A list of the most recent deficiencies for Cavalier Healthcare of England. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-01-19 | 2023-02-13 | 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 | 2023-01-19 | 2023-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-02-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-19 | 2023-02-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-19 | 2023-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-19 | 2023-02-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-08 | 2022-10-07 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-08 | 2022-10-07 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-02 | 2022-04-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-24 | 2021-10-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-09-24 | 2021-10-24 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-09-24 | 2021-10-24 | 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 | 2021-09-24 | 2021-10-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-24 | 2021-10-24 | N |
| 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 | 2021-09-24 | 2021-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-24 | 2021-10-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-23 | 2021-10-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-23 | 2021-10-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-23 | 2021-10-24 | 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 | 2021-09-23 | 2021-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-23 | 2021-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-23 | 2021-10-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-09-23 | 2021-10-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-12 | 2020-03-26 | 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 | 2020-03-12 | 2020-03-26 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2020-03-12 | 2020-03-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-03-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-03-26 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-03-12 | 2020-03-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-12 | 2020-03-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-03-12 | 2020-03-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-12 | 2020-03-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-12 | 2020-03-26 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-03-12 | 2020-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-03-24 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-03-12 | 2020-03-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-12 | 2020-03-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-03-12 | 2020-03-12 | N |
