Cedar Ridge Village

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Aug 1, 2024

  Based on observation, staff interview and policy review, the facility failed to ensure open items were dated, covered and labeled. The facility further failed to ensure potentially hazardous food items were stored separately; thawing meat was stored above other food items in the refrigerator. The facility reported a census of 40 residents. Findings include: Observation 7/29/24 at 11:10 AM in the main kitchen with the Dietary Manager (DM) present revealed the following: a. Open undated bag of approximately 25 pounds of planko crumbs b. Open undated bag of approximately 25 pounds of sugar c. Two opened undated boxes of approximately 24 ounces of pancake mix d. Open undated package of hard taco shells e. Open undated package of soft taco shells f. […]

• No harm, potential for more than minimal, patternF812Dec 11, 2023

  Based on observation, policy review, and staff interview, the facility failed to serve food under sanitary conditions by touching the prepared food with their bare hands and the eating surface of the plates during meal service. The facility reported a census of 31 residents. Findings include: 1. Observation on 12/5/23 starting at 9:02 AM, Staff I, Certified Nurse Aide, assisted a resident to eat. She picked up the resident's strip of bacon with her bare hand and gave the resident a bite of the bacon. Then with the same bare hand touched her mask, the table surface, and then proceeded to touch another resident's strip of bacon to provide that resident a bite. 2. […]

• No harm, potential for more than minimal, isolatedF582Aug 12, 2025

  Based on clinical record review, staff interview, and facility policy review, the facility failed to provide the required beneficiary notifications to residents upon discharge for 1 of 3 residents sampled (Resident #50). The facility reported a census of 38. Findings include: The discharge Minimum Data Set (MDS) for Resident #50, completed 06/05/2025, documented the resident entered the facility on 05/20/2025 and discharged from the facility on 06/05/2025. An email from the Social Services coordinator, received on 08/05/2025 at 03:36 PM, contained the Beneficiary Notifications for two residents as requested by the surveyor, but did not contain the Beneficiary Notifications for Resident #50. […]

• No harm, potential for more than minimal, isolatedF605Aug 12, 2025

  Based on clinical record review, staff interviews, and policy review the facility failed to ensure staff documented non-pharmacological interventions attempted prior to the administration of anti-anxiety medication (AA) for one of five residents reviewed for unnecessary medications (Resident #35). The facility reported a census of 38 residents. Findings Include: The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #35 admitted to the facility on [DATE] and had diagnosis of anxiety disorder. The MDS revealed the resident took an antianxiety (AA) medication during the seven day look-back period. The MDS recorded the resident had no behaviors. […]

• No harm, potential for more than minimal, isolatedF656Aug 12, 2025

  Based on clinical record review, staff interview, and policy review, the facility failed to ensure that a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for 2 of 5 residents investigated for unnecessary medications (Resident #21 and #35). The facility reported a census of 38.Findings include:1. The Care Plan initiated on 7/15/24 lacked documentation indicating Resident #21 was on an antidepressant and directives for staff related to monitoring side effects of medication. The Physician’s Orders indicated that Resident #21 was started on Lexapro 10 milligram (mg) daily for depression on 7/9/25. […]