Deficiency Records for The Cedars

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Updated as of March 01, 2024

A list of the most recent deficiencies for The Cedars. 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 2023-06-27 2023-07-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-15 2023-06-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-15 2023-06-15 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-06 2023-01-04 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 2022-10-06 2022-11-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-06 2022-11-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-06 2022-11-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-06 2022-11-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-10-06 2022-11-08 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-29 2022-09-15 N
Honor each resident's preferences, choices, values and beliefs. Health 2022-08-29 2022-09-15 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-08-29 2022-09-15 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 2022-08-29 2022-09-15 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 2022-08-29 2022-09-15 N
Ensure that residents are free from significant medication errors. Health 2022-08-29 2022-09-15 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-05-05 2022-05-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-13 2022-04-28 Y
Meet other general requirements. Fire Safety 2021-08-04 2021-09-08 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-08-04 2021-09-08 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 2021-08-04 2021-09-08 N
Provide properly protected cooking facilities. Fire Safety 2021-08-04 2021-09-08 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-08-04 2021-09-08 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2021-08-04 2021-09-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-04 2021-09-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-08-04 2021-09-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-04 2021-09-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-04 2021-09-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-08-04 2021-09-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-08-04 2021-09-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-08-04 2021-09-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-04 2021-09-08 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-06-29 2021-07-11 N
Respond appropriately to all alleged violations. Health 2021-06-29 2021-07-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-29 2021-07-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-29 2021-07-11 N
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 2021-06-29 2021-07-11 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-06-29 2021-07-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-29 2021-07-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-05 2021-04-23 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-08-21 2019-09-20 N
Establish policies and procedures for medical documentation. Fire Safety 2019-08-21 2019-09-20 N
Establish methods for sharing information. Fire Safety 2019-08-21 2019-09-20 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-08-21 2019-09-20 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2019-08-21 2019-09-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-08-21 2019-09-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-08-21 2019-09-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-08-21 2019-09-20 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-08-21 2019-09-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-08-21 2019-09-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-09-09 2019-09-19 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2019-09-09 2019-09-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-09 2019-09-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-09-09 2019-09-19 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 2019-09-09 2019-09-19 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-09-09 2019-09-19 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 2019-09-09 2019-09-19 N