Aristacare at Cedar Oaks

In the surveyor’s words

From the most serious findings on record at Aristacare at Cedar Oaks, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Jun 21, 2021

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure a resident (Resident #169) who had a physician's order for continuous oxygen was properly identified, assessed, re-assessed, and monitored for smoking after the resident was noted to be smoking in the bathroom on three separate occasions on 4/18/21, 4/30/21 and 6/11/21. Further, the facility failed to address the smoking violations in accordance with their smoking policy and revise the resident's care plan to ensure safe smoking practices. […]

• Immediate jeopardy, patternF600Feb 7, 2023

  Complaint #: NJ00160765, NJ00160776 NJ00160791, NJ00161051 Based on interviews, review of the Medical Records (MR), and other pertinent facility documentation on [DATE], [DATE], [DATE], [DATE], and [DATE], it was determined that the facility failed to provide the services necessary to avoid physical harm. The facility failed to ensure that residents who are cognitively impaired were protected from a resident-to-resident physical abuse/altercation and recurrence, failed to initiate a care plan (CP) when behaviors started for consistent behavior monitoring, failed to provide adequate supervision and documentation to protect from physical abuse, and to follow their own policies titled: Behavior Assessment and Monitoring, RESIDENT ABUSE NEGLECT AND MISTREATMENT THE LAW, Abuse, Charting and… […]

• Immediate jeopardy, patternF835Feb 7, 2023

  Complaint #: NJ00160765, NJ00160776 NJ00160791, NJ00161051 Based on observation, interviews, medical record (MR) review, and review of other pertinent facility documentation during the on-site investigation on [DATE], [DATE], [DATE], [DATE], and [DATE], it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to follow the facility's Administrator job description and failed to ensure that policies and procedures were implemented by staff under Behavior Assessment and Monitoring, RESIDENT ABUSE NEGLECT AND MISTREATMENT THE LAW, Abuse, Charting and Documentation, Care Plans-Comprehensive, and Behavioral Assessment, Intervention and Monitoring, Accidents and Incidents, and Acute Condition Changes - Clinical Protocol. 1. […]

• Immediate jeopardy, isolatedF600Aug 25, 2025

  COMPLAINT #: NJ00183422, NJ00186468 Based on observation, interviews, medical record review, and review of other pertinent facility documentation on 08/22/25, it was determined that the facility failed to immediately implement their abuse policy to ensure residents were protected from abuse by not removing the accused staff from resident care pending full investigation of an abuse allegation. This deficient practice was identified for 1 of 3 residents reviewed for abuse (Resident #1) and had the potential to affect all residents. […]

• Immediate jeopardy, isolatedF689Feb 7, 2023

  Complaint #: NJ00160765, NJ00160776 NJ00160791, NJ00161051 Based on interview, medical records (MR) review, and review of pertinent facility documents on 1/20/23, 1/23/23, 1/27/23, 2/2/3, and 2/7/23, it was determined that the facility failed to ensure that a.) a resident with known history of behaviors of wandering and repeatedly attempted to open the medication cart was adequately supervised and had appropriate care plan in place and b.) an incident or accident was reported immediately to the nursing supervisor (NS) or the Director of Nursing (DON) in accordance to the facility's reporting policy for incidents and accidents for 1 of 3 residents (Resident #7) reviewed for incident and accident. […]