Deficiency Records for Cherry Hill For Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Cherry Hill For Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-29 | 2023-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-29 | 2023-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-29 | 2023-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-29 | 2023-10-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-29 | 2023-09-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-29 | 2023-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-29 | 2023-09-29 | 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 | 2023-08-29 | 2023-09-29 | 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 | 2023-08-29 | 2023-09-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-29 | 2023-09-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-29 | 2023-09-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-29 | 2023-09-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-08-30 | 2023-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-09-22 | 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 | 2023-08-30 | 2023-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-30 | 2023-09-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-30 | 2023-09-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-30 | 2023-09-22 | Y |
| 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 | 2023-08-30 | 2023-09-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-21 | 2022-09-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-21 | 2022-09-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-21 | 2022-09-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-21 | 2022-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-21 | 2022-09-03 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-30 | 2022-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-30 | 2022-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-30 | 2022-07-25 | 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 | 2022-06-30 | 2022-07-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-30 | 2022-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-07-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-30 | 2022-07-25 | N |
| Post nurse staffing information every day. | Health | 2022-06-30 | 2022-07-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-14 | 2022-04-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-14 | 2022-04-29 | Y |
| 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 | 2021-11-17 | 2021-12-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-17 | 2021-12-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-17 | 2021-12-17 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-11-17 | 2021-12-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-17 | 2021-12-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-28 | 2021-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-28 | 2021-08-16 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-07-28 | 2021-08-16 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-28 | 2021-08-16 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-16 | 2021-04-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-16 | 2021-04-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-03-16 | 2021-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-16 | 2021-04-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-16 | 2021-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-16 | 2021-04-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-03-16 | 2021-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-16 | 2021-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-18 | 2021-04-14 | 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 | 2021-03-18 | 2021-04-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-18 | 2021-04-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-03-18 | 2021-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-18 | 2021-04-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-18 | 2021-04-14 | 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 | 2021-03-18 | 2021-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-18 | 2021-04-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-18 | 2021-04-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-18 | 2021-04-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-18 | 2021-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-18 | 2021-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-04-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-03-18 | 2021-04-14 | N |
