Deficiency Records for Cavalier Healthcare of England
Updated as of August 01, 2021
This is not the most recent data for Cavalier Healthcare of England. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-01-21 | 2021-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-02 | 2020-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-10 | 2020-06-24 | 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 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-12 | 2020-03-26 | Y |
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-28 | 2019-06-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-05-28 | 2019-06-23 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-15 | 2019-03-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-13 | 2019-03-17 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-13 | 2019-03-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-13 | 2019-03-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-15 | 2019-03-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-15 | 2019-03-17 | 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 | 2019-02-15 | 2019-03-17 | 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 | 2019-02-15 | 2019-03-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-02-15 | 2019-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-15 | 2019-03-17 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2018-08-24 | 2018-09-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-08-24 | 2018-09-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-24 | 2018-08-24 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-10 | 2018-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-13 | 2018-05-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-13 | 2018-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-13 | 2018-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-13 | 2018-05-13 | N |
