Cedar Crest Nursing And Rehabilitation Center
CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA — inspection on August 11, 2025.
Found 15 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-08-11.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-11.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0694 during a standard health inspection conducted on 2025-08-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-11.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-11.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-11.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2025-08-11.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0807 during a standard health inspection conducted on 2025-08-11.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-11.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
During a concurrent interview with LVN N, she acknowledged that she should clean her hands and change gloves before administering Fluticasone nasal sprays to Resident 95.
During an interview with the DSD/IPC on 8/8/25, at 10:45 a.m., she stated the licensed nurses should sanitize their hands and change gloves before administering eye drops or nasal sprays to the residents.
Review of the facility’s policy, “Medication Administration – Nose Drops,” dated 1/2023, indicated, “… Procedures: … 3.
Perform hand hygiene.”
- During an initial room rounds on 8/5/2025 at 9:54 a.m., observed in bathroom between resident’s
room A and B with unlabeled one plastic pink wash basin (a light weight container used for personal care for residents), one pink plastic bed pan (a shallow, toilet shaped container used for collecting urine and feces from a resident who unable to get out of the of the bed), two urinals (a portable container designed to collect urine when access to toilet is limited or with mobility issues with residents), and one kidney shape plastic pink basin ( a small kidney shape light weight container used for mouth care for residents) with tooth brush and half used tooth paste tube inside.
During a concurrent observation and interview with certified nursing assistant K (CNA K) on 8/5/2025 at 9:56 a.m., CNA K confirmed above resident's care items unlabeled with resident’s name or room number and currently all are in use, not new. CNA K also confirmed this bathroom is currently being shared by four residents from room A and B. CNA K stated without label, there is risk of using these care items for unassigned resident.
During an interview with director of staff development/infection preventionist consultant (DSD/IP C) on 8/8/2025 at 8:10 a.m., DSD/IP C stated above care items should be labeled. DSD/IP C also stated nursing staff should have labeled these care items before using them for residents for infection control.
Review of facility’s undated policy and procedure titled, “Cleaning of bed pans and urinals,” the P&P indicated, “All bed pans and urinals will be marked with resident’s name for individual use.”
Facility ID:
Federal health inspectors cited CEDAR CREST NURSING AND REHABILITATION CENTER in SUNNYVALE, CA for a deficiency under regulatory tag F-F0908 during a standard health inspection conducted on 2025-08-11.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Keep all essential equipment working safely.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of CEDAR CREST NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.