Canterbury at Cedar Grove

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF814Dec 23, 2025

  Based on observation, interviews, and review of facility policies, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to keep the dumpster and surrounding area free of garbage and debris. This deficient practice was observed and evidenced by the following:On 12/17/25 at 9:30 AM, the surveyor in the presence of the toured the Food Service Director (FSD) toured the kitchen and dumpster area and found the following:There was garbage debris that included shower chairs, hospital bed frames, a dresser, wooden pallets and cardboard boxes all observed on the outside of dumpster. […]

• No harm, potential for more than minimal, widespreadF550Jul 3, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to ensure residents were served their meals in a dignified manner during meal services. This deficient practice was identified on 3 of 3 nursing units on multiple dates of observation and was evidence by the following: 1. On 6/27/24 at 12:05 PM, this surveyor observed the lunch meal on the 4th floor. The main dining room had 18 residents. 18 of 18 residents were served their meal on Styrofoam plates and cups, with plastic utensils. The surveyor further observed the residents who were eating in their rooms also having Styrofoam plates and cups, with plastic utensils. […]

• No harm, potential for more than minimal, widespreadF812Jul 3, 2024

  Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices as well as store potentially hazardous foods in a manner to prevent food borne illness. This deficient practice was observed and evidenced by the following: On 6/25/24 at 9:35 AM, the surveyor in the presence of Food Service Director (FSD) observed the following during the kitchen tour: 1. The dry storage area was noted with a temperature of 80 degrees Fahrenheit (F), the temperature was observed on two different thermometers. FSD stated recent heatwave caused dry storage room to become warmer, and maintenance was aware. 2. In the Walk in freezer, the surveyor observed boxed items being stored on the floor and stacked to ceiling. […]

• No harm, potential for more than minimal, widespreadF680Jul 26, 2023

  Based on interviews and job description review, the facility failed to have a qualified Activities Director to oversee the activities department for all 141 current residents in the facility. This failure resulted in all residents not being provided with resident specific activities. Findings include: During an interview on 07/26/23 at 7:27 PM, the Administrator revealed that the previous activity director quit without notice in May 2023 and the facility started looking for a new candidate to fill that position. He confirmed that the current Activity Director (AD) was not qualified but stated they were looking to fill the role with the right person, felt the current AD was the best fit and was in school and would be completing the program in August 2023. […]

• No harm, potential for more than minimal, widespreadF727Jul 26, 2023

  Based on interviews and job description review, the facility failed to have a licensed Director of Nursing to oversee the care of all 141 current residents in the facility. This failure increased the risk that all residents would not be provided with appropriate and accurate care and assessments. Findings include: During an interview on [DATE] at 9:44 AM, the Director of Nursing (DON) stated that she was not currently working as the DON due to her Registered Nurse (RN) license being expired and waiting on it to be reinstated. Her RN license expired on [DATE]. During an interview on [DATE] at 7:27 PM, the Administrator confirmed that he was notified on [DATE] by an email from corporate that the DON's RN license was expired and would need to be reinstated. […]