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Deficiency Records for Cedarbrook Health and Rehabilitation Center

A list of the most recent deficiencies for Cedarbrook Health and Rehabilitation 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 Cedarbrook Health and Rehabilitation 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-04-18 2023-05-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-18 2023-05-18 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 2023-02-09 2023-03-28 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 2023-02-09 2023-03-17 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-02-09 2023-03-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-09 2023-03-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-09 2023-03-17 Y
Provide activities to meet all resident's needs. Health 2023-02-09 2023-03-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-09 2023-03-17 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 2023-02-09 2023-03-17 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-02-09 2023-03-17 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-09 2023-03-17 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-02-09 2023-03-17 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-02-07 2023-03-09 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-02-07 2023-03-09 N
Address patient/client population and determine types of services needed. Fire Safety 2023-02-07 2023-03-09 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-02-07 2023-03-09 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-02-07 2023-03-09 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2023-02-07 2023-03-09 N
Provide family notifications of emergency plan. Fire Safety 2023-02-07 2023-03-09 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 2023-02-07 2023-03-09 N
Ensure electrical receptacles or cover plates have distinctive color or marking. Fire Safety 2023-02-07 2023-03-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-07 2023-03-09 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 2022-03-31 2022-04-29 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-31 2022-04-29 Y
Respond appropriately to all alleged violations. Health 2022-03-31 2022-04-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-31 2022-04-29 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-03-31 2022-04-29 Y
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2022-03-31 2022-04-29 Y
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 2021-06-07 2021-07-11 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-06-10 2021-07-10 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-06-10 2021-07-10 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2021-06-10 2021-07-10 N
Ensure medication error rates are not 5 percent or greater. Health 2021-06-10 2021-07-10 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 2021-06-10 2021-07-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-10 2021-07-10 N
Keep all essential equipment working safely. Health 2021-06-10 2021-07-10 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-06-10 2021-07-10 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-09-26 2019-10-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-09-26 2019-10-26 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 2019-09-26 2019-10-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-09-26 2019-10-26 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 2019-09-26 2019-10-26 N
Ensure medication error rates are not 5 percent or greater. Health 2019-09-26 2019-10-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-26 2019-10-26 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2019-09-26 2019-10-26 N
List the names and contact information of those in the facility. Fire Safety 2019-09-25 2019-10-25 N
Provide emergency officials' contact information. Fire Safety 2019-09-25 2019-10-25 N
Provide family notifications of emergency plan. Fire Safety 2019-09-25 2019-10-25 N
Conduct testing and exercise requirements. Fire Safety 2019-09-25 2019-10-25 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-09-25 2019-10-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-25 2019-10-25 N

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