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Deficiency Records for Cedar Manor Nursing and Rehabilitation Center
A list of the most recent deficiencies for Cedar Manor Nursing and Rehabilitation 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 Manor Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-12 | 2024-07-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-12 | 2024-07-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-25 | 2024-03-18 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-01-25 | 2024-03-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-03-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-25 | 2024-03-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-25 | 2024-03-18 | 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 | 2024-01-25 | 2024-03-18 | 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 | 2024-01-25 | 2024-03-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-25 | 2024-03-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-03-18 | Y |
| Install proper backup exit lighting. | Fire Safety | 2024-01-25 | 2024-03-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-25 | 2024-03-12 | 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 | 2024-01-25 | 2024-03-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-25 | 2024-03-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-25 | 2024-03-12 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-01-25 | 2024-03-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-25 | 2024-03-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-20 | 2020-12-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-11-20 | 2020-12-24 | 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 | 2020-11-20 | 2020-12-24 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2020-11-20 | 2020-12-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-11-17 | 2020-12-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-11-17 | 2020-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-17 | 2020-12-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-11-17 | 2020-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-11-17 | 2020-12-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-11-17 | 2020-12-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-19 | 2019-08-09 | 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 | 2019-06-19 | 2019-08-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-19 | 2019-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-19 | 2019-08-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-19 | 2019-08-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-06-19 | 2019-08-09 | 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 | 2019-06-20 | 2019-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
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