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Inspection visit

Routine inspection (multi-day)

CEDAR CREEK SENIOR LIVINGLicense 20720904312 citations on this visit
12 citations recorded

Inspector’s narrative

What the inspector wrote

On 11/16/23 Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to completed the annual inspection which was originally started on 7/27/23. Management companies have changed and Kimberly Jones is no longer at the facility since 11/1/23. LPA spoke with Kelly Metz and Kimberly Eldridge. LPA had previous conducted the tour on 7/27/23 and was at the facility today to complete the care tool part of the annual inspection. During the visit on 7/27/23 facility was not able to provide current annual training for staff members Facility was not able to provide current first aid/CPR cards for staff members. Updated cards were provided today Plan of operation is to be readily available at the facility and it was not. On 7/27/23 LPA observed various areas of the facility needing to be cleaned On 7/27/23 LPA found cleaning products & scissors not locked away and available to residents in care in the Generations area of the facility. On 7/2/23 LPA observed kitchen staff to not be wearing gloves when handling food items and food items subject to cross contamination due to being stored improperly Emergency contact information is not up to date in resident's charts. Modifications were not attached to resident's admission agreements Kitchen cleaning supply closet could not properly close Citations were issued today and have been entered into LIC809D. Exit interview was completed. A copy of this report LIC809, LIC 809D, and appeal right were provided to Kelly.

Citations

12 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87555(b)(27)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed various areas of the kitchen to not be cleaned, sanitized, and to have debris buildup.

  • 87507(d)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA did not observe any modification to admission agreements when rent is increased or if change of status creates an increase.

  • 87555(b)(22)Type B

    Based on observation & interview, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed storage closet with cleaning supplies was not able to close properly.

  • 87555(b)(23)Type A

    Based on observation & interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. Meat was not properly stored in the refrigerator with other food.

  • 1569.618(c)(3)Type A

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. After reviewing a sample of the staff records facility was unable to provide current/valid First Aid/CPR cards for staff members.

  • 1569.695(e)(1)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. During the visit on 7/25/23 facility was not able to provide a roster of residents readily available in case of an emergency.

  • 87208(a)Type B

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Facility did not have on file Plan of Operations located at the facility.

  • 87303(a)Type B

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed cabinets in the Madera Room needing to be cleaned and the kitchen/cabinets in Generations needing to be cleaned.

  • 87309(a)Type A

    Based on observation & interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. During the tour of the facility LPA found cleaning supplies and scissors to be not be locked and accessible to residents in the Generation area of the facility.

  • 87465(f)(1)Type B

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed a sample of the resident's charts which did not have current emergency contact information.

  • 87506(b)(13)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA reviewed a sample of resident's charts which do not have current physician's report for residents with dementia.

  • 87555(b)(28)Type A

    Based on observation & interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed food not being properly stored and staff not using gloves when handling food on 7/27/23.

FAQ · About this visit

Common questions about this visit

What happened during the November 16, 2023 inspection of CEDAR CREEK SENIOR LIVING?

This was a other inspection of CEDAR CREEK SENIOR LIVING on November 16, 2023. 12 citations were issued: 4 Type A (serious) and 8 Type B.

Were any citations issued to CEDAR CREEK SENIOR LIVING on November 16, 2023?

Yes, 12 citations were issued (4 Type A, 8 Type B). The first citation was for: "Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/pos..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.