CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Cardinal Care Strategies
View the most recent health deficiencies and inspection results for Cardinal Care Strategies. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cardinal Care Strategies. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2026-04-22 | 2026-05-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-22 | 2026-05-30 | Y |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2026-01-09 | 2026-02-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-01-09 | 2026-02-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-09 | 2026-02-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-01-09 | 2026-02-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-01-09 | 2026-02-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-09 | 2026-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2025-12-12 | 2026-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-01-09 | 2026-02-04 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2026-01-09 | 2026-02-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-01-09 | 2026-02-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-09 | 2026-02-04 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-09 | 2026-02-04 | N |
| Respond appropriately to all alleged violations. | Health | 2026-01-09 | 2026-02-04 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-09 | 2026-02-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-09 | 2026-02-04 | 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 | 2026-01-09 | 2026-02-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-09 | 2026-02-04 | 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 | 2026-01-09 | 2026-02-04 | N |
| 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 | 2026-01-09 | 2026-02-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-01-09 | 2026-02-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-09 | 2026-02-04 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2026-01-09 | 2026-02-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-12 | 2026-02-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-09 | 2026-02-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-12 | 2025-12-15 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-08-25 | 2025-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-27 | 2025-06-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-27 | 2025-06-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-27 | 2025-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-21 | 2025-04-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-21 | 2025-04-11 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-17 | 2025-01-27 | 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 | 2024-12-17 | 2025-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-17 | 2025-01-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-12-17 | 2025-01-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-12-17 | 2025-01-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-12-17 | 2025-01-15 | N |
| 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 | 2024-12-17 | 2025-01-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-12-17 | 2025-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-17 | 2025-01-15 | 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 | 2024-12-17 | 2025-01-15 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-11-14 | 2024-12-13 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-11-14 | 2024-12-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-20 | 2024-10-03 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-14 | 2024-06-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-03 | 2024-06-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-21 | 2024-06-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-21 | 2024-06-06 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-30 | 2024-03-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-30 | 2024-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-30 | 2024-03-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-30 | 2024-03-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-30 | 2024-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-03-19 | 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 | 2024-01-30 | 2024-03-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-01-30 | 2024-03-19 | 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 | 2024-01-30 | 2024-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-30 | 2024-02-14 | 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 | 2024-01-30 | 2024-02-14 | 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 | 2024-01-30 | 2024-02-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-30 | 2024-02-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-01-30 | 2024-02-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-30 | 2024-02-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-30 | 2024-02-14 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-06 | 2024-02-14 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-06 | 2024-02-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-06 | 2024-02-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-03 | 2024-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-03 | 2024-02-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-03 | 2024-02-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-23 | 2023-11-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-06 | 2023-09-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-06 | 2023-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-06 | 2023-09-29 | Y |
| 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 | 2023-06-21 | 2023-07-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-21 | 2023-07-12 | Y |