Cedar Ridge Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF880Aug 4, 2022

  Based on observations, interviews and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for 4 (Resident #2, #3, #6 and #7) of 9 residents reviewed for infection control. The facility failed to cohort residents based upon COVID-19 status. Resident #6 and #7 contracted COVID-19 after being cohorted with roommates who were COVID-19 positive. Resident #7 expired 6 days after contracting COVID-19. Residents #2 and #3 were negative for COVID-19 but their roommates, Residents #1 and #4, were positive. An Immediate Jeopardy was identified on [DATE] at 2:12 PM. […]

• Immediate jeopardy, isolatedF689Jul 12, 2023

  Based on observation, interview and record review the facility failed to ensure each resident received adequate supervision and assistance to prevent accidents for one of six residents (Resident #1) reviewed for accidents and supervision. The facility failed to ensure CNA A provided appropriate supervision and care to Resident #1 who had advanced Alzheimer's and did not follow facility's Dementia Management Policy, subsequently CNA A redirected Resident #1 out of another resident's room inappropriately, which resulted in her falling backwards and sustaining a right femur (hip) fracture. Resident #1 required hospitalization and surgery to repair her hip fracture which increased her risk of heart attack, stroke, blood clot, pneumonia or death. The Noncompliance was identified as PNC. […]

• No harm, potential for more than minimal, widespreadF801Nov 30, 2023

  Based on record reviews and interviews, the facility failed to employ a certified Dietary Manager or a qualified fulltime dietitian or other clinically qualified nutrition professional for the facility's only kitchen. The facility failed to ensure the Dietary Manager met all required state guidelines or employed a full-time dietician, who also assisted in managing the facility kitchen's daily food and nutrition services. This failure could impact a resident's ability to receive acceptable and appropriated food and nutrition services. Findings include: Record review of the facility's documents for a Qualified Dietary Manager revealed the Dietary Manager had not completed qualified certification course that met the requirement of a qualified nutrition professional . […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2021

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety in the facility's only kitchen. - Raw meat was stored over produce. - Food items in the refrigerator were not properly dated. - Food items in the refrigerator were not sealed. This failure could affect residents who received their meals from the facility's kitchen by placing them at risk for foodborne illness and cross contamination. Findings included: Observations of the facility's kitchen refrigerator on 6/28/21 at 11:20 a.m. revealed a bag of raw cut up chicken, not in original packaging, in reddish liquid, with ice crystals in a zip top bag. […]

• No harm, potential for more than minimal, patternF558Apr 1, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for three of eighteen residents (Resident #10, #37, and #81) reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Residents #10, #37, and #81's rooms were in a position that was accessible to the residents on 03/30/2026. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings included: Resident #10 Record review of Resident #10's Face Sheet, dated 04/01/2026, reflected a [AGE] year-old male admitted to the facility on [DATE]. […]