A list of the most recent deficiencies for Cadia Rehabilitation Broadmeadow. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-10 | 2022-01-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-10 | 2022-01-07 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-11-10 | 2022-01-07 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-11-10 | 2022-01-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-10 | 2022-01-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-10 | 2022-01-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-10 | 2022-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-10 | 2022-01-07 | 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 | 2021-11-10 | 2022-01-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2022-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-10 | 2022-01-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-10 | 2022-01-07 | 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 | 2021-11-10 | 2022-01-07 | N |
| Provide or obtain dental services for each resident. | Health | 2021-11-10 | 2022-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2022-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-10 | 2022-01-07 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-11-10 | 2022-01-07 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-12 | 2021-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-12 | 2021-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-12 | 2021-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-06-05 | 2019-07-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-05 | 2019-07-02 | 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 | 2019-06-05 | 2019-07-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-05 | 2019-07-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-05 | 2019-07-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-05 | 2019-07-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-05 | 2019-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-05 | 2019-07-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-05 | 2019-07-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-05 | 2019-07-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-06-05 | 2019-07-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-05 | 2019-07-02 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-06-05 | 2019-07-02 | N |
| Provide or obtain dental services for each resident. | Health | 2019-06-05 | 2019-07-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-07 | 2018-07-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-05 | 2018-06-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-05 | 2018-06-29 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-05 | 2018-06-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-05 | 2018-06-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-05 | 2018-06-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-05 | 2018-06-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-05 | 2018-06-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-05 | 2018-06-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-05 | 2018-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-05 | 2018-06-28 | N |
