Cedar Ridge Center: Medical Records Violation - WV
Resident #111 began refusing medications on September 4, 2025, one day after arriving at the facility. The medications included insulin and two other diabetes drugs, two blood pressure medications, and two depression medications.
The resident also refused atorvastatin for high cholesterol, famotidine for acid reflux, and melatonin for sleep problems. Federal inspectors found the medication refusals were frequent, occurring repeatedly over the following weeks.
Staff documented each refusal but took no systematic action to address the pattern. The facility's medication administration records and progress notes showed the ongoing refusals, but no care plan existed to guide staff responses.
On November 13, 2025 — more than two months after the refusals began — staff finally wrote a focus on the resident's comprehensive care plan. The entry stated: "Resident/Patient is resistive to care related to: Alzheimer's Disease hx [history] of resisting care, refusing medications; combative with staff; at times will refuse male caregivers."
The care plan entry contained no goals for addressing the medication refusals. It included no interventions to help staff work with the resident.
Federal inspectors interviewed the Director of Nursing on November 13 at 11:30 AM. The nursing director acknowledged that Resident #111 had not been care planned in a timely manner for medication refusals.
The nursing director provided no additional information about why the care planning had been delayed or what steps would be taken to address the situation.
The inspection was conducted in response to a complaint. Inspectors reviewed records for three residents and found the care planning failure affected one resident.
Cedar Ridge Center had 110 residents at the time of the inspection. The facility is located on Cedar Ridge Road in Sissonville.
Federal regulations require nursing homes to develop complete care plans that meet all residents' needs. The plans must include measurable actions and timetables for addressing identified problems.
Medication refusals present particular challenges in nursing homes, especially for residents with dementia who may not understand the importance of their medications. Without proper care planning, staff lack guidance on how to approach resistant residents or when to involve doctors about alternative treatments.
The resident's refusal of diabetes medications posed serious health risks. Insulin and the other diabetes drugs — dapagliflozin and metformin — help control blood sugar levels. Uncontrolled diabetes can lead to complications including kidney damage, nerve problems, and cardiovascular disease.
The blood pressure medications — losartan and metoprolol — help prevent strokes and heart attacks. The depression medications — divalproex and trazodone — address mental health needs that can affect overall wellbeing and cooperation with care.
The inspection report noted the resident had a history of Alzheimer's disease and being combative with staff. These factors made proper care planning even more critical for ensuring the resident received necessary medications.
The facility's failure to create timely interventions meant staff had no standardized approach for working with the resident's resistance to care. Without clear protocols, medication refusals likely continued without adequate medical oversight.
Federal inspectors classified the violation as having minimal harm or potential for actual harm. The finding was part of a complaint investigation completed on November 13, 2025.
The deficiency requires the facility to submit a plan of correction explaining how it will address the care planning failures and prevent similar problems in the future.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cedar Ridge Center from 2025-11-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
CEDAR RIDGE CENTER in SISSONVILLE, WV was cited for violations during a health inspection on November 13, 2025.
Resident #111 began refusing medications on September 4, 2025, one day after arriving at the facility.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.