A list of the most recent deficiencies for Cypress Grove 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? |
|---|---|---|---|---|
| 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 | 2023-11-29 | 2023-12-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-01 | 2023-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-12-01 | Y |
| Post nurse staffing information every day. | Health | 2023-02-21 | 2023-03-21 | 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 | 2023-02-21 | 2023-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-21 | 2023-03-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-02-28 | 2023-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-09 | 2021-12-24 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-26 | 2021-11-11 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-26 | 2021-11-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-26 | 2021-11-11 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-09-10 | 2021-11-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-10 | 2021-11-11 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-09-10 | 2021-10-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-14 | 2021-08-06 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-14 | 2021-08-06 | Y |
| Assess the resident when there is a significant change in condition | Health | 2020-01-30 | 2020-02-29 | N |
| Post nurse staffing information every day. | Health | 2020-01-30 | 2020-02-29 | 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 | 2020-01-30 | 2020-02-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-02-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-02-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-05 | 2018-12-04 | 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 | 2018-11-05 | 2018-12-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-11-05 | 2018-12-04 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-05 | 2018-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-05 | 2018-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-05 | 2018-12-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-05 | 2018-12-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-07 | 2018-11-20 | N |
