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Complaint Investigation

Cedar Ridge Center

November 13, 2025 · Sissonville, WV · 302 Cedar Ridge Road
Citations 2
Beds 119
Provider ID 515087
Healthcare Facility
Cedar Ridge Center
Sissonville, WV  ·  View full profile →
Inspection Summary

CEDAR RIDGE CENTER in SISSONVILLE, WV — inspection on November 13, 2025.

Found 2 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.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Based on record review and staff interview, the facility failed to ensure a complete and accurate comprehensive care plan in the area of medication refusals.

This deficient practice had the potential to affect one (1) of three (3) residents in the survey sample.

Resident Identifier: #111.

Facility Census: 110.

Findings included:a) Resident #111Review of Resident #111's medication administration record (MAR) and progress notes showed the resident began refusing medications on 09/04/25, the day after admission to the facility.

Medications refused included atorvastin for hyperlipidemia, dapagliflozin for diabetes, divalproex for depression, famotidine for gastroesophageal reflux disease, insulin for diabetes, losartan for hypertension, melatonin for sleeplessness, metformin for diabetes, metoprolol for hypertension, and trazodone for depression.

The medication refusals were frequent. On 11/13/25, the following focus was written on Resident #111's comprehensive care plan, 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. No goal or interventions had been written. On 11/13/25 at 11:30 AM, the Director of Nursing (DON) acknowledged Resident #111 had not been care planned timely for medication refusals. No further information was provided through the completion of the complaint investigation process.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/13/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Cedar Ridge Center

302 Cedar Ridge Road Sissonville, WV 25320

SUMMARY STATEMENT OF DEFICIENCIES

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure complete and accurate medical records.

Psychiatric telemedicine notes contained an inaccurate history of present illness (HPI) for Resident #111.

This was a random opportunity for discovery.

Resident Identifier: #111.

Facility Census: 110.Findings included:a) Resident #111 Review of Resident #111's medical records showed the resident was seen by psychiatric telemedicine services on [DATE], [DATE], and [DATE].

Each of the notes written during these sessions had the following paragraph for history of present illness (HPI): 92 -year-old widowed female with a hx [history] of dementia, depression, anxiety.

She was initially admitted to [facility] on [DATE] after an acute hospital stay at [hospital name]. [Resident's name] ambulates without assistance.

She has three children, one is deceased .

Son, [name] is HCS [health care surrogate] and supportive.

However, the resident's age, admission date, first name, and HCS's name were incorrect in this paragraph.The other sections in the entire note appeared correct for the resident. On [DATE] at 11:30 AM, the Director or Nursing (DON) acknowledged the HPI contained in Resident #111's psychiatric telemedicine services notes was incorrect.

She stated the HPI information written in Resident #111's notes applied to another resident with the same surname as Resident #111. No further information was provided through the completion of the complaint investigation.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SISSONVILLE, WV, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CEDAR RIDGE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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