Cherrydale Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Cherrydale Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880Apr 24, 2025

  Based on observations, interviews, record review and policy review, the facility failed to ensure that staff followed the Infection Control and Prevention Program standards, policies, and procedures affecting five residents (Resident (R) 346, R56, R3, R145, and R178) of 46 sampled residents. Immediate Jeopardy (IJ) was determined related to the failure to disinfect multi-use glucometers with a manufacturer approved disinfectant when performing fingerstick blood glucose testing between residents, with the IJ start date identified as 4/22/25 at 8:14 AM. Following the facility's provision of an acceptable Immediate Jeopardy Removal Plan, the survey team verified full implementation of the removal plan, and the Immediate Jeopardy was subsequently removed on 04/23/25 at 11:20 AM. […]

• Actual harm, isolatedF684Aug 18, 2022

  Based on observation, resident interview, staff interview and clinical record review, the facility staff failed to obtain and/or follow physician orders for five of thirty-seven residents in the survey sample. 1. Resident #78 was not administered the medication epoetin alfa-epbx (Epogen) as ordered by the physician for treatment of anemia. After missing eight consecutive doses of the medication over a period of eight weeks, Resident #78 experienced critically low hemoglobin levels of 6.8 g/dL (grams per deciliter) and 6.7 g/dL and required treatment with a blood transfusion. 2. Resident #46 did not have a dressing applied to a forehead lesion as prescribed by the physician. 3. […]

• Actual harm, isolatedF684Feb 17, 2022

  Based on family interview, staff interview, clinical record review, facility document review, and in the course of a complaint investigation, the facility staff failed ensure care and treatment were provided in a timely manner for one of nine residents, Resident #1, resulting in harm. Resident #1 had an unwitnessed fall on 01/07/22, and was not assessed until two days later on 01/09/22. Resident #1's condition declined in the days after the unwitnessed fall and the resident was sent to the hospital on 01/14/22, and found to have a hematoma to the head with facial bruising, along with fractures to the cervical neck (C1-C3) and a right hip. Findings include: Resident #1 was admitted to the facility on [DATE], with the most current readmission on 12/24/21. […]

• No harm, potential for more than minimal, widespreadF801Apr 24, 2025

  Based on observation, interviews, and policy review, the facility failed to provide a qualified dietitian or other clinically qualified nutrition professional either full-time, part-time, or on a consultant basis. A qualified dietitian or other clinically qualified nutrition professional with appropriate competencies and skills ensures palatable, therapeutic meals are provided to meet the residents' needs and preferences and carries out the functions of the food and nutrition service for all residents at the facility. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2025

  Based on observation, interview, and facility policy review, the facility failed to date, label, and/or store food products safely to decrease the risk of food borne illness, potentially affecting 185 of 189 residents who consume food prepared from the facility's kitchen. Findings include: Review of the facility's policy titled, Storage Areas dated [DATE] indicated, It is the intent of this center to store food in a manner that maintains quality and safety. First in first out should be followed with Refrigerator Food codes and internal tools may be used as a reference for proper dating. […]