Deficiency Records for Cardinal Nursing and Rehabilitation Center
Updated as of May 01, 2021
This is not the most recent data for Cardinal Nursing and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-09 | 2021-03-10 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2020-10-21 | 2020-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-04-19 | 2020-04-20 | Y |
| 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 | 2020-02-18 | 2020-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-27 | 2019-07-27 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-06-27 | 2019-07-27 | Y |
| 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 |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-23 | 2018-05-23 | 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 | 2018-04-23 | 2018-05-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-23 | 2018-05-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-23 | 2018-04-22 | 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 | 2018-03-23 | 2018-04-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-03-23 | 2018-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-23 | 2018-04-22 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-23 | 2018-04-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-03-23 | 2018-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-23 | 2018-04-22 | 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 | 2018-03-23 | 2018-04-22 | 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 | 2018-03-23 | 2018-04-22 | N |
| Meet other general requirements. | Fire Safety | 2017-03-24 | 2017-05-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-03-24 | 2017-05-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-24 | 2017-05-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-03-24 | 2017-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-24 | 2017-05-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2017-03-24 | 2017-05-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-03-24 | 2017-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-24 | 2017-05-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-03-24 | 2017-04-23 | 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 | 2017-03-24 | 2017-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-24 | 2017-04-23 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-02-27 | 2017-03-29 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-02-27 | 2017-03-29 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-02-27 | 2017-03-29 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-02-27 | 2017-03-29 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-02-27 | 2017-03-29 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-27 | 2017-03-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-27 | 2017-03-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-27 | 2017-03-29 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-02-27 | 2017-03-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-27 | 2017-03-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-27 | 2017-03-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-27 | 2017-03-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-27 | 2017-03-29 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-27 | 2017-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-27 | 2017-03-29 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-27 | 2017-03-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-27 | 2017-03-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-27 | 2017-03-29 | N |
