Inspection Reports for CedarWoods Assisted Living & Memory Care

The inspection was initiated due to a complaint alleging that the facility failed to provide adequate care for Resident A, specifically regarding oral care.

The investigation substantiated that the facility did not provide adequate oral care to Resident A, as evidenced by photographs, staff interviews, and documentation review showing lack of oral care up to the resident's discharge date.

The complaint alleged that Resident A had compacted, rotting food and medication stuck to the roof of their mouth. The allegation was substantiated based on interviews, photographs, and documentation review.

The inspection was initiated due to a complaint alleging that the facility lacked an organized program to provide protection, supervision, and assistance to Resident A.

The investigation found discrepancies in the facility's documentation and staff statements regarding Resident A's fall, hospitalization, medication administration, and activities of daily living. The facility failed to maintain an organized program to ensure Resident A's protection and supervision, establishing a violation.

The complaint alleged that Resident A was found unattended after a fall with low oxygen levels and no bed rails in place, and that staff were unprofessional and neglectful. The violation was substantiated based on investigation findings.

The inspection was conducted in response to a complaint received on March 4, 2025, regarding multiple falls and skin breakdown experienced by Resident A at Cedar Woods Assisted Living.

The investigation substantiated violations related to inadequate documentation and care planning for Resident A's pressure ulcers and falls. Resident A experienced multiple falls and developed pressure ulcers, with insufficient preventative measures and incomplete service plan documentation.

The complaint alleged that Resident A experienced multiple falls and developed several areas of skin breakdown, including bilateral heel pressure ulcers and a pressure ulcer on the buttocks. The complaint was substantiated based on record review and interviews.

The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.

The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.

The inspection was conducted as a renewal licensing study to assess compliance with state regulations for Cedar Woods Assisted Living.

The facility was found to be non-compliant with several rules including medication administration instructions, incomplete meal census records, and inadequate ventilation in certain resident and utility rooms.

The visit was conducted to process an addendum to the original licensing study report to change the facility's name from Willow Commons to Cedar Woods Assisted Living.

The facility's name change request was reviewed and approved. No change of ownership occurred and the bed capacity remains at 210 beds.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Willow Commons facility.

The facility was found to be in substantial compliance except for the roof, which needs immediate replacement. A plan for roof replacement was approved, and a temporary license with a maximum capacity of 210 beds was issued based on the approved building plan.