Deficiency Records for The Cedars
Updated as of October 01, 2022
This is not the most recent data for The Cedars. For the most recent information, click here.
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 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 |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Install proper backup exit lighting. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-22 | 2019-01-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-11-29 | 2018-12-17 | 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 | 2018-11-29 | 2018-12-17 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-29 | 2018-12-17 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-29 | 2018-12-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2018-12-17 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-11-29 | 2018-12-17 | N |