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Deficiency Records for Cheney Care Center
A list of the most recent deficiencies for Cheney Care 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 Cheney Care 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-29 | 2024-07-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-05 | 2024-07-13 | 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 | 2024-06-05 | 2024-07-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-06-05 | 2024-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-05 | 2024-07-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-05 | 2024-07-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-05 | 2024-07-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-05 | 2024-07-13 | 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 | 2024-06-05 | 2024-07-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-06-05 | 2024-07-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-05 | 2024-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-05 | 2024-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-05 | 2024-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-10-06 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-13 | 2023-07-18 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-11 | 2023-06-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-11 | 2023-06-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-11 | 2023-06-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-11 | 2023-06-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-11 | 2023-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-06-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-11 | 2023-06-23 | 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 | 2023-05-11 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-23 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-11 | 2023-06-23 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-05-11 | 2023-06-23 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-11 | 2023-06-23 | 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 | 2023-05-03 | 2023-06-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-05-03 | 2023-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-16 | 2023-04-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-16 | 2023-04-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-08 | 2022-11-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-02 | 2022-09-06 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-08-02 | 2022-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-02 | 2022-09-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-02 | 2022-08-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-02 | 2022-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-08-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-02 | 2022-08-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-08-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-18 | 2022-04-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-09 | 2022-04-08 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-10-15 | 2021-11-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-15 | 2021-11-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-15 | 2021-11-12 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-15 | 2021-11-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-30 | 2020-03-10 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-01-30 | 2020-03-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-30 | 2020-03-10 | 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 | 2020-03-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-30 | 2020-03-10 | 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 | 2020-01-30 | 2020-03-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-30 | 2020-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-03-10 | 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 | 2020-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-30 | 2020-03-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-30 | 2020-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-03-10 | 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 | 2020-01-30 | 2020-03-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-30 | 2020-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-30 | 2020-03-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-30 | 2020-03-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-30 | 2020-03-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-01-30 | 2020-03-10 | N |
| Post nurse staffing information every day. | Health | 2020-01-30 | 2020-03-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-01-30 | 2020-03-10 | 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 | 2020-01-30 | 2020-03-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-30 | 2020-03-10 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-01-30 | 2020-03-10 | 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 | 2020-01-30 | 2020-03-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-01-30 | 2020-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-03-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-30 | 2020-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-28 | 2020-03-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-28 | 2020-03-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-28 | 2020-03-03 | N |
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