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Deficiency Records for Cedarwood Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Cedarwood Rehabilitation and Healthcare 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 Cedarwood Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-22 | 2024-08-22 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-07-22 | 2024-08-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-04 | 2024-07-10 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-02-08 | 2024-03-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-08 | 2024-03-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-08 | 2024-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-08 | 2024-03-27 | 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 | 2024-02-08 | 2024-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-08 | 2024-03-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-08 | 2024-03-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-08 | 2024-03-27 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-08 | 2024-03-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-02-08 | 2024-03-27 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-02-08 | 2024-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-08 | 2024-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-08 | 2024-03-27 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-02-08 | 2024-03-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-08 | 2024-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-03-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-25 | 2024-03-08 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-01 | 2023-12-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-01 | 2023-12-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-01 | 2023-12-18 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-09-13 | 2023-10-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-13 | 2023-08-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-07-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-30 | 2023-07-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-30 | 2023-07-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-30 | 2023-07-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-23 | 2023-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-04-30 | 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 | 2023-03-23 | 2023-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-23 | 2023-04-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-23 | 2023-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-04-30 | 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 | 2023-03-23 | 2023-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-30 | 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 | 2023-03-23 | 2023-04-30 | 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 | 2023-03-23 | 2023-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-23 | 2023-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-04-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-23 | 2023-04-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-23 | 2023-04-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-02-10 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-10 | 2023-02-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-01 | 2022-09-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-21 | 2022-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-08-17 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-04-28 | 2022-07-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-28 | 2022-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-07-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-28 | 2022-06-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-28 | 2022-06-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-28 | 2022-06-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-28 | 2022-06-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-27 | 2022-06-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-04-27 | 2022-06-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-27 | 2022-06-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-27 | 2022-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-27 | 2022-06-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-27 | 2022-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-04-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-16 | 2022-04-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-07 | 2022-02-24 | Y |
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