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Cedar Crest Health Center Ratings & Violations

Cedar Crest Health Center Families often place a loved one in a nursing facility to ensure they receive the highest level of care and supervision, especially if they have a high susceptibility to falling. Unfortunately, many nursing facilities are understaffed, overcrowded or fail to train their nurses on how to properly monitor and follow interventions to ensure that the resident does not fall. Sadly, the Janesville elder abuse attorneys at Rosenfeld Injury Lawyers LLC have represented many residents who have suffered serious life-threatening injuries by falling due to the neglectful actions of the nursing staff.

Cedar Crest Health Center

Cedar Crest Health Center is an 83-Certified bed non-profit church-related nursing facility providing services to residents of Janesville, Rock County Wisconsin and Rockford County, Illinois. The Medicare/Medicaid-participating facility is located at:

1702 South River Rd.
Janesville, Wisconsin 53546
(608) 756-0344

In addition to providing nursing services, Cedar Crest Health Center offers short-term rehabilitation, memory care and assisted living, residential living, apartment and townhome options.

Janesville Nursing Home Resident Safety Concerns

To ensure families have the most current information on nursing facilities in the United States, federal and state agencies routinely update their nursing home databases. The information includes the history of all opened investigations, health violations, filed complaints and safety concerns with the results published on numerous state and federal websites including

Currently, Cedar Crest Health Center maintains an overall four out of five available star rating in the Medicare star rating summary system. This includes five out of five stars for staffing issues, four out of five stars for quality measures and three out of five stars for health inspections. However, our Janesville nursing home neglect attorneys have found numerous safety concerns involving this facility that include:

  • Failure to Provide Every Resident an Environment Free of Accident Hazards and Risks and Failure to Provide Adequate Supervision to Prevent Avoidable Accidents

    In a summary statement of deficiencies dated 02/25/2016, the state investigator noted the facility’s failure to “ensure that the resident environment remains as free of accident hazards as is possible; and each resident receives adequate supervision and assistance devices to prevent accidents.”

    One incident involved a resident with “a history of falls.” The resident’s current Comprehensive Care Plan documents the potential problem for injury related to trauma after the resident fell on 01/15/2016.

    The investigator reviewed the resident’s Fall Interventions that included “a map to be placed on the floor beside his bed and chair, Dycem [non-slip] to be placed above and below his chair cushion, and not to be left alone while in the bathroom.” The investigator noted that upon observations, “these Care Plan interventions were not being followed.”

    “On 02/22/2015 at 12:45 PM, the surveyor observed [a CNA (Certified Nursing Assistant) assist the resident] back to his room after lunch.” The resident was in a wheelchair being assisted by the Certified Nursing Assistant. That time, the resident was transferred “from the wheelchair to the toilet with the use of a gait belt. Once [the resident] was seated on the toilet, the CNA left the bathroom, closing the bathroom door, but not shutting it completely, and waited for the resident to finish in the bathroom while she (the Certified Nursing Assistant) waited by [the resident’s] bed.” The investigator noted that at that time, “the CNA did not have the resident in her line of vision” failing to follow the written Plan of Care, which placed the resident in potential danger of injury.

    In a separate summary statement of deficiencies dated 12/07/2015, the state investigator also noted the facility’s failure “to ensure that the resident environment remains as free of accident hazards as possible and that each resident receives adequate supervision and assisted devices to prevent accidents.”

    This incident involved a resident who has “potential for injury Plan of Care dated 10/01/2015 [...and] an intervention to this Plan of Care states in part; call light in reach.” The investigator reviewed the resident’s 9:57 AM 11/23/2015 Nursing Notes that revealed that the resident “had several falls recently.” Subsequent notes also revealed that the resident had a “fall without injury ambulating independently to the bathroom when he lost his balance and went backward.” While the family was “able to reach [him] before he hit the floor” a CNA (Certified Nursing Assistant) passing by the room saw the resident’s arm hit the ground.

    The investigator noted that even though the staff generated new interventions including “stop sign to be placed across bathroom door is reminded to use call light for assistance and possible room change.” However, the investigator observed that the resident “would have to stand and walk around the corner to see the stop sign across the bathroom door.” Additionally, the surveyor observed the resident “sitting in his recliner” with a sign in the room to remind him to “push the call light to get help.” However, the “light on the call light cord attached to the wall was not within the resident’s reach”, who would have had to “stand and walk between the recliner in the bed to reach it.”

Janesville Wisconsin Nursing Home Abuse Lawyers

If your loved one is suffered serious injury or wrongful death after falling in any nursing facility, including Cedar Crest Health Center, Rosenfeld Injury Lawyers LLC can help. Our Rock County elder abuse attorneys can assist you in obtaining the financial compensation your family deserves.

We accept all personal injury cases on contingency to avoid the need for an upfront payment. contact our Janesville Wisconsin nursing home abuse law firm today at (888) 424-5757 for free, no obligation consultation.

Disclaimer: The above inspection findings are take from public sources including the State Department of Health and from Medicare inspection conducted at the facility at least every fifteen months. Rosenfeld Injury Lawyers LLC cannot confirm that the content on this site is the most recent information related to the facilities mentions.

The inspection findings published are not complete. You may find the most up to date information here: or

The deficiencies/citations listed on this page may have been corrected or substantially corrected after the date of the inspection and date of publishing this material. This page is a legal advertisement and a resource of information for visitors. This material is not endorsed by the facility noted or by any governmental agency. Rosenfeld Injury Lawyers LLC does not have any affiliation with the facility.

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