Cedar View Rehabilitation And Healthcare Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure for 3 out of 3 sampled residents (#49, #23 and #65), out of 6 applicable residents, in a total sample of 21 residents, that professional standards of practice were provided for the treatment related to urinary catheter output. Specifically, for Resident #49, #23 and #65 the facility failed to implement the physician's order to measure each resident's urinary output. Findings include: 1. Resident #49 was readmitted to the facility in August 2024 and has diagnoses that include hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side and neuromuscular dysfunction of bladder unspecified. Review of the Minimum Data Set (MDS) assessment, dated 8/31/24, indicated Resident #49 scored an 11 out of 15 on the Brief Interview of Mental Status indicating he/she has a moderately intact cognition, has an indwelling catheter and is dependent on staff for toileting. During an observation and interview…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to develop and implement a comprehensive person-centered care plan for one Resident (#85) out of a total sample of 21 residents. Specifically, for Resident #85 the facility failed to develop a fall risk care plan. Findings include: Review of facility policy titled Care Plans, Comprehensive Person- Centered, dated as revised March 2022, indicated the following: -A comprehensive, person- centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. -A comprehensive, person centered care plan is developed within seven (7) days of the completion of the required MDS (Minimum Data Set) assessment, and no more than 21 days after admission. Resident # 85 was admitted to the facility in November 2024 with diagnoses that include hemiplegia (paralysis to one side of the body) and hemiparesis (weakness to one entire side of the body) following…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure for one Resident (#146), out of a total sample of 21 residents that a physical therapy evaluation was completed timely. Findings include: Resident #146 was admitted to the facility in January 2025 and has diagnoses that include but are not limited to muscle wasting and atrophy and acute systolic (congestive) heart failure. Review of Resident #146's Minimum Data Set assessment dated [DATE] indicated he/she scored a 14 out of 15 on the Brief Interview for Mental Status exam, indicating his/her as having intact cognition. During an observation and interview on 1/22/25 at 11:17 A.M., Resident #146 was resting in bed. Resident #146 said he/she was admitted to the facility in early January 2025, after being in the hospital for CHF (congested heart failure). Resident #146 said he/she needed to have therapy to walk again. Resident #146 said he/she has both physical therapy and occupational therapy, but they have been inconsistent. Review of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review and interview the facility failed to ensure accuracy of the medical record for one Resident (#24) out of a total sample of 21 residents. Specifically: For Resident #24 the facility failed to ensure accurate documentation for a hand roll. Resident #24 was admitted to the facility in November 2016 with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting left non dominant side. Review of Resident #24's Minimum Data set (MDS) assessment, dated 10/24/24, indicated the Resident scored a 13 out of a total possible 15 on the Brief Interview for Mental Status indicating he/she was cognitively intact. The MDS further indicated impairment on one side to the upper extremity. On 1/22/25 at 8:18 A.M., the surveyor observed Resident #24 sitting in his/her room, left hand clenched in a fist, the surveyor observed a hand roll sitting on the bedside table. On 1/23/25 at 9:26 A.M., the surveyor observed Resident #24 sitting in his/her room . The Resident did not have the hand roll on. On 1/23/25 at 12:38 P.M., the surveyor observed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews and policy review, the facility failed to ensure staff stored drugs and biologicals in accordance with State and Federal laws. Specifically, the facility failed to: 1.) ensure treatment carts were locked and secured on two of two units, 2.) ensure medications were stored in locked compartments on one of two nursing units, 3.) ensure the medication cart keys were not left unattended on one of four medication carts, and 4.) ensure one of two medication storage rooms were locked when unattended. Findings include: Review of the facility policy titled, Medication Labeling and Storage, dated as revised February 2023, indicated, the facility stores all medications and biologicals in locked compartments under proper temperature, humidity, and light controls. Only authorized personnel have access to keys. 2. The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner. 4. Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, policy review, record review and interviews the facility failed to ensure a resident who required respiratory care (continuous oxygen) received care consistent with professional standard of practice for one Resident (#344) out of a total sample of 20 Residents. Specifically, for Resident #344, nursing administered continuous oxygen without a physician's order. Findings include: Review of the facility policy titled, Oxygen Administration, dated October 2010, indicated: 1. Verify that there is a physician's order for this procedure. Review the physicians' orders or facility protocol for oxygen administration. Documentation: After completing the oxygen setup or adjustment, the following information should be recorded in the resident's medical record: -The date and time the procedure was performed -The name and title of the individual who performed the procedure. -The rate of oxygen flow, route, and rationale. -The frequency and duration of the treatment. Resident #344 was admitted to the facility in February 2024 with diagnoses including chronic obstructive…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure a PRN (as needed) psychotropic medication was limited to 14 days and the physician's order included the duration for the PRN order, for one Resident (#27) out of a total sample of 20 residents. Findings include: Review of the facility's policy entitled, 'Psychotropic Medication Use', dated July 2022 indicated the following: 11. Psychotropic medications are not prescribed or given on a PRN (as needed) basis unless that medication is necessary to treat a diagnosed specific condition that is documented in the record. (1) For psychotropic medications that are NOT antipsychotic: If the prescriber or attending physician believes it is appropriate to extend the PRN order beyond 14 days, he or she will document the rationale for extending the use and include the duration for the PRN order. Resident #27 was admitted to the facility in October 2023 and has diagnoses that include atrial fibrillation, chronic pain, and anxiety disorder. Review of Resident #27's Minimum Data Set (MDS) assessment, dated 1/18/24, indicated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review and interview the facility failed to ensure specialized rehabilitative services were provided timely for one Resident (#30), out a total sample of 20 residents. Specifically, for Resident #30 when on 11/2/23 his/her diet was downgraded while waiting on the fabrication of dentures, the facility failed to ensure Speech Language Pathology (SLP) screened/assessed Resident #30 after he/she received the new dentures on 12/19/23, resulting in Resident #30 not being screened/assessed for 63 days after he/she received new dentures. Findings include: Review of the facility's policy titled 'Speech Therapy', dated May 2013 indicated the purpose of this procedure is to identify, assess and treat speech and language problems including swallowing disorders. Further review of the policy indicated; General Guidelines 1. Speech therapists treat stroke survivors and other brain injury survivors who experience impaired ability to swallow or have difficulty expressing thought or understanding language. These residents may experience d. Dysphagia-difficulty in chewing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.