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Deficiency Records for Cedar Grove Respiratory and Nursing Center

A list of the most recent deficiencies for Cedar Grove Respiratory and Nursing Center. 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 Grove Respiratory and Nursing Center. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-05-18 2023-06-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-18 2023-06-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-18 2023-06-15 N
Ensure that residents are free from significant medication errors. Health 2023-05-18 2023-06-15 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 2023-05-18 2023-06-15 N
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 2023-05-18 2023-06-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-18 2023-06-15 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-05-18 2023-06-15 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-05-18 2023-06-15 Y
Install proper backup exit lighting. Fire Safety 2023-05-18 2023-06-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-05-18 2023-06-15 N
Provide properly protected cooking facilities. Fire Safety 2023-05-18 2023-06-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-05-18 2023-06-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-18 2023-06-15 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-02-23 2022-03-25 N
Assess the resident when there is a significant change in condition Health 2022-02-23 2022-03-25 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-02-23 2022-03-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-23 2022-03-25 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 2022-02-23 2022-03-25 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-02-23 2022-03-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-23 2022-03-25 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 2022-02-23 2022-03-25 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-02-23 2022-03-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-02-23 2022-03-25 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-02-23 2022-03-25 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-02-23 2022-03-25 N
Observe each nurse aide's job performance and give regular training. Health 2022-02-23 2022-03-25 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 2022-02-23 2022-03-25 N
Provide and implement an infection prevention and control program. Health 2022-02-23 2022-03-25 N
Implement a program that monitors antibiotic use. Health 2022-02-23 2022-03-25 N
Ensure staff are vaccinated for COVID-19 Health 2022-02-23 2022-03-25 N
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2022-02-23 2022-03-25 N
Have exits that are accessible at all times. Fire Safety 2022-02-23 2022-03-25 N
Install proper backup exit lighting. Fire Safety 2022-02-23 2022-03-25 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-02-23 2022-03-25 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-02-23 2022-03-25 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2022-02-23 2022-03-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-23 2022-03-25 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-02-23 2022-03-25 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-02-23 2022-03-25 N
Ensure each resident receives an accurate assessment. Health 2020-02-21 2020-04-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-02-21 2020-04-15 N
Post nurse staffing information every day. Health 2020-02-21 2020-04-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-21 2020-04-15 N
Provide and implement an infection prevention and control program. Health 2020-02-21 2020-04-15 N
Establish staff and initial training requirements. Fire Safety 2020-02-21 2020-04-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2020-02-21 2020-04-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-02-21 2020-04-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2020-02-21 2020-04-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-21 2020-04-15 N

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