Cedar Hill Healthcare and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF836Jan 4, 2024

  Based on a review of vendor invoices, facility financial documents, as well as interviews with vendors and staff, it was determined that facility failed to pay bills in a timely manner which created a potential for an interruption of supplies and services. Findings include: 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection 201.14(g), dated 7/1/23, indicated that a facility owner shall pay in a timely manner bills incurred in the operation of a facility that are not in dispute and that are for services without which the residents' health and safety are jeopardized. […]

• No harm, potential for more than minimal, widespreadF837Jan 4, 2024

  Based on a review of vendor invoices, facility financial documents, as well as interviews with vendors and staff, it was determined that the governing body failed to implement policies regarding the management of the operation of the facility by failing to respond to vendor invoices and failing to respond to facility requests for payment of outstanding bills. Findings include: 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection 201.14(g), dated 7/1/23, indicated that a facility owner shall pay in a timely manner bills incurred in the operation of a facility that are not in dispute and that are for services without which the residents' health and safety are jeopardized. […]

• No harm, potential for more than minimal, widespreadF882Oct 13, 2023

  Based on review of infection control documentation and staff interview, it was determined that the facility failed to have one or more individuals serving as the Infection Preventionist for seven of twelve months (November 2022, December 2022, January 2023, June 2023, July 2023, August 2023, and September 2023). Findings include: Review of the Pennsylvania Department of Health notice PAHAN #626, dated 2/15/22, PAHAN #663, dated 10/4/22, PAHAN #694, dated 5/11/23, indicated long-term care facilities should Assign one or more individuals with training in IPC (infection preventions and control) to provide on-site management of the IPC program. This should be a full-time role for at least one person in facilities that have more than 100 residents. During an interview on 10/10/23, at 9:38 a.m. […]

• No harm, potential for more than minimal, widespreadF809Sep 29, 2022

  Based on review of facility documents, and resident and staff interviews, it was determined that the facility failed to routinely provide meals with no more than 14 hours between evening meal and breakfast the following day and failed to provide a nourishing snack at bedtime for 10 of 10 residents (Residents R17, R21, R33, R54, R55, R62, R64, R68, R80, and R243.) Findings include: Review of the facility document Cart Time Check has the following schedule for Delivery Time: Schedule: Time lapsed: South Front Central, Supper 4:55pm; Breakfast 7:30am 14 hours, 35 minutes North back, Supper 5:05pm; Breakfast 7:45 am 14 hours, 40 minutes North central, Supper 5:10pm; Breakfast 7:50am 14 hours, 40 minutes North front, Supper 5:20pm; Breakfast 8:00am 14 hours, 40 minutes South back, Supper… […]

• No harm, potential for more than minimal, widespreadF812Sep 29, 2022

  Based on a review of facility policy, observation and staff interview, it was determined that the facility failed to properly document sanitizing temperatures for wash and final rinse of the dish machine in the Main Kitchen (Main Kitchen). Findings include: A review of facility Warewashing policy dated 2/16/22, indicated all dishmachine water temperatures will be maintained in accordance with manufacturer recommendations , temperature and/or sanitizer logs will be completed. A review of Healthcare Services Group, Inc , Dishmachine Log, indicated the high temp wash 150-160 degrees F (Fahrenheit), Rinse: 180 degrees F (Fahrenheit). During an observation of the dish room operations and the ware washing for the breakfast meal on 9/26/22, at 9:10 a.m. […]