Deficiency Records for Cardinal Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Cardinal Nursing and Rehabilitation Center. 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 be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-12-13 | 2024-01-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-09 | 2023-12-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-19 | 2023-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-19 | 2023-08-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-19 | 2023-08-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-19 | 2023-08-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-19 | 2023-07-14 | Y |
| 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 | 2023-06-19 | 2023-07-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-19 | 2023-07-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-19 | 2023-07-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-19 | 2023-07-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-19 | 2023-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-19 | 2023-07-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-19 | 2023-07-14 | 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 | 2023-06-19 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-19 | 2023-07-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-30 | 2023-03-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-30 | 2023-03-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-30 | 2023-03-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-30 | 2023-03-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-30 | 2022-12-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-05 | 2022-10-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-02-21 | 2022-03-25 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-02-21 | 2022-03-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-02-21 | 2022-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-21 | 2022-03-25 | 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 | 2022-02-21 | 2022-03-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-21 | 2022-03-25 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-21 | 2022-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-21 | 2022-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-21 | 2022-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-21 | 2022-03-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-21 | 2022-03-25 | 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 | 2022-02-21 | 2022-03-25 | 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 | 2022-02-21 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-21 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-21 | 2022-03-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-21 | 2022-03-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-21 | 2022-03-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-23 | 2019-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-23 | 2019-06-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-23 | 2019-06-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-23 | 2019-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-23 | 2019-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-23 | 2019-06-28 | N |
