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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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