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Deficiency Records for Cedargate Healthcare
A list of the most recent deficiencies for Cedargate Healthcare. 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 Cedargate Healthcare. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-10 | 2024-06-18 | 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 | 2024-05-10 | 2024-06-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-10 | 2024-06-18 | 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 | 2024-05-10 | 2024-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-10 | 2024-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-10 | 2024-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-10 | 2024-06-18 | N |
| 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 | 2024-05-10 | 2024-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-10 | 2024-06-18 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-10 | 2024-06-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-10 | 2024-06-18 | 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 | 2024-05-10 | 2024-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-10 | 2024-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-10 | 2024-06-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-10 | 2024-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-10 | 2024-06-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2022-12-17 | 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 | 2022-11-18 | 2022-12-17 | 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 | 2022-11-18 | 2022-12-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-11-18 | 2022-12-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-18 | 2022-12-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-11-18 | 2022-12-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-11-18 | 2022-12-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-11-18 | 2022-12-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-18 | 2022-12-17 | 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 | 2022-11-18 | 2022-12-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2022-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-18 | 2022-12-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-18 | 2022-12-17 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-11-18 | 2022-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-18 | 2022-12-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-18 | 2022-12-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-18 | 2022-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-18 | 2022-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-28 | 2020-03-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-28 | 2020-03-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-28 | 2020-03-30 | N |
| 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 | 2020-02-28 | 2020-03-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-28 | 2020-03-30 | 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 | 2020-02-28 | 2020-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-28 | 2020-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-28 | 2020-03-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-28 | 2020-03-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-28 | 2020-03-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-28 | 2020-03-30 | N |
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