Cedar Crest Nursing Centre Inc

Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, for 1 of 1 resident reviewed for a recommended neurosurgery (a doctor who specializes in diagnosing and treating conditions that affect the brain) follow-up following a hospitalization, Resident ID #1. Additionally, the facility failed to implement a physician's order for a foot cradle (a medical device designed to hold heavy sheets and blankets off legs and feet) for Resident ID #2.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice relative to 1 of 3 residents reviewed with a physician's order for lorazepam (a medication prescribed to treat anxiety), Resident ID #11, and for 1 of 1 wound dressings observed for a pressure ulcer, Resident ID #159.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure a resident's drug regimen is free from unnecessary drugs for 1 of 3 residents reviewed who were receiving an antihypertensive (a medication prescribed to lower blood pressure) medication with parameters, Resident ID #93.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored, distributed, and served in accordance with professional standards for food safety, relative to the main kitchen and 1 of 1 unit kitchenettes reviewed.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice relative to following physician's orders for 1 of 1 resident reviewed for edema, Resident ID #95 and 1 of 1 resident reviewed for aspiration precautions, Resident ID #242.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide pharmaceutical services, including procedures that assure the administration of all drugs to meet the needs of each resident, relative to a diuretic (a medication used to treat fluid retention) medication for 1 of 1 resident reviewed, Resident ID #95.

Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to store drugs and biologicals in accordance with currently accepted professional principles relative to 1 of 1 resident observed with medications at the bedside, Resident ID #57.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide and prepare food in a form designed to meet individual needs for 2 of 2 residents reviewed with a pureed diet, Resident ID #s 1 and 71.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain Enhanced Barrier Precautions (EBP; an infection control intervention designed to reduce transmission of multidrug-resistant organisms in nursing homes) for 1 of 2 residents reviewed with EBP related to Extended-Spectrum Beta-Lactamase (ESBL, an enzyme produced by some bacteria that can make them resistant to certain antibiotics) in the urine, Resident ID #19. Additionally, the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections relative to 1 of 1 resident reviewed for wound care, Resident ID #27. 1. [...]

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to store drugs and biological's in accordance with currently accepted professional principles for 1 of 1 medication cart reviewed.

Inspectors wroteBased on surveyor observations, record review, and staff interview it has been determined that the facility failed to ensure that the residents' environment remains as free from accident hazards as possible, for 1 of 1 resident reviewed who sustained a burn from a radiator, Resident ID #1.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that licensed nurses have the specific skill sets necessary to care for residents' needs for 1 of 1 resident reviewed relative to the need for a non-rebreather oxygen mask, Resident ID #1.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed in accordance with professional standards for food service safety, relative to the main kitchen and 1 of 2 kitchenettes observed.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to meet professional standards of quality relative to physician's orders for 1 of 1 resident reviewed for suctioning, Resident ID #31, 1 of 1 resident reviewed for wheelchair equipment, Resident ID #9, 1 of 6 residents reviewed for psychiatry recommendations, Resident ID #29, 1 of 2 residents reviewed for restraints, Resident ID #22 and 1 of 1 residents reviewed for the use of a Geri Chair, Resident ID #41.

Inspectors wroteBased on surveyor observations, record review, and staff interview, it has been determined that the facility failed to maintain medical records that are accurately documented in accordance with professional standards and practices for 1 of 2 residents reviewed for wounds, Resident ID #395; 1 of 1 resident reviewed for restraint/adaptive equipment assessments, Resident ID #22 and 1 of 5 residents reviewed for adaptive wheelchair equipment, Resident ID #9.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure residents have the right to be free from any physical restraint not required to treat the resident's medical symptoms for 1 of 2 residents reviewed, Resident ID #41.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that the comprehensive care plan was revised and updated after a hospital stay for 1 of 1 resident reviewed, Resident ID #45.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide an ongoing program to support a resident in their choice of activities designed to meet the interests of and support the well-being of each resident, based on the comprehensive assessment, care plan and preferences for 1 of 1 resident reviewed for activities, Resident ID #31.

Inspectors wroteBased on surveyor observations, record review, resident and staff interview, it has been determined that the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice for 1 of 2 residents observed for assessments and documentation relative to wound care, Resident ID #395, and 1 of 1 resident reviewed for free floating of heels, Resident ID #45.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that the resident environment remains as free of accident hazards as is possible related to falls for 1 of 4 residents reviewed that sustained a fall from a reclined Geri Chair, Resident ID #41.

Inspectors wroteBased on surveyor observation, record review, and staff interview it has been determined that the facility failed to meet professional standards of practice for care related to a peripherally inserted central catheter (PICC) for 2 of 2 residents reviewed for PICCs, Resident ID #s 345 and 349.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections relative to staff wearing appropriate personal protective equipment (PPE) for 2 of 2 residents in isolation for COVID-19 (SARS-CoV-2), Resident ID #'s 41 and 125, and 1 of 1 resident reviewed for Peripherally Inserted Central Catheter (PICC) line medication administration, Resident ID #349.

Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to provide evidence that all alleged violations were thoroughly investigated for 1 of 2 residents reviewed for an allegation of abuse, Resident ID #2.