Inspection Reports for Cedar Lake Village

This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

All previously cited deficiencies listed with their regulation numbers were corrected as of the revisit date, with completion dates documented for each.

The inspection was a resurvey with complaints numbered 188813, 188995, 190314, 190488, and 190578 at an Assisted Living facility conducted on 01/28/25, 01/29/25, and 01/30/25.

The facility was found deficient in multiple areas including failure to protect a resident from exploitation via unauthorized social media posting of photos, incomplete negotiated service agreements, failure to monitor outside service providers, neglect resulting in resident elopement, improper labeling of over-the-counter medications, incomplete documentation of incidents, inadequate emergency preparedness reviews, improper food temperature monitoring, and unsafe food storage practices.

The visit was complaint-related involving multiple complaint numbers (188813, 188995, 190314, 190488, 190578). Immediate jeopardy was identified related to exploitation of resident R104 and neglect of resident R102 resulting in elopement.

The document is a Plan of Correction addressing findings from a resurvey with complaints numbered 188813, 188995, 190314, 190488, and 190578 conducted at the assisted living facility on January 28, 29, and 30, 2025.

The Plan of Correction references multiple citations from the resurvey and complaint investigations conducted over three days in late January 2025 at the assisted living facility.

The Plan of Correction is related to a resurvey with complaints 188813, 188995, 190314, 190488, and 190578.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-02-20.

All deficiencies have been corrected as of the compliance date of 2024-02-29, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The visit was an abbreviated survey with review of facility reports #185777 and #185734 conducted at the assisted living facility Cedar Lake Village on 02/19/24 and 02/20/24.

The administrator failed to protect Resident 2 from neglect by ensuring certified staff assisted the resident up off the floor after a witnessed, non-injury fall. Video review showed staff did not assist the resident after the fall despite training on abuse and neglect.

The document represents the findings of an abbreviated survey with review of facility reports #185777 and #185734 conducted at the assisted living facility on 02/19/24 and 02/20/24.

The document is a plan of correction submitted in response to an abbreviated survey conducted at the facility, addressing findings from the survey and related facility reports.

This revisit report documents the correction of deficiencies previously reported during an earlier survey.

The report confirms that the previously identified deficiency under regulation 26-41-101 (f)(1) has been corrected as of the revisit date.

The inspection was an abbreviated survey with review of facility report #182985 conducted on 09/25/23 and 09/27/23 at an assisted living facility.

The administrator failed to protect a resident from exploitation when a Certified Medication Aide took and shared a photo of the resident just after his death on social media, violating privacy policies. The facility took corrective actions including staff meetings, warnings, and mandated HIPAA training.

The document represents the findings of an abbreviated survey with review of facility report #182985 conducted at the assisted living facility on 09/25/23 and 09/27/23.

The document is a plan of correction submitted in response to the findings of the abbreviated survey conducted on the specified dates.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-06-20.

All deficiencies have been corrected as of the compliance date of 2023-07-05, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with attached complaints #180747, #177552, and #173837 conducted at an assisted living facility on 06/19/23 and 06/20/23.

The facility failed to complete and submit an investigation of alleged neglect within five working days, failed to ensure negotiated service agreements reflected residents' needs, failed to document food temperatures after transport to satellite kitchens, failed to store food under safe conditions, failed to comply with tuberculosis screening guidelines for residents and staff, and failed to ensure chemicals were stored in locked areas to protect resident safety.

The resurvey included attached complaints #180747, #177552, and #173837 related to alleged neglect and other issues.

This document represents the findings of a resurvey with attached complaints #180747, #177552, and #173837 at the assisted living facility conducted on 06/19/23 and 06/20/23.

The document is a plan of correction submitted in response to deficiencies identified during the resurvey and complaint investigations conducted on 06/19/23 and 06/20/23.

The resurvey included attached complaints #180747, #177552, and #173837.

This revisit report documents the correction of deficiencies previously cited during an earlier inspection at Cedar Lake Village.

The report confirms that all previously identified deficiencies have been corrected as of the revisit date.

The inspection was a licensure resurvey with complaint investigations attached, conducted over multiple days from 07/18/2022 to 07/21/2022.

The facility was found deficient in staff treatment of residents, medication storage, and facility safety regarding unsecured chemicals. Specific failures included lack of interventions for residents with multiple falls resulting in injury, failure to prevent a cognitively impaired resident from leaving the facility unsupervised in cold weather, unsecured medications and biologicals in memory care units, and unsecured chemicals in resident bathroom cabinets.

The inspection included complaint numbers 171588 and 169823. The complaints involved failure to prevent resident falls and failure to prevent a resident from leaving the facility unsupervised, resulting in injury and emergency room visits.

The document is a plan of correction submitted in response to findings from a licensure resurvey conducted with complaint numbers 171588 and 169823 during the visit on 7/18/2022 through 7/21/2022.

The plan of correction addresses citations found during the licensure resurvey and complaint investigations conducted over multiple days in July 2022.

The inspection was conducted with complaint numbers 171588 and 169823 attached.

This report documents a revisit inspection to verify that previously reported deficiencies have been corrected and to confirm the date such corrective actions were accomplished.

The revisit inspection confirmed that the previously cited deficiency related to regulation 26-41-101 (f)(1) was corrected as of 08/26/2020. No other deficiencies or uncorrected issues were noted.

The inspection was conducted as an abbreviated survey with complaint investigations #154517 and #154539, along with a special infection control survey for COVID-19, to investigate concerns related to resident safety and care.

The facility failed to ensure that a resident with a history of wandering and poor decision-making was protected from neglect after leaving the fenced outdoor memory care area through an unlocked gate and being unaccounted for over two hours. The resident was found and returned by police, and the facility lacked documented staff observation checks and updated care plans addressing the resident's risks.

Complaint investigations #154517 and #154539 were part of the survey. Immediate jeopardy was identified related to neglect of a resident with wandering behavior who eloped from the facility and was unaccounted for over two hours. The jeopardy was removed after the facility implemented a corrective plan including frequent staff checks and securing doors.

This is a revisit report completed by a State surveyor to show those deficiencies previously reported that have been corrected and the date such corrective action was accomplished.

The report indicates that the previously cited deficiency with regulation 26-41-204(i) was corrected as of 06/10/2019. No other deficiencies or findings are listed.

This visit was a revisit for correction order 19-54 at the assisted living facility to verify compliance with previous deficiencies.

The administrator failed to ensure that all health care services, including answering call lights, were provided by qualified staff in accordance with acceptable standards of practice. Call light response times frequently exceeded the facility's stated expectations, with some alerts never responded to and the longest response time being 44 minutes.

This report documents a revisit inspection to verify that previously reported deficiencies have been corrected and to record the dates when corrective actions were completed.

All previously cited deficiencies identified by regulation numbers were corrected as of 04/30/2019, with no uncorrected deficiencies noted at the time of this revisit.

Licensure Resurvey conducted over multiple days including complaint investigations for complaints #132608 and #134608.

The facility was found deficient in multiple areas including failure to timely report and investigate allegations of abuse, incomplete negotiated service agreements, inadequate health care services coordination for residents with falls, untimely response to call lights, medication administration discrepancies, improper labeling of over-the-counter medications, and non-compliance with tuberculosis screening guidelines for employees and residents.

Complaints #132608 and #134608 were investigated during the licensure resurvey.

This revisit report documents the correction of deficiencies previously reported during a prior survey, verifying that corrective actions have been completed.

The report confirms that the previously identified deficiency related to regulation 26-41-204(d) was corrected as of 12/02/2016. No other deficiencies or findings are noted.

The inspection was a resurvey of the assisted living facility conducted on 11-7-16 through 11-9-16 to assess compliance with previously cited deficiencies.

The facility failed to conduct functional capacity reassessments following significant changes in condition, failed to provide or coordinate necessary health care services in accordance with functional capacity screenings and negotiated service agreements, and failed to include the licensed nurse responsible for health care service plans in the negotiated service agreements. Additionally, documentation of incidents, assessments, and follow-up actions by licensed nurses was incomplete or missing.

This revisit inspection was conducted to verify that previously reported deficiencies had been corrected and to document the dates such corrective actions were accomplished.

The report confirms that the deficiencies previously cited under regulations 26-41-201 (a) (b) and 26-41-204 (e) were corrected as of 10/28/2014.

The inspection was a resurvey conducted on 10-1-14, 10-2-14, and 10-6-14 at an assisted living facility to assess compliance with functional capacity screening and delegation of nursing duties.

The facility failed to record residents' functional capacity findings on screening forms including all required elements and definitions. Additionally, a licensed nurse failed to appropriately delegate blood glucose monitoring procedures to certified medication aides and did not document their competency.

This document is a Plan of Correction related to a facility inspection event identified by State ID N046059 and ASPEN Event ID 3VJP12.

No specific deficiencies or findings are detailed in this document; it appears to be a placeholder or summary page indicating no records found for the Plan of Correction.