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Deficiency Records for Cherrydale Health and Rehabilitation Center

A list of the most recent deficiencies for Cherrydale Health 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 Cherrydale Health 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-08-18 2022-10-24 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 2022-08-18 2022-10-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-18 2022-10-24 N
Ensure medication error rates are not 5 percent or greater. Health 2022-08-18 2022-10-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-18 2022-10-24 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-09-01 2022-09-30 N
Provide properly protected cooking facilities. Fire Safety 2022-09-01 2022-09-30 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-09-01 2022-09-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-01 2022-09-30 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-08-18 2022-09-20 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-08-18 2022-09-20 N
Ensure each resident receives an accurate assessment. Health 2022-08-18 2022-09-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-18 2022-09-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-18 2022-09-20 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 2022-08-18 2022-09-20 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 2022-08-18 2022-09-20 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-08-18 2022-09-20 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 2022-08-18 2022-09-20 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-08-18 2022-09-20 N
Keep all essential equipment working safely. Health 2022-08-18 2022-09-20 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-08-18 2022-09-20 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-08-18 2022-09-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-02-17 2022-03-21 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-02-17 2022-03-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-17 2022-03-21 Y
Respond appropriately to all alleged violations. Health 2022-02-17 2022-03-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-17 2022-03-21 Y
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 2022-02-17 2022-03-21 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-17 2022-03-21 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-02-08 2021-05-05 N
Have an enclosure around a vertical opening shaft. Fire Safety 2021-02-08 2021-02-26 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-02-08 2021-02-24 N
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 2021-02-08 2021-02-23 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 2020-01-30 2020-02-24 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 2020-01-30 2020-02-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-30 2020-02-24 N
Assist a resident in gaining access to vision and hearing services. Health 2020-01-30 2020-02-24 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-01-30 2020-02-24 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 2020-01-30 2020-02-24 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2020-01-30 2020-02-24 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-01-30 2020-02-24 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 2020-01-30 2020-02-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-30 2020-02-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-30 2019-05-02 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-09-27 2018-10-17 N
Reasonably accommodate the needs and preferences of each resident. Health 2018-09-27 2018-10-17 N
Ensure each resident receives an accurate assessment. Health 2018-09-27 2018-10-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-27 2018-10-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-09-27 2018-10-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-09-27 2018-10-17 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 2018-09-27 2018-10-17 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 2018-09-27 2018-10-17 N
Provide or obtain dental services for each resident. Health 2018-09-27 2018-10-17 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 2018-09-27 2018-10-17 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2018-09-27 2018-10-17 N

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