Continuing Healthcare at Cedar Hill

In the surveyor’s words

From the most serious findings on record at Continuing Healthcare at Cedar Hill, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 5, 2024

  Based on closed medical record review, review of a facility fall investigation, hospital record review, review of the facility Fall policy and interviews, the facility failed to provide Resident #78 adequate assistance for transferring/ambulation with toileting to prevent a fall with major injury. This resulted in Immediate Jeopardy and Actual Harm on [DATE] when Resident #78, who was admitted to the facility for rehabilitation status post hospitalization for a left total knee replacement (on [DATE]) and who was assessed to be at moderate risk for falls sustained a fall while being assisted by one State tested Nursing Assistant, (STNA) #176 to walk from her bed to the bathroom. […]

• Actual harm, isolatedF689Jul 30, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, policy review, facility investigation review and staff interview, the facility failed to prevent a resident fall with major injury. Actual Harm occurred on 06/24/24 when Resident #14, who was identified as a fall risk, was hit by a dietary cart (used to transport resident meal trays) that was being steered by Dietary [NAME] #20, causing the resident to fall and sustain a right hip fracture. The resident was emergently transported to the hospital and admitted for surgical intervention to repair the right hip fracture. This affected one resident (#14) of three residents reviewed for falls. […]

• No harm, potential for more than minimal, widespreadF812Jan 23, 2025

  Based on observation, staff interviews, and review of facility policy, the facility failed to store perishable items under sanitary conditions. This had the potential to affect all 85 residents residing in the facility. All residents were identified as receiving meals from the kitchen. Findings include: Observations of the walk in freezer on 01/21/25 at 8:18 A.M. revealed several undated/unlabeled items which were later identified by Dietary [NAME] #205 as follows: four bags of hash browns removed from their original packaging and now stored in a two-gallon plastic storage bags, a bag of tater tots removed from their original packaging which had been opened and were now stored in a two-gallon plastic storage bag, one bag of chicken tenders removed from their original packaging and now… […]

• No harm, potential for more than minimal, widespreadF812Jul 13, 2023

  Based on observation, staff interview, and facility policy review for food storage and hand hygiene, the facility failed to ensure food was properly stored and meal trays were prepared in a sanitary manner. This affected all residents residing in the facility at this time. The facility census was 77. Findings include: Observation on 07/10/23 at 8:11 A.M. revealed during initial tour of the kitchen, there were bags of food located in the walk-in freezer that was not properly sealed. There was one bag of breaded chicken tenders, one bag of tater tots, and one bag of french fries. All three bags were noted to be open with the food exposed to the open air. Interview on 07/10/23 at 8:50 A.M. with Dietary Manager #342 confirmed the three open bags of food. […]

• No harm, potential for more than minimal, widespreadF921Jul 13, 2023

  Based on observation, interview, and facility record review, the facility failed to ensure the clean laundry room, which had a gas powered dryer, had a carbon monoxide detector. This had the potential to affect all 77 residents residing in the facility. Findings included: Observation on 07/13/23 at 8:30 A.M. of the clean laundry room revealed there were two dryers, one electric powered and one gas powered. Further observation revealed no carbon monoxide detector in the laundry room. Interview on 07/13/23 at 8:40 A.M. with Housekeeping Staff #347 revealed she had never seen a carbon monoxide detector in the clean laundry room with the gas dryer. Interview on 07/13/23 at 9:00 A.M. […]