Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cedar View Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
The facility failed to follow physician orders to measure and document urinary output for three residents with indwelling catheters. Despite clear orders, there were numerous shifts where output was not recorded, as CNAs did not consistently report to nurses. This non-compliance was confirmed by interviews with nursing staff and management.
A resident with hemiplegia and hemiparesis was assessed as high risk for falls, but the facility failed to implement a comprehensive fall risk care plan until after the resident experienced a fall. The initial care plan lacked measurable goals or interventions, and staff interviews confirmed the oversight.
A resident admitted with muscle wasting and heart failure experienced a delay in receiving a physical therapy evaluation, which was completed five days post-admission instead of within the facility's 24-hour goal or Medicare's three-day requirement. The resident reported inconsistent therapy sessions, and the Director of Rehabilitation was unsure why the evaluation was delayed.
A resident with hemiplegia was observed without the prescribed hand roll, despite documentation indicating continuous use. Staff interviews revealed inconsistencies, with some stating the hand roll was worn only at night. The discrepancy between observed practice and records highlights a failure in maintaining accurate medical documentation.
A facility failed to ensure an accurate MDS assessment for a resident, as it incorrectly indicated a gradual dose reduction of Seroquel, an antipsychotic medication. The resident's medical records and physician's orders showed no evidence of such a reduction. Interviews with staff confirmed the error was due to a data entry mistake, leading to an inaccurate assessment of the resident's medication management.
Failure to Document Urinary Output for Residents with Catheters
Penalty
Summary
The facility failed to adhere to professional standards of practice for the treatment related to urinary catheter output for three residents. Specifically, the facility did not implement the physician's orders to measure and document each resident's urinary output every shift. This deficiency was identified for three residents who had indwelling urinary catheters and required consistent monitoring of urinary output to prevent complications such as urinary retention. Resident #49, who was readmitted to the facility with diagnoses including hemiplegia and neuromuscular dysfunction of the bladder, had multiple instances where urinary output was not measured or recorded as per the physician's orders. The Treatment Administration Records for November 2024, December 2024, and January 2025 showed several shifts where the output was not documented. Interviews with staff revealed that CNAs were responsible for emptying the catheters and reporting the output to nurses, but this was not consistently done, leading to gaps in documentation. Similarly, Resident #23, admitted with paraplegia and neuromuscular dysfunction of the bladder, also had numerous shifts where urinary output was not documented. The Treatment Administration Records for November 2024, December 2024, and January 2025 indicated significant lapses in documentation. Interviews with nursing staff confirmed that CNAs did not always report the output to nurses, resulting in non-compliance with physician orders. Resident #65, with a diagnosis of urinary retention, experienced similar issues with incomplete documentation of urinary output across several months. Interviews with the Unit Manager and Director of Nursing confirmed that physician orders were not consistently followed, leading to the deficiency.
Failure to Implement Fall Risk Care Plan for High-Risk Resident
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident who was at high risk for falls. The resident, admitted with hemiplegia and hemiparesis following a cerebral infarction, was assessed with a fall risk score of 20, indicating a high risk for falls. Despite this assessment, the facility did not initiate a fall risk care plan until 15 days later, and only after the resident had already experienced a fall. The initial care plan, which was resolved without being completed, lacked measurable goals or interventions to prevent falls. Interviews with facility staff, including a nurse and the Director of Nursing, confirmed that the resident was at risk for falls and should have had a comprehensive falls care plan in place. The nurse acknowledged that a resident with the resident's condition would be at risk for falls, and the Director of Nursing admitted that a complete and comprehensive falls care plan with interventions should have been implemented but was not.
Delayed Physical Therapy Evaluation for Resident
Penalty
Summary
The facility failed to ensure a timely physical therapy evaluation for a resident admitted in January 2025 with diagnoses including muscle wasting, atrophy, and acute systolic heart failure. The resident, who was cognitively intact, expressed the need for therapy to regain the ability to walk and reported inconsistencies in receiving physical and occupational therapy. The physician's orders indicated a physical therapy evaluation and treatment plan should have been initiated on 1/4/25, with a frequency of five times per week for four weeks. The physical therapy evaluation was completed five days after admission, contrary to the facility's aim to evaluate within 24 hours and Medicare guidelines requiring completion by day three. The Director of Rehabilitation acknowledged the delay, stating the resident was scheduled for evaluation on 1/6/25 but was unsure why it did not occur as planned. There were no documented refusals or obstacles in the resident's medical record that would have justified the delay in the evaluation.
Inaccurate Documentation of Hand Roll Use
Penalty
Summary
The facility failed to ensure the accuracy of the medical record for a resident with hemiplegia and hemiparesis following a cerebral infarction. The resident was observed multiple times without the prescribed hand roll, which was supposed to be worn continuously according to the Treatment Administration Record (TAR). The physician's order and care plan indicated that the hand roll should be removed during care and skin integrity should be checked every shift. However, the TAR inaccurately documented that the resident wore the hand roll continuously throughout all shifts. Interviews with staff revealed inconsistencies in the understanding and documentation of the resident's use of the hand roll. A nurse stated that the resident wore the hand roll all the time, while the unit manager and the Director of Nursing confirmed that the resident only wore it at night. The Director of Nursing also mentioned that the resident had been working with occupational therapy to manage the hand roll. This discrepancy between observed practice and documented records highlights a failure in maintaining accurate medical records for the resident.
Inaccurate MDS Assessment Due to Data Entry Error
Penalty
Summary
The facility failed to ensure an accurate Minimum Data Set (MDS) assessment for a resident, leading to a deficiency. The MDS assessment inaccurately indicated that a gradual dose reduction (GDR) of an antipsychotic medication, Seroquel, was completed for a resident. However, upon review of the resident's medical records and physician's orders, there was no documentation or evidence of such a dose reduction. The resident, who was admitted in September 2024, had a diagnosis of major depressive disorder with recurrent severe psychotic symptoms and was receiving Seroquel 50 mg for anxiety. Interviews with facility staff, including a Unit Manager and an MDS Nurse, confirmed that no GDR had occurred. The MDS Nurse acknowledged that the coding error on the MDS assessment was a data entry mistake, as there was no actual change or reduction in the medication dosage. This discrepancy between the MDS assessment and the resident's medical records resulted in the inaccurate assessment of the resident's medication management.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Methuen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nevins Nursing & Rehabilitation Center | 0.8 mi | ★★★★★ | 13 | 0 |
| Berkeley Retirement Home,the | 1 mi | — | 0 | 0 |
| M I Nursing & Restorative Center | 1.5 mi | ★★★★★ | 30 | 0 |
| Royal Wood Mill Center | 2.3 mi | ★★★★★ | 4 | 0 |
| Whittier Bradford Transitional Care Unit | 3.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.