Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ridgecrest Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a history of CVA and antiplatelet therapy had ongoing bleeding and open skin on the right hand and fingers, but no treatment was documented in the record. Staff observed blood through the dressing, later found the hand uncovered with active bleeding, and the resident stated the area had been bleeding for a while and that no one had provided treatment. Weekly skin checks noted no issues, and the wound care nurse confirmed there was no treatment order or incident documentation despite the resident’s repeated bleeding.
Failure to assess a resident for safe smoking before allowing unsupervised smoking. A resident with intact cognition and diagnoses including DM, chronic pain syndrome, fibromyalgia, nicotine dependence, and restless leg syndrome was observed smoking in the designated area without staff supervision on multiple occasions. The care plan said she could smoke unsupervised, but no smoking assessment was found in the record, and the DON and LPN/unit manager confirmed the assessment was unavailable.
Infection control practices were not maintained when a resident room designated for EBP remained visibly soiled with a brown substance on consecutive days, despite housekeeping being responsible for daily room cleaning. During lunch meal service, staff were observed handling a straw with bare hands and using bare hands to scoop ice from a bin holding beverage pitchers before serving a resident. The DON and other staff acknowledged that the room should have been cleaned daily and that the ice in the bin was not intended for resident use.
Surveyors observed live and dead pests in two resident rooms, and both residents and staff reported ongoing pest issues despite a performance improvement plan for pest control. Documentation showed that required room audits and follow-up actions were not completed or tracked, and the Director of Maintenance did not review pest sighting logs, relying instead on the pest control company. Facility records lacked evidence that interventions were implemented or monitored for effectiveness.
The facility did not maintain an effective pest control program, as evidenced by direct observations of roaches, flies, and ants in resident rooms, ongoing pest sightings reported by multiple residents and staff, and pest sighting logs documenting repeated infestations. Despite a pest control service agreement and regular treatments, there was no evidence that rooms with reported pest activity were specifically treated, and service reports lacked details on targeted interventions.
Failure to Monitor and Treat Ongoing Bleeding to a Resident’s Hand
Penalty
Summary
The facility failed to ensure adequate monitoring and assessment of a resident’s skin integrity when Resident #102 had ongoing bleeding and open areas on the right hand and fingers without documented treatment. The resident had diagnoses including syncope and collapse, chronic respiratory failure with hypoxia or hypercapnia, CVA, and COPD, and was receiving Clopidogrel and Aspirin. Her care plan identified her as at risk for abnormal bleeding related to antiplatelet therapy and a history of CVA, and also noted impairment to skin integrity of the right ring finger with interventions to keep the area clean and dry and avoid scratching. During observation, the resident was seen with her right hand wrapped in gauze with blood visible through the dressing, an open area on the lateral ring finger, and blood on the fingers of the left hand. She stated her right ring finger was bleeding and that it had been bleeding for a while. On later observations, her right hand was uncovered, the lateral ring finger and thumb were bleeding, and she was holding her hand with a tissue. She stated someone had unwrapped the gauze and looked at the finger but never returned. The next day, she was again observed with no dressing on the right hand, blood on the middle digit, and blood-covered tissues placed on her food tray. She stated no one had provided treatment to her right hand. The medical record showed no treatment for the hand or fingers, and weekly skin checks dated 01/19/26 and 01/26/26 noted no skin issues. The wound care nurse stated that when a new issue is identified, the assigned nurse should contact the provider, obtain the initial treatment, notify family, and complete a skin note, but confirmed there was no treatment in place or risk management note for an incident. The wound care nurse later observed the resident with a napkin saturated with blood, revealing open skin and bruising to the right ring finger and thumb, and the resident stated it had been like that for several days and no one had done anything about it. The DON stated the resident had chronic wounds to the right hand and picked healed scabs until they bled.
Failure to Assess Safe Smoking Before Unsupervised Smoking
Penalty
Summary
The facility failed to ensure that a resident who smoked received adequate supervision to prevent accidents. Resident #73 was observed smoking in the designated smoking area on multiple occasions while no staff member was present to supervise her. The resident stated that she was allowed to smoke between 8:00 AM and 8:00 PM and that smoking residents were not normally supervised by facility staff, with smoking supplies kept at the receptionist desk after use. Resident #73 was admitted with diagnoses including type 2 diabetes mellitus with hyperglycemia, chronic pain syndrome, fibromyalgia, nicotine dependence, and restless leg syndrome. Her MDS showed a BIMS score of 15/15, indicating intact cognition, and no impairment to her upper or lower extremities. Her care plan identified her as a smoker and included interventions such as education about tobacco risks and observing her clothing and skin for cigarette burns. The care plan also stated that she was able to smoke unsupervised, and smoking supplies were stored at the reception desk. Record review showed no smoking assessment for Resident #73, and she was not included on the facility's active smoking list. Staff interviews confirmed that residents were assessed for safe smoking on admission, quarterly, and with changes in condition, but the LPN/unit manager and DON both stated they could not find a smoking assessment for this resident. The DON also stated that Resident #73 was an active smoker who smoked unsupervised, despite the absence of documentation verifying that she had been assessed as a safe smoker.
Infection Control Lapses in Room Cleaning and Meal Service
Penalty
Summary
The facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment when a resident room designated for enhanced barrier precautions was observed with multiple areas of a brown-colored substance, resembling feces, on the floor in the center of the room on two consecutive days. The substance was visible from the hallway during both observations. Housekeeping staff were identified as responsible for cleaning resident rooms, collecting trash, and mopping floors each day and when there was a spill or accident, and one housekeeper stated she had been assigned to service the room and had no trouble cleaning it each shift she worked. During interviews, the LPN stated that resident rooms were not being cleaned thoroughly or consistently as they should. The DON stated it was her expectation that resident rooms were cleaned daily to help prevent the potential spread of infection. She acknowledged the environmental concerns and stated there was an Environmental PIP in place, but infection control and prevention was not covered in that plan. The Administrator confirmed that infection control environmental concerns were not covered in the PIP documentation reviewed. The facility also failed to follow hand hygiene practices consistent with accepted standards of practice during lunch meal service. In the dining room, staff were observed handling a paper-covered straw with bare hands, tearing the wrapper, and placing the straw into a resident’s cup after touching the straw with bare hands. The ADON was also observed reaching into a gray bin on a nourishment cart with bare hands, scooping ice with a clear cup from the bin that held beverage pitchers, and then pouring tea into a cup. The ADON stated this was part of meal service, while CNA G and the LPN stated the ice in the bin was not for resident use and should not be served to residents. The DON confirmed that all staff received infection control and prevention training, including hand hygiene training, prior to working on the floor.
Failure to Implement and Monitor Pest Control Performance Improvement Plan
Penalty
Summary
The facility failed to implement, measure, and track the effectiveness of its Performance Improvement Plan (PIP) for pest control, resulting in ongoing pest infestations in resident rooms. Direct observations by surveyors revealed live and dead roaches, a fly, and ants in two sampled resident rooms. Residents reported that they had informed staff about the presence of pests, but continued to observe them in their rooms. Staff interviews confirmed that pests had been seen in resident rooms and that sightings were documented in pest sighting binders at the nurse's stations. Despite the existence of a PIP initiated after previous grievances and citations related to pest control, there was no documented evidence that the plan's action steps were fully implemented or monitored for effectiveness. The Director of Maintenance stated that he did not review the pest sighting binders and relied on the pest control company to do so. The pest control company was expected to review logs and treat affected areas, but comprehensive treatments, such as wall penetration spraying, were only partially completed due to competing priorities. Documentation also lacked evidence of regular room audits for pest signs, as required by the PIP. Review of facility records, including pest control invoices and Guardian Angel Rounds checklists, did not show that all rooms received the required observation audits for pest activity. The checklists reviewed only covered a limited number of rooms and did not specifically document pest-related findings. Additionally, the facility's documentation did not demonstrate that follow-up actions were taken to ensure interventions were effective or that improvements were sustained, as outlined in the PIP.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in the presence of pests such as roaches, flies, and ants in resident rooms. Direct observations included a live roach in one resident's room, a fly and both live and dead roaches behind an oxygen concentrator, and multiple ants on the wall and under a light fixture. Residents reported ongoing pest sightings to staff, and staff confirmed they had observed pests and documented these sightings in pest sighting binders at the nurse's stations. A review of the facility's pest sighting logs for multiple halls revealed numerous documented roach sightings in resident rooms over several months, including repeated sightings in a specific room. Despite a service agreement with a pest control company for monthly prevention and special treatments, there was no documented evidence that rooms identified in the pest sighting logs were specifically treated. Monthly invoices and pest prevention service reports often lacked details about targeted treatments or identified areas of concern, even when pest activity was reported by residents and staff. The facility's policy required the use of various methods to control pests, but the documentation reviewed did not demonstrate that these measures were effectively implemented in response to reported pest activity. The ongoing presence of pests in resident rooms, as observed and reported by both residents and staff, indicated a failure to ensure the facility was free of pests as required by the facility's own policy and procedures.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Deland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Adventhealth Deland | 0.5 mi | — | 0 | 0 |
| Athens Post Acute Llc | 2 mi | ★★★★★ | 14 | 0 |
| Blue Palms Health And Rehabilitation Center Of Del | 2.1 mi | ★★★★★ | 0 | 0 |
| Parkside Health And Rehabilitation Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Alliance Health And Rehabilitation Center | 2.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.