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Deficiency Records for Cedar Hill Healthcare Center
A list of the most recent deficiencies for Cedar Hill 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 Cedar Hill 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 safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-26 | 2024-08-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-26 | 2024-08-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-26 | 2024-08-15 | 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 | 2024-06-26 | 2024-08-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-26 | 2024-08-15 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-06-26 | 2024-08-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-26 | 2024-08-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-26 | 2024-08-15 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-06-26 | 2024-08-15 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-25 | 2024-08-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-25 | 2024-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-25 | 2024-08-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-25 | 2024-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-25 | 2024-08-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-25 | 2024-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-10 | 2023-08-10 | Y |
| 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 | 2023-05-04 | 2023-06-20 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-04 | 2023-06-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-04 | 2023-06-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-04 | 2023-06-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-04 | 2023-06-20 | Y |
| 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 | 2023-05-04 | 2023-06-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-04 | 2023-06-18 | 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 | 2023-05-04 | 2023-06-18 | 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 | 2023-05-04 | 2023-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-04 | 2023-06-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-04 | 2023-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-04 | 2023-06-18 | N |
| Post nurse staffing information every day. | Health | 2023-04-18 | 2023-05-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-19 | 2023-01-20 | Y |
| Report COVID19 data to residents and families. | Health | 2022-12-19 | 2023-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-02 | 2022-12-02 | Y |
| 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 | 2022-06-05 | 2022-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-25 | 2022-05-06 | 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 | 2022-03-25 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-05-06 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-25 | 2022-05-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-25 | 2022-05-06 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-28 | 2022-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-28 | 2022-04-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-28 | 2022-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-28 | 2022-04-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-28 | 2022-04-30 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2022-03-28 | 2022-04-30 | N |
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