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Deficiency Records for Pillar of Cedar Valley
A list of the most recent deficiencies for Pillar of Cedar Valley. 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 Pillar of Cedar Valley. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-29 | 2023-08-30 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-29 | 2023-08-29 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-07-06 | 2023-08-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-06 | 2023-08-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-29 | 2023-07-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-06-29 | 2023-07-21 | 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 | 2023-07-06 | 2023-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-06 | 2023-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-06 | 2023-07-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-06 | 2023-07-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-22 | 2023-03-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-11 | 2022-05-09 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-03-15 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-04-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-10 | 2022-03-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-10 | 2022-03-25 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-03-10 | 2022-03-25 | 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 | 2022-03-10 | 2022-03-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-03-10 | 2022-03-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-10 | 2022-03-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-10 | 2022-03-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-10 | 2022-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-10 | 2022-03-25 | 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 | 2022-03-10 | 2022-03-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-10 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-10 | 2022-03-25 | 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 | 2022-03-10 | 2022-03-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-10 | 2022-03-25 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-15 | 2022-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-15 | 2022-03-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-15 | 2022-03-15 | 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 | 2022-01-06 | 2022-02-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-06 | 2022-02-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-06 | 2022-02-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-06 | 2022-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-12 | 2020-01-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-12 | 2020-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | 2020-01-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-01-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-12 | 2020-01-12 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-16 | 2020-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-16 | 2019-12-17 | 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 | 2019-12-16 | 2019-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
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