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Deficiency Records for Cambridge Post Acute Care Center

A list of the most recent deficiencies for Cambridge Post Acute Care 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 Cambridge Post Acute Care 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?
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 2024-07-09 2024-08-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-09 2024-08-15 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 2024-07-09 2024-08-15 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-07-09 2024-08-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-09 2024-08-15 N
Ensure that residents are free from significant medication errors. Health 2024-07-09 2024-08-15 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 2024-07-09 2024-08-15 N
Provide and implement an infection prevention and control program. Health 2024-07-09 2024-08-15 N
Implement a program that monitors antibiotic use. Health 2024-07-09 2024-08-15 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-07-09 2024-08-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-09 2024-08-15 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 2024-07-09 2024-08-15 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-07-09 2024-08-15 N
Ensure each resident receives an accurate assessment. Health 2022-12-08 2023-01-22 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-12-08 2023-01-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-08 2023-01-22 Y
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-07-01 2021-07-27 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 2018-09-27 2018-11-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-27 2018-11-11 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-09-27 2018-11-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-09-27 2018-11-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-09-27 2018-11-11 N
Provide enough food/fluids to maintain a resident's health. Health 2018-09-27 2018-11-11 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2018-09-27 2018-11-11 N
Install proper backup exit lighting. Fire Safety 2018-09-25 2018-11-11 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2018-09-25 2018-11-11 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2018-09-25 2018-11-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-09-25 2018-11-11 N
Have proper medical gas storage and administration areas. Fire Safety 2018-09-25 2018-11-11 N

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