Cedar Crest Health Center

In the surveyor’s words

From the most serious findings on record at Cedar Crest Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 12, 2025

  Based on observation, interview, and record review, the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect all 58 residents who reside in the facility. Surveyor observed multiple staff wearing hairnets incorrectly. Surveyor observed staff not wearing a beard restraint. Surveyor observed staff enter the kitchenette area while the cook was serving food, not wearing hairnets. The facility policy, Meal Service Delivery from Unit Kitchens, dated February 2025, states, in part; .Hair Restraints .Hair nets or caps and/or beard restraints must be worn to keep hair from contacting exposed food, clean equipment, utensils and linens. […]

• No harm, potential for more than minimal, isolatedF554Feb 12, 2025

  Based on observation, interview, and record review, the facility did not ensure that self-administration of medications was determined to be clinically appropriate for 1 of 1 residents (R32). R32 was observed with an inhaler sitting on his bedside table. R32 did not have an order to self-administer medications, nor did he have an assessment completed to determine his competency for self-administering medications. This is evidenced by: The facility policy titled, Administering Medications, dated 2001, revision date April 2019, states, in part: Medications are administered in a safe and timely manner, and as prescribed . 27. […]

• No harm, potential for more than minimal, isolatedF849Feb 12, 2025

  Based on staff interview and record review, the facility did not ensure coordination of care and the hospice communication process was followed for 1 of 2 sampled residents (R61) and 2 of 2 supplemental residents (R55 and R320) for hospice services. R61, R55, and R320 were admitted to hospice services and the facility failed to obtain hospice documentation. Evidenced by: The facility policy titled Hospice Program dated 7/2017 states in part .12. Our facility has designated Social Services to coordinate care provided to the resident by our facility staff and the hospice staff .He or she is responsible for the following: d. […]

• No harm, potential for more than minimal, isolatedF609Aug 7, 2023

  Based on interview and record review, the facility did not ensure all alleged violations involving misappropriation are reported immediately to other officials including the State Agency in accordance with State law through established procedures for 1 of 3 residents (R1) reviewed for misappropriation. The facility became aware of an allegation of misappropriation for R1 on 7/14/23. The allegation was not reported to the State Agency within 24 hours. This is evidenced by: The facility policy titled, Abuse, Neglect, Mistreatment, and Misappropriation of Resident Property, with an effective date of 2/15/17, states, in part: .d. Misappropriation. […]

• No harm, potential for more than minimal, isolatedF610Aug 7, 2023

  Based on interview and record review the facility failed to ensure an alleged misappropriation was thoroughly investigated and the results of the investigation were reported to the State Agency within five working days of the incident for 1 of 3 residents reviewed for misappropriation (R1). The facility was made aware of an allegation of misappropriation for R1. The facility failed to complete a thorough investigation into this allegation. This is evidenced by: The facility policy titled, Abuse, Neglect, Mistreatment, and Misappropriation of Resident Property, with an effective date of 2/15/17, states, in part: .d. Misappropriation. […]