All citations for Complete Care at Cedar Grove

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Cedar Grove

Last standard health inspection on record

November 22, 2024

Showing 1 to 11 of 11 citations

  1. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  2. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  3. No harm, with potential for more than minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  4. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  5. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  6. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of September 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2021).

  7. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2021).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  9. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2021).

  10. No harm, with potential for more than minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of September 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2021).

  11. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of September 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2021).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.