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Deficiency Records for Cherrelyn Healthcare Center

View the most recent health deficiencies and inspection results for Cherrelyn Healthcare Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Cherrelyn Healthcare Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-12-30 2026-02-11 Y
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2025-01-30 2025-08-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-01-30 2025-08-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-01-30 2025-08-30 N
Provide properly protected cooking facilities. Fire Safety 2025-01-30 2025-05-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-01-30 2025-05-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2025-01-30 2025-04-01 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2025-01-30 2025-04-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-01-30 2025-04-01 N
Provide and implement an infection prevention and control program. Health 2025-01-30 2025-02-26 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2025-01-30 2025-02-26 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2025-01-30 2025-02-26 N
Assist a resident in gaining access to vision and hearing services. Health 2025-01-30 2025-02-26 N
Provide activities to meet all resident's needs. Health 2025-01-30 2025-02-26 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-08-16 2024-02-29 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-08-16 2024-02-29 N
Provide properly protected cooking facilities. Fire Safety 2023-08-16 2023-11-15 N
Install proper backup exit lighting. Fire Safety 2023-08-16 2023-11-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-16 2023-11-15 N
Provide a written emergency evacuation plan. Fire Safety 2023-08-16 2023-11-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-16 2023-11-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-16 2023-11-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-16 2023-11-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-16 2023-11-15 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-08-16 2023-10-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-16 2023-10-04 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-08-16 2023-10-04 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-08-16 2023-09-27 N
Keep residents' personal and medical records private and confidential. Health 2023-08-16 2023-09-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-16 2023-09-27 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 2023-08-16 2023-09-27 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-16 2023-09-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-16 2023-09-27 N
Establish staff and initial training requirements. Fire Safety 2023-08-16 2023-09-27 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 2023-08-16 2023-09-11 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-06-15 2022-08-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-15 2022-08-24 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-06-15 2022-08-24 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-06-15 2022-08-24 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-06-15 2022-08-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-15 2022-08-24 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-06-15 2022-08-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-06-15 2022-08-24 N
Provide properly protected cooking facilities. Fire Safety 2022-06-15 2022-08-24 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 2022-06-15 2022-08-14 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-06-15 2022-07-25 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-06-15 2022-07-25 N
Have an externally vented heating system. Fire Safety 2022-06-15 2022-07-25 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-06-15 2022-07-25 N
Provide a written emergency evacuation plan. Fire Safety 2022-06-15 2022-07-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-15 2022-07-25 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-06-15 2022-07-15 N
Report COVID19 data to residents and families. Health 2022-06-15 2022-07-15 N
Provide and implement an infection prevention and control program. Health 2022-06-15 2022-07-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-06-15 2022-07-15 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-06-15 2022-07-15 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-06-15 2022-07-15 N
Ensure that residents are free from significant medication errors. Health 2022-06-15 2022-07-15 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-06-15 2022-07-15 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-06-15 2022-07-15 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-06-15 2022-07-15 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-06-15 2022-07-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-15 2022-07-15 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 2022-06-15 2022-07-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-15 2022-07-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-15 2022-07-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-15 2022-07-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-15 2022-07-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-15 2022-07-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-15 2022-07-15 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-06-15 2022-07-15 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 2022-06-15 2022-07-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-06-15 2022-07-15 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2022-06-15 2022-07-15 N

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