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Deficiency Records for Cherokee Center For Nursing and Healing LLC
A list of the most recent deficiencies for Cherokee Center For Nursing and Healing LLC. 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 Cherokee Center For Nursing and Healing LLC. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-29 | 2024-01-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-05 | 2024-01-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-05 | 2024-01-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-05 | 2024-01-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-05 | 2024-01-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-05 | 2024-01-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-05 | 2024-01-10 | 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 | 2023-12-05 | 2024-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-05 | 2024-01-10 | 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 | 2023-12-05 | 2024-01-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-05 | 2024-01-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-05 | 2024-01-10 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-05 | 2024-01-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-05 | 2024-01-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-05 | 2024-01-10 | Y |
| 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 | 2023-12-05 | 2024-01-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-12-05 | 2024-01-10 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-12-05 | 2024-01-10 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-12-05 | 2024-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-05 | 2024-01-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-05 | 2024-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-12 | 2023-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-12 | 2023-02-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-12 | 2023-02-21 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-12 | 2023-02-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-12 | 2023-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-12 | 2023-02-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-12 | 2023-02-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-12 | 2023-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-02-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-12 | 2023-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-12 | 2023-02-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-12 | 2023-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-21 | 2022-02-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-21 | 2022-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-21 | 2022-02-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-28 | 2019-04-12 | 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 | 2019-02-28 | 2019-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-28 | 2019-04-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-28 | 2019-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-12 | 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 | 2019-02-25 | 2019-04-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-25 | 2019-04-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-25 | 2019-04-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-25 | 2019-04-12 | N |
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