Cedar Creek Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Cedar Creek Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF925Feb 12, 2025

  Based on interviews and record reviews, the facility failed to provide a resident environment that was free of pests and rodents for 1 of 1 facility reviewed for effective pest control in that: The facility failed to provide a resident environment that was free of pests This deficient practice could place residents at risk of remaining in an environment that was not free of pests and rodents. The findings included: Record review of grievance log for the past year revealed no grievances about pest control. Record review of pest control log for the past 6 months revealed no mention of cockroaches. Interview on 02/10/25 at 01:33 PM, Complainant C revealed she was at the facility this week, exact date unknown, and there were German cockroaches. […]

• No harm, potential for more than minimal, patternF812May 29, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen observed for food and nutrition services. The facility failed to ensure food items were sealed and properly dated in the refrigerator and the pantry. These failures could place residents at risk for food borne illness. Findings included: During an observation on 05/29/2026 at 10:15 AM revealed in the kitchen's standing refrigerator had an opened bag of cut lettuce tied shut, not dated when it was opened, half of a watermelon wrapped in plastic wrap not dated when sliced open, and half a package of sliced ham open to air not sealed or dated with open date. […]

• No harm, potential for more than minimal, patternF761May 8, 2026

  Based on observation, interview, and record review, the facility failed to ensure drugs used in the facility were labeled in accordance with currently accepted professional principles and the expiration date for 1 of 2 medication carts (short hall medication cart) reviewed for medication storage.The facility failed to ensure 3 insulin pens and 2 insulin vials were labeled with the expiration date and discarded within 28 days of opening.This failure could result in residents receiving expired insulin and lead to unstable or elevated blood sugar levels. […]

• No harm, potential for more than minimal, patternF755Dec 21, 2025

  Based on observation, interview, and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals for three (Resident #1, 3, 4) of eight residents reviewed for pharmaceutical services. 1. The facility failed to ensure that RN D documented that she administered Hydrocodone-Acetaminophen Oral Tablet to Resident #3 on Resident #3's Narcotic Sheet.2. The facility failed to ensure Resident #1's tramadol HCl Oral Tablet was documented as administered on 12/16/25 and 12/17/25 as was reflected on Resident #1's Narcotic Sheet. 3. […]

• No harm, potential for more than minimal, patternF812Dec 21, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food for 1 of 1 kitchen in accordance with professional standards for food service safety. 1. The facility failed to document temperatures that were taken from: 12/12/25 to 12/18/25 for Breakfast, Lunch, and Dinner and 12/10/25 to 12/11/25 for Lunch and Dinner.2. The facility failed to label discard dates on containers of jalapeno peppers, ketchup, and tartar sauce.3. The facility failed to clean the air conditioner vent in the kitchen. 4. The facility failed to store raw protein food items below fully cooked foods in the freezer. These failures could place residents at risk for food borne illness. The findings included: 1. […]