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Deficiency Records for Cedar Crossings
A list of the most recent deficiencies for Cedar Crossings. 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 Crossings. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-17 | 2024-08-16 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-07-17 | 2024-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-17 | 2024-07-10 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-06-17 | 2024-07-10 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-17 | 2024-07-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-22 | 2024-04-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-22 | 2024-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-12-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-09 | 2023-12-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-09 | 2023-12-07 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-14 | 2023-09-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-14 | 2023-09-29 | 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 | 2023-08-14 | 2023-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-14 | 2023-09-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-14 | 2023-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-14 | 2023-09-29 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-14 | 2023-09-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-14 | 2023-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-14 | 2023-09-29 | 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 | 2023-08-14 | 2023-09-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-14 | 2023-09-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-14 | 2023-09-29 | 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 | 2023-08-14 | 2023-09-29 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-08-14 | 2023-09-29 | N |
| Provide or obtain dental services for each resident. | Health | 2023-08-14 | 2023-09-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-14 | 2023-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-14 | 2023-09-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-14 | 2023-09-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-14 | 2023-09-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-14 | 2023-09-29 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-10 | 2023-09-29 | 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 | 2023-08-10 | 2023-09-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-27 | 2023-05-31 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-27 | 2023-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-05-31 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-27 | 2023-05-31 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-01-13 | 2023-03-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-13 | 2023-03-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-13 | 2023-03-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-12 | 2022-11-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-12 | 2022-10-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2022-09-12 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-25 | 2022-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-25 | 2022-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-25 | 2022-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-25 | 2022-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-01 | 2022-07-14 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-01 | 2022-07-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-01 | 2022-07-14 | N |
| Post nurse staffing information every day. | Health | 2022-06-01 | 2022-07-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-01 | 2022-07-14 | 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 | 2022-06-01 | 2022-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-01 | 2022-07-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-01 | 2022-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-07-14 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-05-25 | 2022-07-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-25 | 2022-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-25 | 2022-07-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-04 | 2022-05-18 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-04-04 | 2022-05-18 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-04-04 | 2022-05-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-04 | 2022-05-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-04 | 2022-05-18 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-04-04 | 2022-05-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-04 | 2022-05-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-04-04 | 2022-05-18 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-04-04 | 2022-05-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-04 | 2022-05-18 | Y |
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