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Deficiency Records for Cadia Rehabilitation Broadmeadow

A list of the most recent deficiencies for Cadia Rehabilitation Broadmeadow. 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 Cadia Rehabilitation Broadmeadow. 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 2021-11-10 2022-01-07 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-11-10 2022-01-07 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-11-10 2022-01-07 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2021-11-10 2022-01-07 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-11-10 2022-01-07 N
Ensure each resident receives an accurate assessment. Health 2021-11-10 2022-01-07 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-11-10 2022-01-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-10 2022-01-07 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-11-10 2022-01-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-11-10 2022-01-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-10 2022-01-07 N
Provide enough food/fluids to maintain a resident's health. Health 2021-11-10 2022-01-07 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 2021-11-10 2022-01-07 N
Provide or obtain dental services for each resident. Health 2021-11-10 2022-01-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-10 2022-01-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-10 2022-01-07 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 2021-11-10 2022-01-07 Y
Install an approved automatic sprinkler system. Fire Safety 2021-11-12 2021-12-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-11-12 2021-12-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-11-12 2021-12-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-11 2019-07-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-06-11 2019-07-10 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-06-11 2019-07-10 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 2019-06-05 2019-07-02 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-06-05 2019-07-02 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2019-06-05 2019-07-02 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-06-05 2019-07-02 N
Ensure each resident receives an accurate assessment. Health 2019-06-05 2019-07-02 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-06-05 2019-07-02 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-06-05 2019-07-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-05 2019-07-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-06-05 2019-07-02 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2019-06-05 2019-07-02 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2019-06-05 2019-07-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-06-05 2019-07-02 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2019-06-05 2019-07-02 N
Provide or obtain dental services for each resident. Health 2019-06-05 2019-07-02 N

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