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Deficiency Records for Cypress Pointe Health Campus

A list of the most recent deficiencies for Cypress Pointe Health Campus. 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 Cypress Pointe Health Campus. 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?
Provide and implement an infection prevention and control program. Health 2024-07-23 2024-08-06 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-16 2023-11-01 Y
Honor the resident's right to manage his or her financial affairs. Health 2022-10-13 2022-12-16 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 2022-10-13 2022-12-16 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 2022-10-13 2022-12-16 N
Ensure that residents are free from significant medication errors. Health 2022-10-13 2022-12-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-13 2022-12-16 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 2022-10-13 2022-12-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-13 2022-12-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-13 2022-12-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-13 2022-12-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-13 2022-12-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-10-17 2019-12-05 N
Conduct testing and exercise requirements. Fire Safety 2019-10-16 2019-12-05 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-10-16 2019-12-05 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2019-10-16 2019-12-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-16 2019-12-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-10-16 2019-12-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-10-16 2019-12-05 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2019-10-16 2019-12-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-16 2019-12-05 N
Have proper medical gas storage and administration areas. Fire Safety 2019-10-16 2019-12-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-08-30 2018-10-15 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 2018-08-30 2018-10-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-08-30 2018-10-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-08-30 2018-10-15 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 2018-08-30 2018-10-15 N
Ensure that residents are free from significant medication errors. Health 2018-08-30 2018-10-15 N
Provide and implement an infection prevention and control program. Health 2018-08-30 2018-10-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-29 2018-10-15 N

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