Provider Name: CEDAR CREST/MOUNTAINVIEW GARDENS
Address: 4 CEDAR CREST VILLAGE DRIVE, POMPTON PLAINS, NJ 07444
Phone: (973) 831-3504
County: Morris (300)
Ownership Type: Non profit - Corporation
Certified Beds: 113
Average Residents Per Day: 110. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CEDAR CREST VILLAGE INC
First Approved Date: April 15, 2005
Affiliated Entity: ERICKSON LIVING (210)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 3 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.75808, LPN Staff Hours Per Day: 0.8383, RN Staff Hours Per Day: 0.5804, Licensed Staff Hours Per Day: 1.4187
Total Nurse Staff Hours Per Day, per resident: 4.17684
Weekend Nurse Staff Hours: 3.78121, Weekend RN Staff Hours: 0.3665
PT Staff Hours Per Day, per resident: 0.0817
Nurse Staff Turnover: 36.9, Nurse Turnover Note:
RN Turnover: 28.6, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1389, Case Mix LPN Hours Per Day: 0.6516, Case Mix RN Hours Per Day: 0.2885
Adjusted Nurse Aide Hours Per Day, per resident: 2.62698, Adjusted LPN Hours Per Day: 0.9494, Adjusted RN Hours Per Day: 0.7578
Total Adjusted Nurse Hours Per Day, per resident: 4.27574
Adjusted Weekend Nurse Hours Per Day, per resident: 3.87074
Health Survey Dates and Scores: Cycle 1: 2023-05-25 (Score: 12), Cycle 2: 2021-05-11 (Score: 16), Cycle 3: 2019-06-07 (Score: 12)
Total Weighted Health Score: 13.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 6, Total Fines in Dollars: 10808.34, Payment Denials Number: 0, Total Penalties Number: 6
Location and GPS: 4 CEDAR CREST VILLAGE DRIVE,POMPTON PLAINS,NJ,07444 (40.9858, -74.330)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-06-15
Type: Health, Deficiency: Assure that each resident’s assessment is updated at least once every 3 months.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-06-15
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-06-15
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-14
Type: Health, Deficiency: Honor the resident's right to organize and participate in resident/family groups in the facility.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-27
Type: Health, Deficiency: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-27
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-08
Type: Health, Deficiency: Implement 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-08
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2021-05-27
Type: Fire Safety, Tag: 0004, Version: New
Description: Develop and maintain an Emergency Preparedness Program (EP).
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-08