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Deficiency Records for Cedarburg Health Services
A list of the most recent deficiencies for Cedarburg Health Services. 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 Cedarburg Health Services. 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 | 2025-01-23 | 2025-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-23 | 2025-02-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-23 | 2025-02-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-23 | 2025-02-19 | 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 | 2025-01-23 | 2025-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-23 | 2025-02-19 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-01-22 | 2025-02-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-22 | 2025-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-22 | 2025-02-05 | 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 | 2025-01-22 | 2025-01-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-22 | 2025-01-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-22 | 2025-01-28 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2025-01-22 | 2025-01-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-04 | 2024-10-25 | Y |
| 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 | 2024-10-04 | 2024-10-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-04 | 2024-04-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-04 | 2024-04-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-04 | 2024-04-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-29 | 2023-12-29 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-29 | 2023-12-29 | N |
| 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 | 2023-11-29 | 2023-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-29 | 2023-12-29 | 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 | 2023-11-29 | 2023-12-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-29 | 2023-12-29 | 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 | 2023-11-28 | 2023-12-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-28 | 2023-12-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-28 | 2023-12-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-28 | 2023-12-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-07 | 2023-12-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-07 | 2023-12-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-09 | 2023-02-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-09 | 2023-02-08 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-08-24 | 2022-10-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-24 | 2022-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-24 | 2022-10-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-24 | 2022-10-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-24 | 2022-10-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-24 | 2022-10-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-24 | 2022-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-10-08 | 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 | 2022-08-23 | 2022-10-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-23 | 2022-10-08 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-08-23 | 2022-10-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-08-23 | 2022-10-08 | N |
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