Pillar of Cedar Valley

In the surveyor’s words

From the most serious findings on record at Pillar of Cedar Valley, in the surveyor’s own words.

• Actual harm, isolatedF692Jan 6, 2022

  Based on clinical record review, observations and staff and resident interviews, facility staff failed to provide the breakfast meal, failed to always provide interventions to promote nutrition and failed to monitor food consumption for 3 of 3 residents sampled with known weight loss and weight loss interventions in place (Residents #4, #8 and #9). The facility reported a census of 131. Findings include: 1. According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #4 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident required the assistance of 1 staff for transfers, walking, dressing, personal hygiene and bathing. Resident #4 utilized a walker to move about the facility. […]

• No harm, potential for more than minimal, widespreadF880Oct 3, 2024

  Based on policy review, Center for Infection Control and Prevention (CDC) Guidelines, and staff interview, the facility failed to perform an assessment to identify where Legionella and other opportunistic waterborne pathogens could grow and spread; and failed to identify measures to monitor and prevent the growth of opportunistic waterborne pathogens and facility staff failed to use enhanced barrier precautions when assisted a resident with a tube feeding, (Resident #52). The facility identified a census of 132 residents. Findings include: According to the CDC Legionnaires' disease is a serious type of pneumonia caused by bacteria, called Legionella, that live in water. […]

• No harm, potential for more than minimal, widespreadF802Aug 2, 2021

  Based on observation, record review, and staff interviews, the facility failed to employ sufficient dietary staff with appropriate skills to carry out the functions of the food and nutrition service department. The facility reported a census of 123 residents. Findings include: Observation in the facility kitchen on 6/2/21 at 3:40 p.m. revealed: 1. Three staff in the department without hair restraints that included Staff V, Cook. Staff V wore waist length hair synthetic hair extensions, styled in multiple braids that hung behind the back and in front of her body. 2. […]

• No harm, potential for more than minimal, widespreadF812Aug 2, 2021

  Based on observation, record review, and staff interviews, the facility failed to store and prepare food in a safe, sanitary manner by failing to complete and maintain an equipment cleaning schedule, failing to train staff adequately for the duties required by their position, and failing to maintain an adequate staffing pattern to provide the required dietary services that included dietary sanitation. The facility reported a census of 123 residents. Findings include: Observation in the facility kitchen on 6/2/21 at 3:40 p.m. revealed: 1. Three staff in the department without hair restraints that included Staff V, Cook. Staff V wore waist length hair synthetic hair extensions, styled in multiple braids that hung behind the back and front of her body. 2. […]

• No harm, potential for more than minimal, patternF577Oct 3, 2024

  Based on observation and staff interview, the facility failed to post notice of the availability of the most recent survey reports and failed to have survey reports readily accessible to residents, family members and legal representatives of the most recent survey of the facility. The facility reported a census of 132 residents. Findings include: Observations 9/30/24 and 10/1/24 revealed a three-ring white binder labeled Department of Inspection and Appeals (DIA) Survey Book 1/6/22 to present lay flat on a rolling rack inside of double set of doors labeled community room. The area was a hallway that went down to the facility conference room and the therapy room. […]