Inspection Reports for Cedar Valley Nursing & Rehabilitation Center
GA, 30125
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Abbreviated Survey
Census: 78
Deficiencies: 0
Apr 12, 2025
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints GA00251074, GA00250168, GA00250088, and GA00248349 at Cedar Valley Nursing & Rehab Center.
Findings
Complaints GA00251074, GA00250168, and GA00250088 were substantiated, while complaint GA00248349 was unsubstantiated. No regulatory violations were cited during the survey.
Complaint Details
Complaints GA00251074, GA00250168, and GA00250088 were substantiated; complaint GA00248349 was unsubstantiated.
Report Facts
Complaints investigated: 4
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 0
Jan 24, 2025
Visit Reason
The visit was conducted as an abbreviated/partial extended survey investigating Complaint Intake Number GA00253505 at Cedar Valley Nursing and Rehab Center.
Findings
The complaint was found substantiated, but no deficiencies were cited during the investigation.
Complaint Details
Complaint Intake Number GA00253505 was found substantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Apr 10, 2024
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as noted during the follow-up survey.
Inspection Report
Re-Inspection
Census: 74
Deficiencies: 0
Apr 3, 2024
Visit Reason
A Revisit Survey was conducted to verify correction of deficiencies cited in a prior revisit survey concluded on February 22, 2023.
Findings
All deficiencies cited as a result of the prior revisit survey were found to be corrected.
Inspection Report
Re-Inspection
Census: 74
Deficiencies: 0
Apr 3, 2024
Visit Reason
A Revisit Survey was conducted to verify correction of deficiencies cited in the standard survey concluded on February 22, 2023.
Findings
All deficiencies cited in the prior standard survey were found to be corrected during this revisit survey.
Inspection Report
Annual Inspection
Deficiencies: 2
Feb 22, 2024
Visit Reason
A State Licensure survey was conducted at Cedar Valley Nursing and Rehabilitation from February 20, 2024 through February 22, 2024 to assess compliance with state health regulations.
Findings
The facility failed to maintain a clean and homelike environment in five of 52 resident rooms and one of 30 resident bathrooms, evidenced by dirty PTAC filters and a malfunctioning light switch in a bathroom.
Deficiencies (2)
| Description |
|---|
| Dirty packaged terminal air conditioner (PTAC) filters in resident rooms 110, 121, 203, 207, and 209. |
| Malfunctioning light switch in the bathroom of room 217 held up by tape to keep the light from turning off. |
Report Facts
Resident rooms with dirty PTAC filters: 5
Resident bathrooms with deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Confirmed the damaged light switch and acknowledged PTAC filters and internal structures needed cleaning |
Inspection Report
Routine
Census: 74
Deficiencies: 2
Feb 22, 2024
Visit Reason
A standard survey was conducted at Cedar Valley Nursing and Rehabilitation from February 20, 2024 through February 22, 2024 to assess compliance with Medicare/Medicaid regulations for long term care facilities.
Findings
The facility was found not in substantial compliance due to failure to maintain a clean and homelike environment in five resident rooms and one bathroom, evidenced by dirty PTAC filters and a malfunctioning light switch.
Severity Breakdown
E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Dirty packaged terminal air conditioner (PTAC) filters in resident rooms 110, 121, 203, 207, and 209. | E |
| Malfunctioning light switch in the bathroom in room 217. | E |
Report Facts
Residents present: 74
Resident rooms inspected: 52
Resident bathrooms inspected: 30
PTAC units last cleaned: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Assistant | Confirmed damaged light switch and acknowledged PTAC filters needed cleaning |
Inspection Report
Life Safety
Census: 73
Capacity: 92
Deficiencies: 3
Feb 21, 2024
Visit Reason
The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and emergency preparedness.
Findings
The facility was found not in substantial compliance with the Life Safety Code, with deficiencies in emergency lighting, sprinkler system maintenance, and oxygen cylinder storage. Specific issues included emergency lighting units failing to operate properly, corrosive sprinkler heads, missing hydraulic data plates, overdue testing of dry sprinkler heads, and improper storage of oxygen cylinders.
Severity Breakdown
E: 1
D: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Emergency lighting units failed to operate properly in the administrative office, physical therapy room, and exit discharge from the 200 wing. | E |
| Sprinkler system maintenance deficiencies including corrosive sprinkler heads in kitchen, missing hydraulic data plate, and failure to test dry sprinkler heads every 10 years. | D |
| Oxygen cylinders were improperly stored: door lacked approved sign, cylinders not properly secured, and full and empty tanks stored together. | D |
Report Facts
Census: 73
Total Capacity: 92
Deficiencies cited: 3
Inspection date: Feb 21, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings related to emergency lighting, sprinkler system, and oxygen cylinder storage deficiencies during the tour and record review |
Inspection Report
Routine
Census: 76
Deficiencies: 0
Jul 26, 2023
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted to assess the facility's compliance with relevant regulations.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness requirements.
Report Facts
Census: 76
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jul 12, 2022
Visit Reason
A revisit survey was conducted on 2022-06-07 along with an Abbreviated Survey to investigate complaint numbers #GA00215995 and #GA00216499. The abbreviated survey was continued and concluded on 2022-07-12.
Findings
All deficiencies cited as a result of the 2022-04-07 recertification survey were found to be corrected. The complaint investigation for #GA00215995 and #GA00216499 was unsubstantiated with no deficiencies cited.
Complaint Details
Complaint investigation for #GA00215995 and #GA00216499 was unsubstantiated with no deficiencies cited.
Inspection Report
Deficiencies: 0
Jun 6, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction related to a healthcare facility inspection.
Findings
The report contains initial comments but does not provide specific findings or deficiencies in the extracted content.
Inspection Report
Life Safety
Census: 65
Capacity: 92
Deficiencies: 0
Apr 11, 2022
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found to be in compliance with the Emergency Preparedness Program requirements under 42 CFR 483.73 and the Life Safety Code requirements under 42 CFR Subpart 483.90(a) and NFPA 101 2012 edition.
Report Facts
Certified Beds: 92
Census: 65
Inspection Report
Original Licensing
Deficiencies: 0
Apr 7, 2022
Visit Reason
The inspection visit was conducted as a licensure survey for Cedar Valley Nursing & Rehab Center.
Findings
No deficiencies were identified during the licensure survey.
Inspection Report
Routine
Census: 61
Deficiencies: 1
Apr 5, 2022
Visit Reason
A standard survey was conducted at Cedar Valley Nursing and Rehabilitation Center from April 5, 2022, through April 7, 2022, to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found not in substantial compliance due to failure to maintain a safe, orderly, and comfortable environment, including missing air conditioner frames, cracked drywall, unstable sink/vanity, loose boards, and foam filler in baseboard areas on Wing 2.
Severity Breakdown
Level D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide maintenance services necessary to maintain a safe, orderly, and comfortable interior by failing to repair drywall, air conditioner frames, and an area behind a resident's bed on Wing 2. | Level D |
Report Facts
Resident census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse CC | Licensed Practical Nurse | Interviewed regarding maintenance requests |
| Maintenance Director | Maintenance Director | Confirmed maintenance issues during tour |
| Administrator | Administrator | Confirmed maintenance issues and plans to relocate residents |
| Director of Nursing | Director of Nursing | Confirmed maintenance issues during tour |
Inspection Report
Routine
Census: 73
Deficiencies: 0
Feb 3, 2021
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 and §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Dec 16, 2020
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00209913.
Findings
The complaint was unsubstantiated and no regulatory violations were cited during the survey.
Complaint Details
Complaint #GA00209913 was investigated and found to be unsubstantiated.
Inspection Report
Routine
Census: 66
Deficiencies: 0
Aug 25, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 68
Deficiencies: 0
Aug 6, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 85
Deficiencies: 0
Jul 14, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing recommended practices to prepare for COVID-19.
Report Facts
Total census: 85
Inspection Report
Follow-Up
Deficiencies: 0
Dec 19, 2019
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey deficiencies.
Findings
All previously cited survey tags have been corrected as noted during the follow-up survey.
Inspection Report
Life Safety
Census: 82
Capacity: 100
Deficiencies: 3
Nov 6, 2019
Visit Reason
The Life Safety Code Survey was conducted to assess compliance with 42 CFR Subpart 483.70(a) and the NFPA 101 Life Safety Code 2012 edition requirements for participation in Medicare/Medicaid.
Findings
The facility was found not in substantial compliance due to failure to provide complete automatic sprinkler coverage on the front covered porch, failure to maintain portable fire extinguishers fully charged near Nurse Station 2, and failure to maintain smoke barriers with a ½ hour fire resistance rating in multiple locations.
Severity Breakdown
D: 2
F: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to provide complete automatic sprinkler coverage to all areas, specifically the front covered porch area containing combustible furniture. | D |
| Failed to maintain portable fire extinguishers to be fully charged; the extinguisher across from Nurse Station 2 was discharged. | D |
| Failed to maintain smoke barriers to have a ½ hour fire resistant rating; open penetrations and compromised fire stop material were found in multiple locations including rooms 112, 118, 210, and 216. | F |
Report Facts
Census: 82
Total Capacity: 100
Covered porch dimensions: 800
Smoke compartments at risk: 5
Smoke compartments total: 6
Inspection Report
Routine
Census: 99
Deficiencies: 0
Jun 21, 2018
Visit Reason
A standard survey was conducted at Cedar Valley Nursing & Rehabilitation Center from June 18, 2018 through June 21, 2018 to assess compliance with Medicare/Medicaid regulations.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 79
Capacity: 100
Deficiencies: 0
Jun 19, 2018
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found in substantial compliance with the Emergency Preparedness plan requirements and Life Safety Code standards.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 8, 2018
Visit Reason
A complaint survey was conducted from 2018-04-04 through 2018-04-08 to investigate complaint #GA00186778 and determine compliance with Federal and State Long Term Care Requirements.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00186778 was investigated and found to have no deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Nov 17, 2017
Visit Reason
An Abbreviated Survey was conducted to investigate complaint GA00181657 at Cedar Valley Nursing and Rehab Center.
Findings
The complaint was not substantiated and the facility was found to be in compliance with Federal and State Long Term Care Requirements 42 CFR, Part 483, Subpart B.
Complaint Details
Complaint GA00181657 was investigated and found to be not substantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Oct 5, 2017
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The surveyor noted that all previously cited deficiencies had been corrected during this follow-up visit.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 28, 2017
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00180036.
Findings
The complaint was substantiated but no deficiencies were cited during the survey.
Complaint Details
Complaint GA00180036 was substantiated with no deficiencies cited.
Inspection Report
Life Safety
Census: 79
Capacity: 100
Deficiencies: 7
Aug 22, 2017
Visit Reason
The inspection was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with fire safety requirements, including failures in hazardous area enclosures, cooking equipment installation, fire alarm system installation, corridor door functionality, electrical equipment installation, emergency lighting in medication preparation rooms, and proper storage and separation of oxygen cylinders.
Severity Breakdown
E: 4
D: 4
Deficiencies (7)
| Description | Severity |
|---|---|
| Doors not self-closing and positive latching in kitchen dry goods storage and janitor closet #2 on 200 hall. | E |
| Commercial cooking equipment improperly installed; deep fry setting within 16 inches of open flame cook top without separation device. | D |
| Fire alarm breaker not marked, red, and locked out to prevent power shut off. | D |
| Doors at rooms 109, 121, 125, and 204 will not properly close and positive latch to prevent passage of fire and smoke. | E |
| Electrical equipment improperly installed and maintained; use of flex cords and multi-plug cords through walls and loose wiring. | E |
| Medication preparation room at nursing station not equipped with emergency lighting. | D |
| Oxygen storage area had full and empty cylinders mixed with no signage for separation. | D |
Report Facts
Census: 79
Total Capacity: 100
Inspection Date: Aug 22, 2017
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Staff member who confirmed findings during facility tour and observations |
Inspection Report
Routine
Census: 79
Deficiencies: 0
Aug 21, 2017
Visit Reason
A standard survey was conducted at Cedar Valley Nursing & Rehab Center from August 21, 2017 to August 24, 2017 to assess compliance with Medicare/Medicaid regulations.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 Code of Federal Regulations Part 483, Subpart B - Requirements for Long Term Care Facilities.
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