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Deficiency Records for Cedar Pointe
A list of the most recent deficiencies for Cedar Pointe. 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 Cedar Pointe. 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 a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-18 | 2024-08-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-18 | 2024-08-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-18 | 2024-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-18 | 2024-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-18 | 2024-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-22 | 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 | 2024-07-18 | 2024-08-09 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-18 | 2024-08-09 | 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 | 2024-07-18 | 2024-08-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-18 | 2024-08-09 | N |
| Provide activities to meet all resident's needs. | Health | 2024-07-18 | 2024-08-09 | 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 | 2024-07-18 | 2024-08-09 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-07-18 | 2024-07-26 | 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 | 2024-07-18 | 2024-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-09 | 2023-12-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-10 | 2023-06-01 | 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 | 2023-04-10 | 2023-05-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-10 | 2023-05-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-10 | 2023-05-17 | 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 | 2023-04-10 | 2023-05-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-10 | 2023-05-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-10 | 2023-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-10 | 2023-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-10 | 2023-05-15 | 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 | 2023-04-10 | 2023-05-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-10 | 2023-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-10 | 2023-05-15 | 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 | 2023-04-10 | 2023-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-10 | 2023-05-11 | 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 | 2023-04-10 | 2023-05-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-10 | 2023-05-10 | 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 | 2023-04-10 | 2023-05-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-10 | 2023-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-10 | 2023-05-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-04-10 | 2023-05-04 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-04-10 | 2023-05-04 | N |
| Post nurse staffing information every day. | Health | 2023-04-10 | 2023-05-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-24 | 2023-03-24 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-14 | 2022-03-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-14 | 2022-03-08 | 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 | 2022-02-14 | 2022-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-14 | 2022-03-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-14 | 2022-03-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-14 | 2022-03-03 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-02-04 | 2021-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-04 | 2021-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-03-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-04 | 2021-03-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-02-04 | 2021-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-04 | 2021-03-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-02-04 | 2021-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-04 | 2021-03-21 | N |
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