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Deficiency Records for Cypress Woods Care Center

A list of the most recent deficiencies for Cypress Woods 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 Cypress Woods 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-09 2024-05-16 Y
Ensure each resident receives an accurate assessment. Health 2023-11-30 2023-12-20 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-30 2023-12-18 N
Provide properly protected cooking facilities. Fire Safety 2023-11-28 2023-12-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-28 2023-12-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-28 2023-12-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-30 2023-12-12 N
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2022-10-27 2022-11-08 Y
Ensure each resident receives an accurate assessment. Health 2022-10-27 2022-11-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-27 2022-11-08 Y
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 2022-10-27 2022-11-08 Y
Provide and implement an infection prevention and control program. Health 2022-09-23 2022-11-04 N
Ensure each resident receives an accurate assessment. Health 2022-09-23 2022-09-30 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-09-23 2022-09-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-23 2022-09-30 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 2022-09-23 2022-09-30 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 2022-09-23 2022-09-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-23 2022-09-30 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 2022-09-23 2022-09-30 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-09-23 2022-09-30 N
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 2022-09-23 2022-09-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-23 2022-09-30 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-23 2022-09-30 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2022-09-23 2022-09-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-09-22 2022-09-30 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-22 2022-09-30 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-09-22 2022-09-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-14 2021-12-15 Y
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Health 2021-07-29 2021-08-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-29 2021-08-07 N
Provide properly protected cooking facilities. Fire Safety 2021-07-27 2021-08-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-27 2021-08-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-27 2021-08-04 N

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