV injury and anticoagulant therapy skin assessments.
Failed to ensure oxygen equipment was properly stored and dated, and failed to have a current physician order for CPAP for one resident.
Failed to label and date opened food items and properly thaw frozen foods, risking foodborne illness.
Failed to ensure infection control practices were maintained for a resident diagnosed with Clostridium difficile, including lack of isolation signage and failure to maintain isolation precautions.
Report Facts
Residents sampled: 22
Residents affected: 27
Residents affected: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN CC | Registered Nurse, Unit Manager, Infection Control Preventionist | Interviewed regarding PIV injury care, wound care doctor communication, skin assessments, respiratory equipment, and infection control practices |
| LPN DD | Licensed Practical Nurse | Interviewed regarding care for resident with PIV injury |
| DON | Director of Nursing | Observed and interviewed regarding PIV injury assessment, respiratory equipment storage, and infection control practices |
| CNA EE | Certified Nursing Assistant | Reported observation of bruising on resident |
| LPN FF | Licensed Practical Nurse | Interviewed regarding CPAP use and resident refusal |
| RN AA | Registered Nurse | Interviewed regarding CPAP orders and removal of equipment |
| CNA GG | Certified Nurse Aide | Interviewed regarding resident CPAP use and infection control practices |
| DM | Dietary Manager | Interviewed regarding food labeling, thawing practices, and infection control food service |
| CNA HH | Certified Nursing Assistant | Reported on isolation precautions for resident with C-Diff |
Inspection Report
Life Safety
Census: 27
Capacity: 84
Deficiencies: 1
Date: Jul 29, 2023
Visit Reason
The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with life safety requirements due to failure to maintain all egress doors properly. Specifically, delayed egress hardware on multiple hall exit doors lacked the required approved signage.
Deficiencies (1)
Delayed egress hardware on the doors of the 100, 200, 300 and 400 Halls exit doors were not provided with approved signage stating 'PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 SECONDS'.
Report Facts
Census: 27
Total Capacity: 84
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings regarding delayed egress door signage during facility tour |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Nov 30, 2022
Visit Reason
An abbreviated survey was conducted to investigate complaint #GA00219506 initiated on November 29, 2022.
Complaint Details
Complaint #GA00219506 was investigated and found to be unsubstantiated with no regulatory violations cited.
Findings
The complaint was unsubstantiated and no regulatory violations were cited during the survey.
Inspection Report
Deficiencies: 0
Date: Jan 25, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction for Ridgecrest Rehab & Skilled Nursing Center following a survey completed on January 25, 2022.
Findings
The report contains initial comments but does not provide detailed findings or deficiencies in the provided page.
Inspection Report
Re-Inspection
Census: 16
Deficiencies: 0
Date: Jan 25, 2022
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 11/18/2021 Recertification Survey.
Findings
All deficiencies cited in the previous recertification survey were found to be corrected during this revisit survey.
Inspection Report
Original Licensing
Census: 18
Deficiencies: 0
Date: Nov 18, 2021
Visit Reason
A licensure survey was conducted at Ridgecrest Rehab & Skilled Nursing Center from November 16, 2021 through November 18, 2021.
Findings
There were no State Licensure deficiencies cited during this survey.
Inspection Report
Routine
Census: 18
Deficiencies: 2
Date: Nov 18, 2021
Visit Reason
A standard survey was conducted at Ridgecrest Rehab & Skilled Nursing Center from November 16, 2021 through November 18, 2021 to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including failure to accurately document a resident's code status and failure to follow food safety requirements such as labeling dry food items and wearing hair nets in the kitchen.
Deficiencies (2)
Failure to accurately document the code status for one resident, resulting in confusion about CPR orders.
Failure to label dry food items on the date they were received and Dietary Manager not wearing a hair net during food preparation.
Report Facts
Resident census: 18
Number of sampled residents with code status issue: 1
Number of survey days Dietary Manager failed to wear hair net: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Medical Director | Medical Director | Interviewed regarding resident code status confusion |
| Dietary Manager | Dietary Manager | Observed not wearing hair net during food preparation and handling |
| Social Services Director | Social Services Director | Interviewed regarding pre-admission evaluation and paperwork |
Inspection Report
Life Safety
Census: 17
Capacity: 78
Deficiencies: 0
Date: Nov 16, 2021
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found in substantial compliance with the Emergency Preparedness Program requirements under 42 CFR § 483.73 and the Life Safety Code requirements under 42 CFR Subpart 483.90(a).
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 0
Date: Sep 28, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted in conjunction with a complaint survey investigating complaint GA00212957.
Complaint Details
Complaint GA00212957 was unsubstantiated.
Findings
The complaint was unsubstantiated, no regulatory violations were cited, and the facility was found to be in compliance with infection control regulations and COVID-19 preparedness practices.
Inspection Report
Original Licensing
Deficiencies: 0
Date: Dec 16, 2020
Visit Reason
An initial walk-through licensure survey was conducted at the new facility Ridgecrest Rehab and Skilled Nursing Center formerly known as Azalea Trace Nursing Center.
Findings
The facility was found to be in compliance with state requirements.
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