Cedarbrook Senior Care and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Cedarbrook Senior Care and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 11, 2023

  Based on observation, it was determined that the facility failed to store and serve food under sanitary conditions in the main kitchen. Findings include: Observation of the main kitchen on May 9, 2023, at 9:22 a.m., revealed the following: The inside of the microwave was soiled. The lids of the bulk bins that contained flour, sugar and thickener powder were soiled. There were various particles of debris on the windowsill and on the bottom shelf in the food preparation area. The base and sides of the floor mixer were soiled. There were multiple particles of debris on the floor of the walk in freezer. There was a bag of frozen omelets that was not sealed and was open to air. There was an uncovered garbage can that contained waste in a food preparation area near uncovered food. […]

• No harm, potential for more than minimal, patternF812Jun 11, 2021

  Based on observation and facility policy review, it was determined that the facility failed to maintain sanitary conditions and properly store food in one of two kitchens (Cedarbrook Allentown) and on three of 14 nursing units. (Unit one, four, and five) Findings include: Observation during the initial tour of the Cedarbrook Allentown kitchen on June 8, 2021, at 8:45 a.m., revealed an opened bag of shredded cheese with no opened or discard date, hard boiled eggs with a use by date of June 6, 2021, and roast beef with a use by date of June 5, 2021 in the walk-in refrigerators. There was an opened bag of brie cheese in the cook's refrigerator with a use by date of June 5, 2021. […]

• No harm, potential for more than minimal, isolatedF584Apr 17, 2026

  Based on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on four of 13 nursing units. (Nursing Units C3, D2, D3, D4)Findings include: Observations on April 14, 2026, from 10:30 a.m., to April 16, 2026, at 12:00 p.m., revealed the following:On Unit C3, in the men's bathroom, there was a blue privacy curtain that was dirty with stains on both sides. On Unit D2, two mechanical lifts were observed with thick hair and debris wrapped around the wheels. On Unit D3, one mechanical lift and a sit-to-stand lift were observed with thick hair and debris wrapped around the wheels. There was a mobile vital signs basket observed with thick hair and debris wrapped around the wheels. […]

• No harm, potential for more than minimal, isolatedF609Apr 17, 2026

  Based on facility policy review, clinical record review, and facility documentation review, it was determined that the facility failed to report an alleged violation to the State Survey Agency for one of 35 sampled residents. (Resident 83)Findings include: Review of the facility policy entitled, Resident Abuse, Neglect, Misappropriation of Property and Other Related Offenses, last reviewed February 7, 2026, revealed that all incidents and allegations of abuse, including injuries of unknown source were to be reported immediately to the Nursing Supervisor, Nursing Administration, Abuse Coordinator, and to local and other officials as mandated by State Law. […]

• No harm, potential for more than minimal, isolatedF641Apr 17, 2026

  Based on clinical record review, observation, and staff interview, it was determined that the facility failed to complete an accurate Minimum Data Set (MDS) assessment for one of 35 sampled residents. (Resident 29)Findings include: Clinical record review revealed that Resident 29 had diagnoses that included vascular dementia (a decline in thinking skills caused by conditions that reduce blood flow to the brain), heart disease, and stroke. A physician's order dated July 25, 2019, directed staff to apply a wander alert bracelet. A review of Resident 29's MDS assessment dated [DATE], incorrectly indicated in section P (restraints and alarms) that the resident was not wearing a wander alarm during the last seven days of the review period. […]