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Deficiency Records for Calder Woods

A list of the most recent deficiencies for Calder Woods. 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 Calder Woods. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-02-26 2024-03-21 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-02-26 2024-03-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-26 2024-03-01 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-26 2024-03-01 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 2023-10-11 2023-10-12 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-10-11 2023-10-12 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 2023-10-11 2023-10-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-17 2022-09-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-25 2021-07-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-05-25 2021-07-02 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-25 2021-06-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-05-25 2021-06-18 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-05-25 2021-06-18 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 2021-05-25 2021-06-18 N

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