Cedar Manor Nursing & Rehabilitation Center

Based on observation, interview, and record review conducted during the Recertification Survey from 4/6/25-4/11/25, the facility did not ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice and the comprehensive person-centered care plan for 1 of 1 resident (Resident #92) reviewed for Respiratory Care. Specifically, 1) Resident #92 was observed multiple times receiving oxygen at 5 liters and 3 liters via nasal cannula with a physician order for 2 liters. Resident #92 was also observed with an empty portable oxygen tank while resident sleeping with nasal cannula in place. The findings included: A facility policy (reviewed 1/25) titled, Respiratory Therapy Administration and Equipment, documented: verify that there is a physician's order/review the physician's orders for oxygen administration. Resident #92 diagnoses included chronic obstructive pulmonary disease, asthma and diabetes. A 5-day re-entry Minimum Data Set (assessment tool) dated 3/20/25 documented Resident #92 was cognitively intact, had shortness 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 during the recertification survey from 4/6/2025 to 4/11/2025, the facility did not ensure residents who required dialysis (a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly) received services consistent with professional standards of practice for 1 of 1 resident (Resident #439) reviewed for Dialysis. Specifically, there was no documented evidence of consistent assessment and oversight before, during and after dialysis treatment for Resident #439 who received hemodialysis treatments at a community-based dialysis center. The findings included: A facility policy titled Dialysis Policy and Procedure Manual (revised 12/1/24) documented: when resident returns from hemodialysis, nurse checks the communication book for any issues needing to be addressed. Documents in progress notes resident's condition upon return from dialysis. Resident #439 diagnoses included end stage renal disease, chronic obstructive pulmonary disease and type 2 diabetes with proliferative diabetic retinopathy.…

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 during a recertification survey from 4/6/25 to 4/11/25, the facility did not ensure each resident's drug regimen was free from unnecessary medication, use for one (1) of five (5) residents (Resident #49) reviewed for unnecessary medications. Specifically, for Resident #49 Hydromorphone 2 mg every 4 hours as needed for pain of four - six was administered two times from March 1 2025-April 6 2025 for pain below four and Hydromorphone 4 mg every four hours for pain of seven -ten was administered four times from March 1 2025 - April 6 2025 for pain below seven. On 3/8/25 at 1:25 PM, 4/1/25 at 09:23 PM and 4/6/25 at 5:43 PM Hydromorphone 2 mg and 4 mg were administered together without a physician order. The findings include: Resident # 49 had diagnosis including Lupus, hypertension, morbid obesity. The care plan titled Pain initiated on 7/5/2024 documented administer pain medications as per orders. The quarterly Minimum Data Set (an assessment tool) dated 1/7/2025 documented Resident #49 was cognitively intact and received anti-anxiety medication and…

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, interview, and record review during the recertification survey conducted 4/6/25 to 4/11/25, the facility did not ensure drugs and biologicals were stored in accordance with currently accepted professional principles for 2 medication carts (East and South units) and the East unit medication room. Specifically, 1) the East Unit medication cart was left unlocked and unattended in the hallway while the nurse was in the medication room [ROOM NUMBER]) on the South Unit, a blister pack of Metformin 500 mg (13 pills) was left unattended on a medication cart while the nurse went into a resident room to administer medications and 3) the East Unit medication room had an expired medication and biologicals. The findings include: The policy titled, Medication Storage, last reviewed 1/25 documented medications will be stored in a manner that maintains the integrity of the product, ensures the safety of the residents and is in accordance with the Department of Health guidelines. All medications will be…

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 and interview conducted during a recertification survey, the facility did not ensure that waste was disposed in a dumpster that was free of leaks and the dumpster area was maintained in a clean condition. Specifically, garbage debris was observed around the bottom perimeter of dumpster. The findings are: The undated policy titled Maintain Dumpster and Loading Dock Areas documented when emptying trash, Environmental and Dietary will pick up any spillage and close lids. It further documented that the Environmental manager will follow up after each trash run to ensure compliance. An observation of the kitchen area was conducted on 04/06/2025 at 4:47 PM. The Food Service Director (FSD) accompanied the surveyor to inspect the dumpster and the surrounding area. Garbage debris on the ground surrounding the dumpster. The Food Service Director stated the dumpster was emptied daily when they came to pick up garbage. Food Service Director stated when garbage company dumped the garbage into the truck, items often fell onto the ground and the garbage company did not pick…

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 during the recertification survey 4/6/25 to 4/11/25, the facility did not ensure that an ongoing review of antibiotic use protocols and a system to monitor antibiotic use was completed for 2 of 2 residents reviewed for antibiotic stewardship. Specifically, for Residents #78 and #190, the facility was unable to provide an infection/antibiotic tracking report as requested on 4/10/25 that ensured their antibiotic program was implemented to monitor antibiotic use protocols when an antibiotic was prescribed to a resident. The findings are: The facility policy titled Antibiotic Stewardship Program revised 2022 documented it is the policy of Cedar Manor Nursing and Rehabilitation Center to comply with evidenced based guidelines or best practices regarding antibiotic prescribing and to promote rational and appropriate antibiotic therapy while improving clinical outcomes while minimizing unintentional side effects of antibiotic use, including toxicity and emergence of resistant organisms. Resident #78 had diagnoses including Type II Diabetes Mellitus,…

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 interviews during an abbreviated survey (NY00343399, NY00332174, NY00337805), the facility did not ensure that all alleged violations of abuse, neglect, exploitation or mistreatment including injuries of unknown source was reported in accordance with the Federal Law immediately, but no later than 24 hours after forming the suspicion, if the events that cause the suspicion do not result in serious bodily injury. Incidents were not reported by facility staff to the administration in a timely manner and the facility did not submit the results of all investigations to the New York State Department of Health within 5 working days in accordance with State Law for 3 out of 3 residents (Resident #1, #2, #3) reviewed for abuse. Specifically, (1) on 5/27/2024, Licensed Practical Nurse #1 reported they heard a voice saying, shut up from Resident #1's room and what sounded like a slapping sound, and Housekeeper #1 stated they heard Resident #1 crying in their room and someone saying stop, stop;…

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 reviews and interviews during an abbreviated survey (NY00343399, NY00332174, NY00337805), the facility did not ensure the residents right to be free from abuse for 1 (Resident #3) out of 3 residents reviewed for abuse. Specifically, on 4/1/2024 Certified Nurse Assistant #7 witnessed Resident #3 been bopped on the head by Certified Nurse Assistant #5 while in their wheelchair. The incident was not reported to the nursing supervisor or the administrator by the staff until Resident #3 reported the incident to the Medical Director of the Managed Long Term Care during a visit on 4/2/2024, that they were left in the shower for a longtime wearing their adult brief and that Certified Nurse Assistant #5 bopped them on their head using their knuckles because they would not follow their commands. Findings include: The facility abuse policy documented each resident has the right to be free from abuse, neglect, misappropriation of resident property and exploitation. Residents must not be subject to abuse by…

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, interviews and record review during a recertification survey 1/17/24-1/25/24, the facility did not ensure residents had the right to a dignified existence for 1 resident (#73) observed during dining observation. Specifically, staff were observed standing over Resident #73 while feeding the resident their meal. Additionally, Resident #73 was assisted with their lunch meal while other residents at the same table were not provided their lunch meal in a timely manner, Findings include: Resident # 73 was admitted to the facility with diagnoses and conditions including but not limited to unspecified dementia, schizophrenia and dysphagia. The 2/17/23 Comprehensive care plan for Activities of Daily Living documented the resident required assistance of (1) staff to eat. The 9/9/23 Minimum Data Set (MDS- an assessment tool) documented the resident had severe cognitive impairment and required extensive assistance of 1 staff with eating. During an observation on 01/17/24 at 11:52 Resident #73 received the lunch tray at the table. Resident #73 finished lunch and the tray…

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 interviews and record reviews conducted during recertification survey and abbreviated survey (NY 00322838) conducted from 1/17/24-1/25/24 it was determined that for one (Resident #181) of nine residents reviewed for notification of change, the facility did not notify the resident's representative timely with a change in condition after a fall. Specifically, Resident #181 fell in their bathroom and had pain, but their representative was not notified until two hours later when the representative went to the facility to take the resident to an appointment. The findings are: The facility policy titled Notification of Resident/Responsible Party dated 1/23, documented the resident/responsible party will be informed of any changes in the resident's condition and staff will notify the residents responsible party immediately of any incidents (falls, etc) regardless of what time this has occurred. Resident #181 was admitted to the facility with diagnoses including metabolic encephalopathy, alcoholic cirrhosis,…

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 during the recertification survey conducted from 1/17/24 to 1/25/24 the facility did not ensure that a baseline care plan to address resident needs was developed and/or completed within 48 hours of resident admission for 1 of 3 residents reviewed for hospitalization (Resident #129). Specifically, the Baseline Care Plan for Resident #129 did not address the use of a foley catheter. The findings are: The facility policy titled Resident Assessment and Care Planning with revised date of 1/23 documented that for newly admitted residents, the facility would develop and implement a baseline care plan within 48 hours of admission. The resident or resident representative would receive a written summary of the baseline care plan that they would be able to understand. The MDS coordinator shall notify appropriate disciplines, resident and/or designated representatives as to the scheduled date of care plan review. Resident #129 was admitted to the facility with diagnoses including Secondary Malignant Neoplasm of Bladder, Secondary Malignant Neoplasm 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 observations, record review, and staff interviews during the recertification survey on 1/17/2024-1/25/2024, the facility did not ensure that needed services, care and equipment were provided to assure that a resident with limited range of motion and mobility maintained or improved function based on the resident's clinical condition for two of six residents (Residents #11 and #32) reviewed for range of motion. Specifically, Resident #11 was not provided with left resting hand splint device, and Resident # 32 was not provided with bilateral booties or a right handroll as ordered by the physician to prevent further contractures. Findings include: A review of the Policy & Procedure titled Contracture Management dated 1/23 documented It is the policy to implement plan of treatment of contractures or risk thereof with supportive devices. 1) Resident #32 had diagnoses including hemiplegia (weakness) following a stroke, anemia, and dysphagia (difficulty swallowing). A Quarterly Minimum Data Set (MDS) an assessment tool dated 12/30/2023 documented the resident's cognition was…

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 interview and record review conducted during the Recertification and Abbreviated Survey (NY00300194) from 1/17/24 to 1/25/24, the facility did not ensure adequate supervision was provided and that the residents environment remained as free of accidents hazards as possible for 1 of 9 residents (Residents #184) reviewed for accidents. Specifically, Resident #184, who required supervision for ambulation with a rolling walker, exited the facility through the front door on 8/27/22 at approximately 10:00 PM independently and undetected by staff, fell and sustained an excoriation to the right elbow with bleeding. The findings are: The facility policy and procedure, 'Missing Residents' updated 1/11/2019 included documentation to provide a secure and safe setting in which residents may reach full mobility potential while remaining in a protective environment, facility staff will be in-serviced as to Cedar Manor Policy and will be made aware of individual residents who tend to wander and ambulate without particular direction. There is no documentation regarding the requirement to…

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, interview and record review conducted during the recertification survey from 1/17/24 to 1/25/24, the facility did not ensure that irregularities identified by the pharmacist and forwarded to the facility were acted upon for 1 of 5 residents (Resident # 82) reviewed for unnecessary medications. Specifically, Resident #82's aspirin was not discontinued as per consultant pharmacist and nurse practitioner agreement. The finding is: The facility's Policy and Procedure for Drug Regimen Review dated 10/23 documented: The drug regimen of each resident must be reviewed at least once a month by a licensed pharmacist Finding and recommendations are reported to the director of nursing, the attending physician, and medical director. Resident # 82 diagnosis included, delusional disorder, schizoaffective disorder, and metabolic encephalopathy. The 11/15/23 Quarterly Minimum Date Set (MDS) documented the resident had severely impaired cognition. The 11/10/23 Drug Regimen Review documented; Beer's criteria recommend discontinuing Aspirin. Staff #10 (Nurse Practitioner) documented on…

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 observations, record review and interviews during a recertification survey 1/17/24-1/25/24, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, the facility did not effectively implement accurate tracking and monitoring of infections and outbreaks among residents and staff on the East Unit, staff did not use Personal Protective Equipment (PPE) correctly in an isolation room. Findings include: Review of the facility's Pandemic Planning and Operational Protocol, dated 8/10/23, documented advanced preparation and planning was undertaken to mitigate the effects of a pandemic. The plan included activation of an outbreak monitoring log so that case identification information and the course of spread could be tracked. The facility operational protocol also documented 6 feet social distancing strategies…

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 during the recertification and abbreviated survey (NY00329325) conducted 1/17/2024-1/26/2024, the facility did not ensure residents received treatment and care in accordance with professional standards of practice for 2 of 9 residents (Resident #183 & #12) reviewed for accidents. Specifically, 1. Resident # 183 did not have an orthopedic follow up as per the hospital discharge summary within the recommended 2-3 week time period and 2. treatment for Resident # 12 was delayed due to the doctor not being updated with observations of possible fracture during reassessment. The findings include: Resident #183 had diagnosis including but not limited to displaced trimalleolar (fracture of right lower leg, subsequent encounter for closed fracture with routine healing), unspecified heart failure, and atrial fibrillation The 10/10/2023 admission Minimum Data Set (MDS) an assessment tool documented Resident #183 was cognitively intact, was dependent for other activities of daily living and did not have a surgical wound. The 10/06/2023 Hospital…

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 interview and record review conducted during the recertification and abbreviated survey (NY 0032772) from 1/17/24 to 1/25/24, it was determined that the facility did not operate and provide services in compliance with all applicable state and local laws, regulations, and codes including notification of termination of a service vital to the health and safety of the community. Specifically, the facility is not accepting sharps for disposal from the community despite the COVID-19 Public Health Emergency having ended on May 11, 2023. The findings are: The New York State Department of Health Guidelines for Hospital and Nursing Home Sharps Collection and Safe Disposal programs included documentation that under New York State law, hospitals and nursing facilities are required to accept household sharps. Section 1389-dd (4) of the New York State (NYS) Public Health Law indicates that sharps including needles, syringes and lancets, originating from a private residence, may be delivered for disposal to a general hospital or a residential health care facility . and must be accepted by…

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 observations, record reviews and interviews conducted during a Recertification Survey, it could not be ensured that the facility did not ensure that care was provided in a manner to maintain dignity for 1 of 2 residents (Resident #56) reviewed for dignity. Specifically, Resident #56's urinary (Foley) catheter tubing and drainage collection bag were not concealed to maintain dignity and privacy. The findings are: Review of the undated policy and procedure titled, Urinary Continence/Incontinence/Catheters showed that holders are to be utilized to conceal urinary drainage bags from public view. The policy specifically directs staff to conceal standard drainage bags larger than a leg bag, which are designed to hang under wheelchairs, geri chairs and from bed rails. Resident #56 was readmitted to the facility on [DATE] with diagnoses including Multiple Sclerosis, Hypertension, and Diabetes Mellitus. The 9/29/2020 Quarterly Minimum Data Set (MDS; a resident assessment tool) indicated that Resident #56 had an…

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 interviews and record reviews conducted during the Recertification survey, it could not be ensured that the facility, as a fiduciary (trustee) of the resident's funds, safeguarded, managed, and accounted for residents' personal funds deposited with the facility for 1 of 1 (Residents #58) resident reviewed for personal funds. Specifically, the facility did not honor the resident's request to access personal funds. The findings are: Review of an undated facility policy and procedure titled, Residents Personal Bank Accounts documented that residents are to have access to up to $50.00 in cash on the same day of the request. The policy also stated that requested resident monies can be obtained at the facility's reception desk 7 days per week. Resident #58 was admitted to the facility on [DATE] and had diagnoses including Heart Failure, Atrial Fibrillation, and Anxiety Disorder. Review of the 10/6/2020 Quarterly Minimum Data Set (MDS; a resident assessment tool) indicated that Resident #58 was cognitively…

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 observations, record reviews and interviews conducted during a Recertification Survey, it could not be ensured that the facility reviewed and revised the Care Plan (CP) for nutrition to address an unplanned weight loss for 1 of 5 residents (Resident #30) reviewed for nutrition. Specifically, no new interventions were initiated to address the resident's continued unplanned weight loss. The findings are: Resident #30 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease, Dementia and Low Back Pain. Review of the 9/3/2020 admission Minimum Data Set (MDS; a resident assessment tool) showed that Resident #30 was cognitively impaired, received supervision for eating, had no weight loss and no tooth issues. Review of the 8/24/2020 Physician's Orders indicated that Resident #30 was to receive a regular diet with thin consistency fluids. Furthermore, Resident #30 was to have a speech/language screening/evaluation and should receive treatment as indicated. Review of the facility's…

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 observations, record reviews and interviews conducted during a recertification survey, it could not be ensured that the facility provided timely medical supervision for 1 of 5 residents (Resident #30) reviewed for nutrition. Specifically, the Physician and/or the Nurse Practitioner (NP) were unaware of and therefore did not address the resident's unplanned significant weight loss. The findings are: Resident #30 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease, Dementia, and Low Back Pain. The 9/3/2020 admission Minimum Data Set (MDS; a resident assessment tool) indicated that Resident #30 was cognitively impaired, received supervision for eating, had no weight loss and no dental issues. Review of the 8/24/2020 Physician's Orders indicated that Resident #30 was to receive a regular diet with thin consistency fluids. Furthermore, Resident #30 was to have a speech/language screening/evaluation and should receive treatment as indicated. Review of the facility's undated…

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.