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Deficiency Records for Cedars Healthcare Center
A list of the most recent deficiencies for Cedars Healthcare Center. 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 Cedars Healthcare Center. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-20 | 2024-09-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-09 | 2024-05-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-04-09 | 2024-05-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-09 | 2024-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-09 | 2024-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-09 | 2024-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-09 | 2024-05-11 | 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 | 2024-03-19 | 2024-04-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-19 | 2024-04-28 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-19 | 2024-04-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-19 | 2024-04-28 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-19 | 2024-04-28 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-03-19 | 2024-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-19 | 2024-04-28 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-17 | 2023-11-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-17 | 2023-11-09 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-27 | 2023-10-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-16 | 2023-04-16 | 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 | 2023-03-16 | 2023-04-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-16 | 2023-04-16 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-27 | 2023-01-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-12-27 | 2023-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-27 | 2023-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-27 | 2023-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-27 | 2023-01-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-27 | 2023-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-12-01 | 2022-12-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-01 | 2022-12-28 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-01 | 2022-12-28 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-12-01 | 2022-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2022-12-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-01 | 2022-12-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-01 | 2022-12-28 | 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 | 2022-12-01 | 2022-12-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-01 | 2022-12-28 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-12-01 | 2022-12-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-01 | 2022-12-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-08 | 2022-10-05 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-09-08 | 2022-10-05 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-09-08 | 2022-10-05 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-02 | 2021-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-02 | 2021-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-02 | 2021-10-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-02 | 2021-10-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-09-02 | 2021-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-02 | 2021-10-08 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-09-02 | 2021-10-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-02 | 2021-09-28 | N |
| Use approved construction type or materials. | Fire Safety | 2021-09-02 | 2021-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-02 | 2021-09-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-09-02 | 2021-09-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-18 | 2021-09-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-08-18 | 2021-09-17 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-08-18 | 2021-09-17 | 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 | 2021-08-18 | 2021-09-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-18 | 2021-09-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-18 | 2021-09-17 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-18 | 2021-09-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-08-18 | 2021-09-17 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-18 | 2021-09-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-18 | 2021-09-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-08-18 | 2021-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-18 | 2021-09-17 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-08-18 | 2021-09-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-18 | 2021-09-17 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-18 | 2021-09-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-08-18 | 2021-09-17 | 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 | 2021-08-18 | 2021-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-18 | 2021-09-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-18 | 2021-09-17 | N |
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