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Deficiency Records for Cherokee Park Rehabilitation
A list of the most recent deficiencies for Cherokee Park Rehabilitation. 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 Park Rehabilitation. 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-14 | 2024-07-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-14 | 2024-07-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-14 | 2024-07-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-06-14 | 2024-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-14 | 2024-07-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-14 | 2024-07-16 | 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 | 2024-06-14 | 2024-07-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-14 | 2024-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-14 | 2024-07-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-06-14 | 2024-07-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-14 | 2024-07-16 | 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 | 2019-02-28 | 2019-04-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-28 | 2019-04-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-28 | 2019-04-09 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-02-28 | 2019-04-09 | N |
| 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 | 2019-04-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-02-28 | 2019-04-09 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-02-28 | 2019-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-28 | 2019-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-28 | 2019-04-09 | 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 | 2019-04-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-28 | 2019-04-09 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-28 | 2019-04-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-28 | 2019-04-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-28 | 2019-04-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-28 | 2019-04-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-02-28 | 2019-04-09 | 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 | 2019-02-28 | 2019-04-09 | 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 | 2019-02-28 | 2019-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-04-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-04-09 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-02-28 | 2019-04-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-28 | 2019-04-09 | 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 | 2017-12-15 | 2018-01-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-15 | 2018-01-26 | 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 | 2017-12-15 | 2018-01-26 | N |
| Post nurse staffing information every day. | Health | 2017-12-15 | 2018-01-26 | 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 | 2017-12-15 | 2018-01-26 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2017-12-15 | 2018-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-15 | 2018-01-26 | N |
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