A list of the most recent deficiencies for The Lodge at Cypress Cove. 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? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-18 | 2024-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-18 | 2024-02-09 | 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 | 2024-01-18 | 2024-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-18 | 2024-02-09 | 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 | 2024-01-18 | 2024-02-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-22 | 2022-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-22 | 2022-03-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Develop a communication plan. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Establish methods for sharing information. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-10 | 2020-11-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-09-10 | 2020-10-10 | 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 | 2020-09-10 | 2020-10-10 | 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 | 2020-09-10 | 2020-10-10 | N |
