Premier Cadbury of Cherry Hill

In the surveyor’s words

From the most serious findings on record at Premier Cadbury of Cherry Hill, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jan 22, 2021

  Based on observation, interview, medical record review, and review of other facility documentation, it was determined that the facility failed to implement mitigation strategies to prevent the transmission of COVID-19 by not appropriately identifying residents exposed to COVID-19 as persons under investigation (PUI) for [MEDICAL CONDITION]. This deficient practice was identified for 7 of 89 residents (Resident #2, #6, #7, #8, #9, #10, and #11) on 2 of 2 nursing units (Nelson 5 and Nelson 6) reviewed for a known exposure to COVID-19 during a Focus Infection Control Survey on 1/20/21. On 1/13/21 and 1/19/21, the facility became aware that two staff members, Physical Therapist Assistant (PTA) #1 and a Certified Nursing Assistant (CNA), were confirmed positive for COVID-19 in the facility. […]

• Immediate jeopardy, isolatedF678Nov 20, 2024

  Based on interviews, medical record review, and review of other pertinent facility documents, it was determined that the facility failed to activate their emergency response system including calling emergency services/911 for a resident (Resident #103) who was found unresponsive and was a full-code status (all resuscitation procedures will be provided when a person stops breathing or their heart stops beating) in accordance with the Basic Life Support (BLS) for Healthcare Providers. This deficient practice was identified for 1 of 4 residents (Resident #103) reviewed for a death in the facility. […]

• Immediate jeopardy, isolatedF600Mar 12, 2021

  COMPLAINT #: 9 Based on interviews, Medical Record (MR) review, and review of other pertinent facility documents on 3/9/2021 and 3/12/2021, it was determined that the facility staff failed to provide a safe environment to ensure residents were protected from actual physical/sexual abuse by failing to adequately monitor and supervise a known sexual seeking resident (Resident #1) with a known history of sexual encounters with residents. On 2/20/2021, Resident #1 was observed by the staff in bed with Resident #2, a cognitively impaired resident, partially unclothed from the waist down. The facility also failed to follow their policy titled Abuse Policy and notify the police for 2 of 3 residents (Resident #1, and Resident #2) sampled for abuse. […]

• Actual harm, isolatedF684Nov 20, 2024

  Complaint # NJ 00173863 Based on interview, record review and review of pertinent facility documents, it was determined that the facility failed to ensure a treatment that was ordered for a right shin tear was implemented without a 23-day delay which resulted in the wound worsening with a necrotic (death of cells in your body tissues) wound infection that required a seven-day antibiotic treatment. This deficient practice was identified for 1 of 4 residents (Resident #305) reviewed for pressure ulcer and was evidenced by the following: On 11/6/24 at 12:30 PM, the surveyor reviewed the closed medical record for Resident #305. […]

• No harm, potential for more than minimal, widespreadF804Mar 17, 2026

  Complaint Intake # 2740465Based on observation, interview and review of pertinent facility documents, it was determined that the facility failed to ensure the safe and appetizing temperatures of food served to the residents. This deficient practice was identified during the lunchtime meal service on 3/13/26, on 1 of 2 nursing units ([NAME] 600) and was evidenced by the following:On 3/13/26 at 12:25 PM, in the presence of the Food Service Director (FSD), the surveyor conducted a test tray with a calibrated (calibration ensures that the thermometer is accurate and precise for the measurement of food temperatures) thermometer. The meal tray cart arrived on the unit at 12:20 PM. It was an open, not enclosed, cart. The surveyor tagged the bottom tray for temperature testing. […]