Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555213

Cedar Pine Post Acute

89 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $38,213.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
89
Total citations
86
Last 3 years
4
Actual harm+
2
Federal penalties
$38,213
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care25 Care Planning15 Medication & Pharmacy10 Resident Rights10 Nutrition & Dietary10

Most common F-tags at this facility

F6896 F6566 F8805 F7554 F8124

Citation history

89 on record
SurveyF-TagViolationSeveritySource
Dec 23, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Dec 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 9, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint
Nov 26, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 28, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
Aug 15, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 23, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
May 23, 2025F880Provide and implement an infection prevention and control program.DStandard
May 23, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 23, 2025F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
May 23, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
May 23, 2025F790Provide routine and 24-hour emergency dental care for each resident.DStandard
May 23, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
May 23, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
May 23, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 23, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 23, 2025F641Ensure each resident receives an accurate assessment.DStandard
May 23, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 23, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
May 23, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Apr 19, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Apr 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Apr 1, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 25, 2025F880Provide and implement an infection prevention and control program.DComplaint
Feb 13, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 5, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 3, 2025F880Provide and implement an infection prevention and control program.EComplaint
Jan 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jan 3, 2025F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
Jan 3, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Jan 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 3, 2025F641Ensure each resident receives an accurate assessment.EComplaint
Jun 14, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Jun 14, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Jun 14, 2024F880Provide and implement an infection prevention and control program.EStandard
Jun 14, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Jun 14, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard
Jun 14, 2024F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.EStandard
Jun 14, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Jun 14, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 14, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Jun 14, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Jun 14, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Jun 14, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jun 14, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jun 14, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jun 14, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Jun 14, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Jun 14, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 14, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Jun 14, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Jun 14, 2024F679Provide activities to meet all resident's needs.DStandard
Jun 14, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 14, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jun 14, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
Jun 14, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jun 14, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Jun 14, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jun 14, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jan 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Dec 8, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 8, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Dec 7, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 7, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Oct 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Aug 10, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jun 29, 2023F926Have policies on smoking.DStandard
Jun 29, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jun 29, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 29, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jun 29, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard
Jun 29, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 29, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 29, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jun 29, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 29, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Jun 29, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 29, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jun 29, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 29, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 29, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
May 31, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 31, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 16, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Apr 16, 2023F880Provide and implement an infection prevention and control program.KComplaint
Apr 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.KComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $38,213 .

DateTypeFinePayment denial
Apr 19, 2025Fine$9,113—
Apr 16, 2023Fine$29,100—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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