Cedar Crest Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 7, 2021

  Based on observation, it was determined that the facility failed to store food under sanitary conditions in the kitchen and on one of three healthcare units. (The third floor) Findings include: During a tour of the kitchen on January 4, 2021, at 9:48 a.m., observation in the walk-in refrigerator revealed one metal pan of ham with a prepared date of December 26, and a use by date of December 29, one container of Sysco Classic California Pasta Salad labeled with a date of December 21, which was not indicated as date opened or use by date, and one container of Ricotta cheese with a manufacturer best by date of January 1, 2021. […]

• No harm, potential for more than minimal, isolatedF684Apr 30, 2026

  Based on clinical record review, facility documentation review, and staff interview, it was determined that the facility failed to ensure that physician prescribed medications were administered as ordered to one of four sampled residents. (Resident CR 1) Findings include:Resident CR 1 was admitted to the facility with diagnoses that included end stage kidney disease and emphysema. Facility provided documentation revealed that on April 16, 2026, the resident was administered medications to treat hypertension (metoprolol and amlodipine), a medication to treat attention deficit disorder (Ritalin), a medication to prevent blood clots (Eliquis), and a medication to reduce stomach acid (Protonix). […]

• No harm, potential for more than minimal, isolatedF554Nov 26, 2025

  Based on facility policy review, clinical record review, observation, and resident and staff interview, it was determined that the facility failed to assess a resident's capability to self-administer medications for two of 32 sampled residents. (Residents 65 and 170)Findings include: Review of the facility policy entitled, Administering Medications, last reviewed April 30, 2025, revealed that a resident may only self-administer their own medications if the attending physician, in conjunction with the interdisciplinary care planning team, has determined that they have the decision-making capacity to do so safely. […]

• No harm, potential for more than minimal, isolatedF605Nov 26, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure that residents were free from potential chemical restraints for one of five sampled residents who were ordered psychotropic medications. (Resident 93) Findings include: Clinical record review revealed that Resident 93 had a diagnoses that included anxiety and psychotic disorder with hallucinations. On August 27, 2025, a physician ordered staff to administer an anti-anxiety medication, (lorazepam), every 24 hours as needed for anxiety and sleep. There was no date in the order that indicated when staff were to stop administering the as needed medication. […]

• No harm, potential for more than minimal, isolatedF641Nov 26, 2025

  Based on clinical record review, observation and staff interview, it was determined that the facility failed to ensure that the Minimum Data Set (MDS) assessment was completed to accurately reflect the resident's status for one of 32 sampled residents. (Resident 11)Findings include: Clinical record review revealed that Resident 11 had diagnoses that included stroke, nontraumatic intracerebral hemorrhage (bleeding inside the brain), unspecified sequelae of other cerebrovascular disease (long-term effects of unknown brain blood vessel problem), coronary artery disease, heart failure, hypertension, occlusion and stenosis of bilateral carotid arteries, atrial fibrillation, type two diabetes mellitus and long-term use of insulin. […]