Inspection Reports for
Cogir of Cedar Creek

The facility was observed to be clean, clutter free, and odor free. Water temperatures in various units were within acceptable ranges. Staff and resident files were complete and up to date. No citations or deficiencies were noted during this visit. The annual inspection was not completed at this time and will be completed at a later date.

No deficiencies were cited during this Case Management visit. The staff member subject to the exclusion order was verified to have never worked at or been associated with the facility.

The Licensing Program Analyst found that the resident had an existing foot wound upon admission and that the facility had appropriately reported the incident. No citations were issued during the visit.

No deficiencies were found during this visit and no citations were issued. The visit included review of incidents involving residents and discussions with facility staff regarding a boiler repair and resident care.

The facility was observed to be clean, clutter free, and odor free. Infection control and disaster plans were current and complete. Staff and resident files were reviewed and found to be complete and up to date. No citations were issued during the visit.

The complaint involved allegations that staff did not prevent a resident from being assaulted by another resident and did not prevent resident exploitation. The investigation was unsubstantiated due to lack of sufficient evidence.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews and record reviews indicated the assault was an isolated event and no updated power of attorney for medical was found, but paperwork remained the same. The allegations were determined to be unsubstantiated.

The complaint included allegations of filthy ventilation returns, poor kitchen nutrition, canceled activities, unsanitized tables, kitchen staff not wearing hair nets or masks, and lack of certified drivers in December allowing staff to drive commercial vehicles. The investigation found no preponderance of evidence to substantiate these allegations; therefore, the complaint was unsubstantiated.

After conducting interviews, observations, and record reviews, the Licensing Program Analyst found insufficient evidence to substantiate the allegations. The ventilation returns were not dirty, kitchen nutrition was adequate, activities were generally available, tables were sanitized, kitchen staff complied with applicable regulations, and although there were no certified drivers in December, the vans were being used appropriately.

The complaint investigation was unsubstantiated. Allegations included the facility being in disrepair and not providing a safe environment. After interviews, observations, and record reviews, there was not enough evidence to support the allegations.

The investigation found no evidence to substantiate the allegations. The facility was not observed to be in disrepair, and interviews with staff and residents indicated the facility managed the situation caused by a power outage due to an accident. There was insufficient evidence to prove the alleged violations occurred, resulting in an unsubstantiated finding.

The complaint investigation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred. Allegations included inadequate supervision resulting in residents wandering, facility left without electricity, inadequate food service, resident council run by staff, and lack of activities.

After interviews, observations, and record reviews, the Licensing Program Analyst found insufficient evidence to substantiate the allegations. The facility was found to have adequate supervision, food service, and activities, and the electricity outage was due to circumstances beyond the facility's control.

The Licensing Program Analyst collected the original reports and provided a copy of the amended reports to the Executive Director. An exit interview was conducted, and the process was completed without noted deficiencies.

The Licensing Program Analyst conducted a walk-around and verified no immediate danger was present. The facility had paid the outstanding amount on 11/28/23, and no citations or civil penalties were issued at the time of the visit.

The complaint was unsubstantiated after investigation. Allegations included facility disrepair, unsanitary conditions, and staff failing to provide a comfortable environment. Multiple complaints were investigated simultaneously with no violations found.

The investigation found no substantiated evidence to support the allegations. The facility was not found to be in disrepair, unsanitary, nor were residents found to be uncomfortable during the visit and prior observations.

The complaint alleged that staff did not make all licensing reports issued by CCL accessible to residents. The allegation was investigated and found to be unsubstantiated.

The investigation found that staff had a binder with licensing reports and documents available upon request. Although the allegation may have been valid, there was not a preponderance of evidence to prove the violation occurred, and the allegation was unsubstantiated.

The complaint alleged that staff did not ensure residents' showering needs were met, did not provide adequate food service, and left residents soiled for extended periods. The allegations were found unsubstantiated.

The investigation found the allegations to be unsubstantiated based on interviews and records review, with no preponderance of evidence to prove the alleged violations occurred.

The inspection included a tour of the facility, verification of fire extinguisher service dates, water temperature checks, and resident interviews. The facility lacked verification of carbon monoxide detector testing. Due to time constraints, the annual inspection was not completed and deficiencies will be issued later.

The complaint alleged that the facility was in disrepair. The allegation was investigated but found unsubstantiated due to lack of preponderance of evidence.

The investigation included staff interviews and a facility tour. Some areas needed cleaning and repairs were ongoing in the Redwood Room. However, there was insufficient evidence to substantiate the allegation, so it was deemed unsubstantiated.

The complaint alleged that personnel records were not adequately maintained by staff. The allegation was investigated through staff interviews and review of personnel records, but was found unsubstantiated.

The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation was unsubstantiated.

The facility had not provided verification of a certified administrator at the time of the visit. The facility was informed that verification needed to be provided by the end of business day on 7/3/2023.

The complaint involved allegations that a resident sustained injuries from falls, staff mishandled a resident's medication, and staff overmedicated a resident. The allegations were found to be unsubstantiated.

The investigation included interviews and records review, and found no preponderance of evidence to substantiate the allegations. The facility continued to follow doctor's orders and provided extra care and supervision. No deficiencies were cited.

No deficiencies were cited during this Case Management visit. The Executive Director confirmed that the excluded staff member was never associated with the facility.

The facility was found to be in compliance with required infection control practices, including symptom screenings, PPE use, visitation policies, and hygiene measures. No deficiencies were cited during the inspection.

The complaint was investigated and found to be unfounded, meaning the allegations were false and/or without reasonable basis.

The investigation found the complaint to be unfounded with no deficiencies cited. The Licensing Program Analyst reviewed records and conducted interviews, concluding the allegations were false or without reasonable basis.

The complaint was unsubstantiated after investigation. The resident fell multiple times resulting in injury, but evidence did not prove neglect occurred.

The investigation found that the resident's health declined and they were admitted to Hospice and moved to the Memory Care unit. The resident was non-compliant with using their walker. The facility responded immediately by calling 911 and seeking medical treatment. The allegation was unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited during the visit.

The facility was found to be in compliance with required infection control practices, including symptom screenings, PPE use, visitation protocols, and hygiene measures. No deficiencies were cited during the inspection.