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Deficiency Records for Cedarwood Gardens
View the most recent health deficiencies and inspection results for Cedarwood Gardens. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cedarwood Gardens. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-06-17 | 2025-07-14 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-06-17 | 2025-07-14 | 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 | 2025-06-17 | 2025-07-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-06-17 | 2025-07-14 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-06-17 | 2025-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-17 | 2025-07-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Use approved construction type or materials. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-08 | 2024-06-28 | 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 | 2024-05-08 | 2024-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-08 | 2024-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-06-19 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-08 | 2024-06-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-08 | 2024-06-19 | 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 | 2024-05-08 | 2024-06-19 | 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 | 2024-05-08 | 2024-06-19 | 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 | 2024-05-08 | 2024-06-19 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-08 | 2024-06-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-08 | 2024-06-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-06-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-08 | 2024-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-08 | 2024-06-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-08 | 2024-06-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-08 | 2024-06-19 | 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 | 2024-05-08 | 2024-06-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-08 | 2024-06-19 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-08 | 2024-06-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-24 | 2024-05-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-24 | 2024-05-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-06 | 2023-08-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-06 | 2023-08-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-06 | 2023-08-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-06 | 2023-08-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-13 | 2023-02-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-13 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-02-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-13 | 2023-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-13 | 2023-02-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-01-13 | 2023-02-24 | 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 | 2023-01-13 | 2023-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-13 | 2023-02-24 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-01-13 | 2023-02-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-13 | 2023-02-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-13 | 2023-02-24 | 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 | 2023-01-13 | 2023-02-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-13 | 2023-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-13 | 2023-02-03 | N |