Deficiency Records for Cavalier Healthcare of England
Updated as of May 01, 2022
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? |
|---|---|---|---|---|
| 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 other general requirements that are deficient. | Fire Safety | 2021-09-23 | 2021-10-24 | N |
| 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 |
| 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 |
| 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 |
