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Deficiency Records for Cheshire House Health Care Fac
A list of the most recent deficiencies for Cheshire House Health Care Fac. 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 Cheshire House Health Care Fac. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-01 | 2023-09-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-01 | 2023-09-12 | 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 | 2023-04-28 | 2023-06-09 | 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 | 2023-04-28 | 2023-06-09 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-28 | 2023-06-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-28 | 2023-06-09 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-28 | 2023-06-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-28 | 2023-06-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-28 | 2023-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-28 | 2023-06-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-28 | 2023-06-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-28 | 2023-06-09 | N |
| 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 | 2023-04-28 | 2023-06-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-28 | 2023-06-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-28 | 2023-06-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-28 | 2023-06-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-28 | 2023-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-06-09 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-28 | 2023-06-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-19 | 2022-10-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-18 | 2022-04-25 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-20 | 2021-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-20 | 2021-07-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-20 | 2021-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-20 | 2021-07-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-27 | 2021-07-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-27 | 2021-07-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-27 | 2021-07-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-07-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-27 | 2021-07-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-27 | 2021-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-07-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-05-27 | 2021-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-07-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-07 | 2019-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-07 | 2019-04-18 | N |
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