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Deficiency Records for Future Care Cherrywood
A list of the most recent deficiencies for Future Care Cherrywood. 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 Future Care Cherrywood. 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 corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-05-24 | 2023-07-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-24 | 2023-07-28 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-06 | 2023-07-21 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-06 | 2023-07-21 | Y |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-06 | 2023-07-21 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2023-06-06 | 2023-07-21 | 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 | 2023-06-06 | 2023-07-21 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-06 | 2023-07-21 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-06 | 2023-07-21 | Y |
Respond appropriately to all alleged violations. | Health | 2023-06-06 | 2023-07-21 | Y |
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 | 2023-06-06 | 2023-07-21 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-06 | 2023-07-21 | Y |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-06-06 | 2023-07-21 | Y |
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 | 2023-06-06 | 2023-07-21 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-06-06 | 2023-07-21 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-06 | 2023-07-21 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-06 | 2023-07-21 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-06 | 2023-07-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-06 | 2023-07-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-07-21 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-06 | 2023-07-21 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-06-06 | 2023-07-21 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-06 | 2023-07-21 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-06 | 2023-07-21 | 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 | 2023-06-06 | 2023-07-21 | Y |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-06-06 | 2023-07-21 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-06 | 2023-07-21 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-06 | 2023-07-21 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-06 | 2023-07-21 | Y |
Have exits that are accessible at all times. | Fire Safety | 2023-05-24 | 2023-07-08 | N |
Install proper backup exit lighting. | Fire Safety | 2023-05-24 | 2023-07-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-24 | 2023-07-08 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-24 | 2023-07-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-24 | 2023-07-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-24 | 2023-07-08 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-28 | 2019-05-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-28 | 2019-05-09 | 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 | 2019-01-28 | 2019-05-09 | N |
Provide activities to meet all resident's needs. | Health | 2019-01-28 | 2019-05-09 | 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 | 2019-01-28 | 2019-05-09 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-28 | 2019-05-09 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-01-28 | 2019-05-09 | N |
Provide and implement an infection prevention and control program. | Health | 2019-01-28 | 2019-05-09 | N |
Meet other general requirements. | Fire Safety | 2019-03-28 | 2019-04-30 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-28 | 2019-03-14 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-28 | 2019-03-14 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-28 | 2019-03-14 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-28 | 2019-03-14 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-28 | 2019-03-14 | N |
Respond appropriately to all alleged violations. | Health | 2019-01-28 | 2019-03-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-01-28 | 2019-03-14 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-28 | 2019-03-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-28 | 2019-03-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-28 | 2019-03-14 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-28 | 2019-03-14 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-01-28 | 2019-03-14 | 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 | 2019-01-28 | 2019-03-14 | 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 | 2019-01-28 | 2019-03-14 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-01-28 | 2019-03-14 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-28 | 2019-03-14 | N |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-01-28 | 2019-03-14 | N |
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-01-28 | 2019-03-14 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-01-28 | 2019-03-14 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2017-09-29 | 2017-11-13 | N |
Tell 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 | 2017-09-29 | 2017-11-13 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-29 | 2017-11-13 | N |
Keep all essential equipment working safely. | Health | 2017-09-29 | 2017-11-13 | N |
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