Deficiency Records for Pillar of Cedar Valley
Updated as of June 01, 2021
This is not the most recent data for Pillar of Cedar Valley. For the most recent information, click here.
A list of the most recent deficiencies for Pillar of Cedar Valley. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-22 | 2021-02-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-15 | 2021-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-28 | 2021-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-28 | 2021-01-07 | 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 | 2020-10-28 | 2021-01-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-28 | 2021-01-07 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-10-28 | 2021-01-07 | Y |
| Report COVID19 data to residents and families. | Health | 2020-10-28 | 2021-01-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-22 | 2020-07-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-12 | 2020-01-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-12 | 2020-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | 2020-01-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-01-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-12 | 2020-01-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-12 | 2020-01-12 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-12-16 | 2020-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-16 | 2019-12-17 | 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 | 2019-12-16 | 2019-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-11-24 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-10-29 | 2018-11-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-29 | 2018-11-06 | 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 | 2018-10-29 | 2018-11-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-29 | 2018-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-10-29 | 2018-11-06 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-10-29 | 2018-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-29 | 2018-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-29 | 2018-10-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-29 | 2018-10-29 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-29 | 2018-10-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-27 | 2017-08-24 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-27 | 2017-08-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-27 | 2017-08-24 | 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 | 2017-07-27 | 2017-08-24 | N |
| Use approved construction type or materials. | Fire Safety | 2017-07-28 | 2017-08-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-07-28 | 2017-08-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-07-28 | 2017-08-03 | N |
