A list of the most recent deficiencies for Cedar Ridge Village. 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? |
|---|---|---|---|---|
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-12-11 | 2023-12-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-11 | 2023-12-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-11 | 2023-12-29 | 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 | 2023-12-11 | 2023-12-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-12-11 | 2023-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-11 | 2023-12-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-12-11 | 2023-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-11 | 2023-12-29 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-12-11 | 2023-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-14 | 2023-12-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-14 | 2023-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-07 | 2023-08-30 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-07 | 2023-08-30 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-20 | 2022-08-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-20 | 2022-08-30 | 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 | 2022-07-20 | 2022-08-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-20 | 2022-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-20 | 2022-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-08-30 | 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 | 2022-07-20 | 2022-08-17 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-07-20 | 2022-08-05 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-20 | 2022-08-05 | 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 | 2022-07-20 | 2022-08-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-20 | 2022-08-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-20 | 2022-07-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-03 | 2022-05-04 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-26 | 2021-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-26 | 2021-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-26 | 2021-07-26 | N |
