Cedarcrest Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727May 27, 2025

  Based on record review and interview, the facility failed to ensure RN coverage for 8 consecutive hours per day for 2 (Quarter 3 2024 and Quarter 4 2024) of 4 PBJ reports reviewed for RN coverage. The DON identified 60 residents resided in the facility. Findings: A PBJ Staffing Data Report, dated 04/01/24 through 06/30/24, showed during quarter three the facility did not have RN coverage for 04/15/24, 04/21/24, 04/27/24, 06/15/24, 06/22/24, or 06/23/24. A PBJ Staffing Data Report, dated 07/01/24 through 09/30/24, showed during quarter four the facility did not have RN coverage for 08/03/24, 08/04/24, 08/11/24, 09/28/24, or 09/29/24. […]

• No harm, potential for more than minimal, widespreadF732May 27, 2025

  Based on observation and interview, the facility failed to ensure daily staffing was posted in a place which was readily accessible to residents and visitors for three (05/20/25, 05/21/25, and 05/22/25) of four days during the survey. The DON identified 60 residents resided in the facility. Findings: On 05/20/25 at 12:30 p.m., posted daily nurse staffing was not observed. On 05/22/25 at 11:53 a.m., posted daily nurse staffing was not observed. On 05/22/25 at 11:54 a.m., the DON stated they kept daily nurse staffing behind the two nurses stations at the facility. They stated they did not post the information in an area which was accessible to residents or visitors.

• No harm, potential for more than minimal, widespreadF838May 27, 2025

  Based on record review and interview, the facility failed to ensure a facility-wide assessment had been completed annually. The DON identified 60 residents resided in the facility. Findings: A Facility-Wide Assessment showed the date of the assessment was 07/18/22. On 05/20/25 at 11:54 a.m., during the entrance conference, the facility assessment was requested from the DON and the resident care coordinator. On 05/22/25 at 12:22 p.m., the DON stated they had forgotten to provide the facility assessment and was not sure what the facility assessment was. On 05/22/25 at 12:28 p.m., the business office manager stated they would check with the administrator for an updated facility assessment. […]

• No harm, potential for more than minimal, patternF726Mar 5, 2026

  Based on record review and interview, the facility failed to ensure initial competencies were completed upon hire for 3 (CNA #5, CNA 10, and CNA #11) of 6 sampled employees reviewed for staff competencies.The DON identified 14 licensed staff members that should have initial competencies completed.Findings:1.The employee file for CNA #5 showed a hire date of 04/11/25 and a competency/skills checklist was not completed upon hire. 2. The employee file for CNA #10 showed a hire date of 12/02/25 and a competency/skills checklist was not completed upon hire.3. […]

• No harm, potential for more than minimal, patternF570May 27, 2025

  Based on record review and interview, the facility failed to maintain a bond equal to or in excess of the resident trust account balance. The business office manager identified 23 residents with funds in the facility's resident trust fund. Findings: On 05/27/25, three months of bank statements for the residents' trust was reviewed. The bank statements showed February 2025's highest daily balance was $90,899.45, March 2025's highest daily balance was $97,788.97, and April 2025's highest balance was $109,822.58. On 05/27/25 at 5:20 p.m., the business office manager provided evidence of a surety bond in the amount of $10,000.00. On 05/27/25 at 5:20 p.m., the business office manager stated the bond did not cover the residents' trust balance.