Deficiency Records for Ness County Hospital Ltcu Dba Cedar Village
Updated as of April 01, 2024
A list of the most recent deficiencies for Ness County Hospital Ltcu Dba Cedar 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? |
---|---|---|---|---|
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 | 2023-12-05 | 2023-12-28 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-15 | 2023-06-30 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-05-15 | 2023-06-30 | 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 | 2023-05-15 | 2023-06-30 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-15 | 2023-06-30 | 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 | 2023-05-15 | 2023-06-30 | N |
Implement a program that monitors antibiotic use. | Health | 2023-05-15 | 2023-06-30 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-14 | 2023-06-27 | N |
Use approved construction type or materials. | Fire Safety | 2021-10-13 | 2021-10-25 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-13 | 2021-10-25 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-13 | 2021-10-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-13 | 2021-10-25 | 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 | 2021-09-16 | 2021-10-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-16 | 2021-10-05 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-18 | 2019-07-24 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-18 | 2019-07-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-10 | 2019-07-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-10 | 2019-07-23 | 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 | 2019-07-10 | 2019-07-19 | 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 | 2019-07-10 | 2019-07-19 | N |