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Deficiency Records for Alaris Health at Cedar Grove
A list of the most recent deficiencies for Alaris Health 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 Alaris Health 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-09 | 2024-08-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-09 | 2024-08-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-09 | 2024-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-09 | 2024-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-09 | 2024-08-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-07-09 | 2024-08-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-07-09 | 2024-08-15 | 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 | 2024-07-09 | 2024-08-15 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-07-09 | 2024-08-15 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-07-09 | 2024-08-15 | N |
| Post nurse staffing information every day. | Health | 2024-07-09 | 2024-08-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-09 | 2024-08-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-09 | 2024-08-15 | 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 | 2024-07-09 | 2024-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-09 | 2024-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-09 | 2024-08-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-09 | 2024-08-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-09 | 2024-08-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-09 | 2024-08-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-09 | 2024-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-09 | 2024-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-09 | 2024-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-09 | 2024-08-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-09 | 2024-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-20 | 2023-02-23 | 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 | 2023-01-20 | 2023-02-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-20 | 2023-02-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-20 | 2023-02-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-20 | 2023-02-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-20 | 2023-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-20 | 2023-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-20 | 2023-02-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-01-20 | 2023-02-23 | 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 | 2023-01-20 | 2023-02-23 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-01-20 | 2023-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-02-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-01-20 | 2023-02-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-20 | 2023-02-23 | 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 | 2023-01-20 | 2023-02-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-20 | 2023-02-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-20 | 2023-02-23 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-01-20 | 2023-02-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-07 | 2021-11-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-05 | 2020-02-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-05 | 2020-02-19 | N |
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