Cedar Manor Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Apr 11, 2025

  Based on observation, interview, and record review conducted during recertification and abbreviated survey (NY00353725) conducted from 4/6/2025-4/11/2025, the facility did not ensure the residents rights to a safe, clean, comfortable, and homelike environment. Specifically, 1) the facility did not provide adequate amount of bath linens for all the residents; and 2) rooms [ROOM NUMBERS] were observed with displaced base board moldings. The findings include: 1. The policy and procedure titled Linen Policy undated documented Par levels will be maintained according to the facility par-level inventory directory. […]

• No harm, potential for more than minimal, patternF677Apr 11, 2025

  Based on observation, record review, and interview conducted during the recertification and abbreviated surveys (NY00364873) from 4/06/2025 to 4/11/2025, the facility did not ensure that each resident who was unable to perform activities of daily living received the necessary care and services to maintain grooming and personal hygiene for three of five dependent residents (Residents #387, # 124, and # 56) reviewed for Activities of Daily Living. Specifically, 1) there was inconsistent documentation that Resident #387 who required assistance with bowel and urinary incontinence had there brief changed every 3 to 4 hours, 2.) Resident #124 was observed with long, dirty fingernails and 3) Resident # 56 stated they had not received a shower or had their hair washed since they were admitted to… […]

• No harm, potential for more than minimal, patternF725Apr 11, 2025

  Based on resident, family and staff interviews, and record review conducted during a recertification survey, the facility did not ensure that sufficient staff was available to meet the needs of all residents. Specifically, actual staffing levels were repeatedly below facility assessed minimum levels on the following dates (3/8/25, 3/9/25, 3/10/25, 3/22/25, 3/23/25, 4/3/25, 4/5/25 and 4/9/25). The findings include: The July 2024 Facility Assessment documented the minimum staffing for Certified Nurse Aides for all 3 units was 14 certified nurse aides for the 7 AM- 3 PM shift, 12 certified nurse aides for the 3 PM- 11 PM shift and 7 certified nurse aides for the 11 PM to 7 AM shift. […]

• No harm, potential for more than minimal, patternF887Apr 11, 2025

  Based on observation, record review and interview conducted during the recertification survey from 4/6/25 to 4/11/25, the facility did not ensure infection control prevention practices were maintained to prevent the development and transmission of communicable diseases and infection for all residents. Specifically, the facility did not provide documentation of screening, administration or declination and education provided for 10 of 10 staff (Certified Nurse Aides #8 and #25, Laundry Aide #20, Housekeeping Aide #21, Licensed Practical Nurses #3, #23, #24, Registered Nurses #22 and #27 and Food Service Worker #26), reviewed for COVID-19 vaccinations. […]

• No harm, potential for more than minimal, patternF609Jun 12, 2024

  Based on record review and interviews during an abbreviated survey (NY00343399, NY00332174, NY00337805), the facility did not ensure that all alleged violations of abuse, neglect, exploitation or mistreatment including injuries of unknown source was reported in accordance with the Federal Law immediately, but no later than 24 hours after forming the suspicion, if the events that cause the suspicion do not result in serious bodily injury. Incidents were not reported by facility staff to the administration in a timely manner and the facility did not submit the results of all investigations to the New York State Department of Health within 5 working days in accordance with State Law for 3 out of 3 residents (Resident #1, #2, #3) reviewed for abuse. […]