Inspection Reports for
Cedar Healthcare Center

188 JONES AVE, PORTSMOUTH, NH, 03801

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

44% better than New Hampshire average
New Hampshire average: 4.1 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Inspection Report

Deficiencies: 1 Date: Jun 26, 2025

Visit Reason
The inspection was conducted to evaluate the facility's compliance with medication regimen review requirements, specifically to ensure that provider-approved pharmacist recommendations were acted upon.

Findings
The facility failed to ensure that a recommended serum Vitamin D 25-OH level test was completed for one resident despite the provider's approval. Interviews and record reviews confirmed the test was not performed as required by facility policy.

Deficiencies (1)
Failure to act upon pharmacist's recommendation to complete a serum Vitamin D 25-OH level test for Resident #61.
Report Facts
Residents reviewed for unnecessary medications: 18 Residents with deficiency: 1

Employees mentioned
NameTitleContext
Staff AAdvanced Practice Registered NurseAgreed to pharmacy recommendation but was unaware test was not completed
Staff BUnit ManagerConfirmed the serum Vitamin D test was not completed

Inspection Report

Deficiencies: 3 Date: May 8, 2024

Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulatory requirements related to binding arbitration agreements and smoking policies for residents.

Findings
The facility failed to ensure arbitration agreements contained all necessary elements for 3 residents, including the right to rescind and venue selection. Additionally, the facility failed to implement smoking policies for 1 resident, lacking safety assessments and care plans for smoking.

Deficiencies (3)
Arbitration agreements did not grant residents or representatives the right to rescind within 30 days and did not state that signing arbitration is not a condition of admission.
Arbitration agreements did not provide for selection of a venue convenient to both parties.
Facility failed to implement smoking policies, including lack of smoking safety assessment and care plan for a resident who smokes.
Report Facts
Residents reviewed for binding arbitration: 22 Residents with deficient arbitration agreements: 3 Residents reviewed for smoking: 22 Residents with deficient smoking policies: 1 Dates Resident #66 signed out to smoke: 6

Employees mentioned
NameTitleContext
Regional Director of OperationsConfirmed findings related to arbitration agreements
Regional NurseConfirmed findings related to arbitration agreements
Unit ManagerConfirmed findings related to smoking policy deficiencies

Inspection Report

Routine
Deficiencies: 3 Date: May 12, 2023

Visit Reason
The inspection was conducted to evaluate compliance with safety, medication labeling, infection control, and smoking policies at Cedar Healthcare Center.

Findings
The facility was found deficient in ensuring a safe environment free from accident hazards related to smoking materials, proper labeling and removal of expired medications, and adequate cleaning and disinfection of medical equipment such as glucometers.

Deficiencies (3)
Failed to ensure the residents' environment remained free of accident hazards related to smoking materials, including possession of lighters and electronic cigarettes by a resident assessed to smoke independently.
Failed to ensure eye medications were labeled with open expiration dates and that expired medications were removed from use on medication carts and medication rooms.
Failed to clean and disinfect a glucometer after use for 1 out of 2 medication carts observed, posing infection control risk.
Report Facts
Residents reviewed for smoking: 27 Residents affected by smoking hazard deficiency: 1 Medication carts observed: 3 Medication rooms observed: 2 Expired Hydrocortisone cream packets: 6 Residents affected by medication labeling deficiency: 1 Medication carts with glucometer contamination: 1

Employees mentioned
NameTitleContext
Director of NursingInterviewed regarding smoking policy and resident smoking materials
Front Desk ReceptionistInterviewed regarding storage and handling of residents' smoking materials
Registered NurseConfirmed findings related to medication labeling
Licensed Practical NurseConfirmed findings related to medication labeling and observed expired medications
Unit ManagerInterviewed regarding glucometer cleaning and contamination

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