Cedar Ridge Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Apr 16, 2026

  Based on observations, interviews, and record review, the facility failed to provide a safe, functional, and sanitary environment for 2 of 4 days of survey (4/13/26 and 4/14/26). Findings: 1.On 4/13/26 at 12:15 p.m., during an observation of the Blue Spruce unit (C unit) the surveyor observed the ice machine on the counter in the kitchenette area. The air gap was not visible; the Maintenance Director stated the air gap was in the secured doors of the cabinet. The Maintenance Director removed the screws from the doors, and it was noted that the air gap was improper (see F812) at this time an observation of the interior of the cabinet was made and it was noted that the bottom of the cabinet was warped exposing the edges of the wood panel and an area on the back left corner of the cabinet… […]

• No harm, potential for more than minimal, patternF711Apr 16, 2026

  Based on record reviews and interviews, the facility failed to ensure that during the regulatory visit, the Provider reviewed the resident's total program of care, which included signing orders for medications and treatments listed on the physician block orders for 5 of 5 residents reviewed for unnecessary medications (Residents #7 [R7]), R59, R5, R14, R33). Findings: 1. On 4/16/26, a review of R7's clinical record was completed. Documentation indicated a required regulatory visit was conducted on 2/24/26 a provider progress note was completed on 2/24/26, but there was no evidence that the physician block order was signed. The facility was unable to provide evidence that the physician block order was signed on the day of the 2/24/26 required regulatory visit. 2. […]

• No harm, potential for more than minimal, patternF812Apr 16, 2026

  Based on observation and interviews, the facility failed to ensure that plumbing fixtures were properly installed to prevent backflow as required by the Maine State Plumbing Code for 1 of 4 days of survey (4/13/26). In addition, the facility failed to prepare food under sanitary conditions for 1 of 4 days of survey (4/14/26).Findings: 1.On 4/13/26 at 12:15 p.m. during a unit observation tour on the Blue Spruce unit (C unit) the kitchenette had an ice machine on the counter, the air gap was not visible. The Maintenance Director was asked to show the air gap to the ice machine, which was located under the sink, the cupboard doors were secured shut with screws. […]

• No harm, potential for more than minimal, patternF880Apr 16, 2026

  Based on record review, observation, and interview, the facility failed to maintain an infection control program to help prevent the spread of infection related to pressure ulcer treatment for 1 of 2 residents observed for a pressure ulcer dressing change (Resident #55 [R55].On 4/13/26, a review of R55's clinical record was completed. Documentation indicated R55 has a Stage 3 pressure ulcer on the left heel. Documentation in the physician orders indicated that the pressure ulcer treatment is to cleanse the wound with wound cleanser, apply a medihoney dressing to the wound bed and cover with a foam border once a day and as needed. […]

• No harm, potential for more than minimal, patternF725Jun 3, 2025

  10. On 6/3/25 at 10:00 a.m., in an interview with a surveyor, Resident #10 stated that he/she had asked to use the bedpan at approximately 2:10 am this morning. They came and put me on it and I rang again when I was finished. No one came until 7 or 8 o'clock this morning. I ended up taking it out and it fell off the bed when I moved. The nurse was the one who found it. On 6/3/25 at 1:20 p.m., in an interview with a surveyor, the RN confirmed that he/she had found Resident #10's bedpan spilled on the floor and had to clean it up. He/she stated there had been no CNA from 6 a.m. to 8 a.m. on the unit and he/she was doing both jobs as the CNA and the nurse on the Blue Spruce unit. […]