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Deficiency Records for Cedarwood Post Acute

A list of the most recent deficiencies for Cedarwood Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Cedarwood Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Use approved construction type or materials. Fire Safety 2024-08-27 2024-09-27 N
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. Fire Safety 2024-08-27 2024-09-27 N
Provide properly protected cooking facilities. Fire Safety 2024-08-27 2024-09-27 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2024-08-27 2024-09-27 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-08-27 2024-09-27 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-08-27 2024-09-27 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2024-08-27 2024-09-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-27 2024-09-27 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-08-27 2024-09-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-27 2024-09-27 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-08-27 2024-09-27 N
Have proper medical gas storage and administration areas. Fire Safety 2024-08-27 2024-09-27 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-08-23 2024-09-11 N
Ensure each resident receives an accurate assessment. Health 2024-08-23 2024-09-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-23 2024-09-11 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-08-23 2024-09-11 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-08-23 2024-09-11 N
Ensure medication error rates are not 5 percent or greater. Health 2024-08-23 2024-09-11 N
Ensure that residents are free from significant medication errors. Health 2024-08-23 2024-09-11 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-08-23 2024-09-11 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-08-23 2024-09-11 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2024-08-23 2024-09-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-23 2024-09-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-08-23 2024-09-11 N
Provide and implement an infection prevention and control program. Health 2024-08-23 2024-09-11 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-08-23 2024-09-11 N
Keep all essential equipment working safely. Health 2024-08-23 2024-09-11 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-08-23 2024-09-11 N
Provide and implement an infection prevention and control program. Health 2024-08-07 2024-08-20 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-06-13 2024-06-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-09 2024-05-24 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-10 2024-02-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-10 2024-02-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-10 2024-02-24 Y
Respond appropriately to all alleged violations. Health 2024-01-10 2024-02-24 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-27 2023-12-07 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-21 2023-08-31 Y
Conduct testing and exercise requirements. Fire Safety 2023-07-03 2023-08-07 N
Use approved construction type or materials. Fire Safety 2023-07-03 2023-08-07 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-07-03 2023-08-07 N
Provide properly protected cooking facilities. Fire Safety 2023-07-03 2023-08-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-03 2023-08-07 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-07-03 2023-08-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-03 2023-08-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-07-03 2023-08-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-03 2023-08-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-03 2023-08-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-07-03 2023-08-07 N
Have proper medical gas storage and administration areas. Fire Safety 2023-07-03 2023-08-07 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-29 2023-07-25 N
Keep residents' personal and medical records private and confidential. Health 2023-06-29 2023-07-25 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-06-29 2023-07-25 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-06-29 2023-07-25 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-06-29 2023-07-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-29 2023-07-25 N
Provide appropriate foot care. Health 2023-06-29 2023-07-25 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-06-29 2023-07-25 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-06-29 2023-07-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-29 2023-07-25 N
Provide and implement an infection prevention and control program. Health 2023-06-29 2023-07-25 N
Keep all essential equipment working safely. Health 2023-06-29 2023-07-25 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-14 2023-06-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-02 2023-05-08 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-03-29 2023-04-11 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-03-02 2023-03-02 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-01-30 2023-02-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-30 2023-02-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-24 2023-01-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-29 2022-12-19 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-09-09 2022-10-25 Y
Ensure each resident receives an accurate assessment. Health 2022-07-12 2022-08-31 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-28 2022-05-18 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-04-28 2022-05-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-28 2022-05-18 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-02-16 2022-03-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-17 2021-12-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-11-17 2021-12-08 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-06-11 2019-07-01 N
Establish staff and initial training requirements. Fire Safety 2019-06-11 2019-07-01 N
Conduct testing and exercise requirements. Fire Safety 2019-06-11 2019-07-01 N
Implement emergency and standby power systems. Fire Safety 2019-06-11 2019-07-01 N
Provide properly protected cooking facilities. Fire Safety 2019-06-11 2019-07-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-11 2019-07-01 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2019-06-11 2019-07-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-11 2019-07-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-06-11 2019-07-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-06-11 2019-07-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-06-11 2019-07-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-06-11 2019-07-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-06-11 2019-07-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-06-11 2019-07-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-06-11 2019-07-01 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2019-04-18 2019-05-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-04-18 2019-05-28 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2019-04-18 2019-05-28 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2019-04-18 2019-05-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-18 2019-05-28 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2019-04-18 2019-05-28 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-04-18 2019-05-28 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-04-18 2019-05-28 N

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