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Deficiency Records for Complete Care at Cedar Grove

A list of the most recent deficiencies for Complete Care at Cedar Grove. 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 Complete Care at Cedar Grove. 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 stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-08-18 2023-09-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-18 2023-09-29 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-18 2023-09-29 N
Have proper medical gas storage and administration areas. Fire Safety 2023-08-18 2023-09-29 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-08-18 2023-09-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-08-18 2023-09-07 N
Ensure each resident receives an accurate assessment. Health 2023-08-18 2023-09-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-18 2023-09-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-18 2023-09-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-18 2023-09-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-18 2023-09-07 N
Ensure that residents are free from significant medication errors. Health 2023-08-18 2023-09-07 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-08-18 2023-09-07 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-08-18 2023-09-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-18 2023-09-07 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-08-18 2023-09-07 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-09-03 2021-09-27 N
Install proper backup exit lighting. Fire Safety 2021-09-03 2021-09-23 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2021-09-03 2021-09-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-03 2021-09-20 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 2021-09-03 2021-09-15 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-10-09 2019-11-12 N
Assess the resident when there is a significant change in condition Health 2019-10-09 2019-11-12 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2019-10-09 2019-11-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-10-09 2019-11-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-10-09 2019-11-12 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 2019-10-09 2019-11-12 N
Observe each nurse aide's job performance and give regular training. Health 2019-10-09 2019-11-12 N
Provide and implement an infection prevention and control program. Health 2019-10-09 2019-11-12 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-10-09 2019-11-12 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-10-09 2019-11-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-09 2019-11-12 N

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