Deficiency Records for Cadia Rehabilitation Pike Creek

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Updated as of March 01, 2024

A list of the most recent deficiencies for Cadia Rehabilitation Pike Creek. 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?
Reasonably accommodate the needs and preferences of each resident. Health 2023-02-23 2023-03-24 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-02-23 2023-03-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-23 2023-03-24 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 2023-02-23 2023-03-24 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 2023-02-23 2023-03-24 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 2023-02-23 2023-03-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-02-23 2023-03-24 N
Provide and implement an infection prevention and control program. Health 2023-02-23 2023-03-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-09-04 2019-11-11 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-09-04 2019-11-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-04 2019-11-11 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-04 2019-11-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-09-04 2019-11-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-09-04 2019-11-11 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 2019-09-04 2019-11-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-09-04 2019-11-11 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 2019-09-04 2019-11-11 N
Provide enough food/fluids to maintain a resident's health. Health 2019-09-04 2019-11-11 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-09-04 2019-11-11 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 2019-09-04 2019-11-11 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-09-04 2019-11-11 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-09-04 2019-11-11 N
Ensure that residents are free from significant medication errors. Health 2019-09-04 2019-11-11 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 2019-09-04 2019-11-11 N
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2019-09-04 2019-11-11 N
Provide or obtain dental services for each resident. Health 2019-09-04 2019-11-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-04 2019-11-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-09-04 2019-11-11 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-09-04 2019-11-11 N
Provide and implement an infection prevention and control program. Health 2019-09-04 2019-11-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-09-28 2018-12-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2018-09-28 2018-12-28 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-09-28 2018-12-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-09-28 2018-12-28 N
Respond appropriately to all alleged violations. Health 2018-09-28 2018-12-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-09-28 2018-12-28 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 2018-09-28 2018-12-28 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2018-09-28 2018-12-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-28 2018-12-28 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 2018-09-28 2018-12-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-09-28 2018-12-28 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2018-09-28 2018-12-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-09-28 2018-12-28 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-09-28 2018-12-28 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 2018-09-28 2018-12-28 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-09-28 2018-12-28 N
Provide or obtain dental services for each resident. Health 2018-09-28 2018-12-28 N
Provide and implement an infection prevention and control program. Health 2018-09-28 2018-09-28 N