CEDAR CREST

The information listed below provides an in-depth look into the type and quality of care offered at Cedar Crest. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CEDAR CREST
4490 VIRGINIA LOOP ROAD
MONTGOMERY, AL 36116
(334) 281-6826

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 109
  • Certified Beds: 121

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Prattville | Wetumpka | Hayneville

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Cedar Crest. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-169.5%
ADL Index Range: 6-1011.7%
ADL Index Range: 0-512.0%
Total Percent:33.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.4%
ADL Index Range: 6-101.8%
ADL Index Range: 0-53.5%
Total Percent:22.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.5%
ADL Index Range: 6-107.9%
ADL Index Range: 0-55.5%
Total Percent:19.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.3%
ADL Index Range: 6-103.4%
ADL Index Range: 0-50.9%
Total Percent:6.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
1.2%
ADL Index Range: 2-16
- Isolation for active infectious disease
0.9%
Total Percent:2.0%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
2.0%
ADL Index Range: 11-14
- Signs of depression
0.2%
ADL Index Range: 11-14
- No Signs of depression
1.8%
ADL Index Range: 6-10
- No Signs of depression
1.4%
ADL Index Range: 2-5
- No Signs of depression
1.9%
Total Percent:7.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- Signs of depression
0.9%
ADL Index Range: 15-16
- No Signs of depression
0.9%
ADL Index Range: 11-14
- No Signs of depression
0.8%
ADL Index Range: 6-10
- No Signs of depression
0.6%
ADL Index Range: 2-5
- No Signs of depression
1.3%
ADL Index Range: 0-1
- No Signs of depression
1.8%
Total Percent:6.2%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
1.0%
ADL Index Range: 6-10
- Less restorative nursing
1.0%
ADL Index Range: 2-5
- Less restorative nursing
0.2%
Total Percent:2.1%
 

Rating Details For Cedar Crest

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours32 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 6 Minutes2 Hours and 29 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 59 Minutes
Total Nurse Hours3 Hours and 30 Minutes4 Hours and 28 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Alabama are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityAlabama Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season60%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination65%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight10%8%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder69%48%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%7%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination54%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season51%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%14%
Percent of Short-Stay Residents Who Have Pressure Sores13%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/05/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/08/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/07/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/04/2010
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/07/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/07/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/08/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/04/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/04/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/04/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/07/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/08/2009
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/04/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/04/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/04/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Cedar Crest, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 12/02/2010
  • Correction Date: 01/06/2011
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/26/2011
  • Correction Date: 06/09/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/05/2008
  • Correction Date: 07/10/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 03/13/2009
  • Correction Date: 04/17/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/13/2009
  • Correction Date: 12/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/02/2010
  • Correction Date: 01/06/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 03/17/2010
  • Correction Date: 04/16/2010
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 06/17/2011
  • Correction Date: 07/01/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 06/17/2011
  • Correction Date: 07/01/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 06/05/2008
  • Correction Date: 07/10/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/13/2009
  • Correction Date: 12/18/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 11/13/2009
  • Correction Date: 12/18/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 05/26/2011
  • Correction Date: 06/09/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/26/2011
  • Correction Date: 06/09/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/17/2011
  • Correction Date: 07/01/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 11/13/2009
  • Correction Date: 12/18/2009
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 12/02/2010
  • Correction Date: 01/06/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Cedar Crest had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/11/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Electrical

A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 09/28/2010
  • Correction Date: 10/15/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/27/2011

Exits and Egress

Proper Exit Design.
  • Inspection Date: 09/28/2010
  • Correction Date: 10/15/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/27/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/11/2011
  • Correction Date: 06/27/2011
Source: Medicare Nursing Home Compare; Alabama Department of Public Health - Retrieved 2011