CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Villas at The Cedars
View the most recent health deficiencies and inspection results for The Villas at The Cedars. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Villas at The Cedars. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2026-03-03 | 2026-04-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-03 | 2026-04-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-03 | 2026-04-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-03 | 2026-04-07 | 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 | 2026-01-27 | 2026-02-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-27 | 2026-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-02 | 2025-12-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-02 | 2025-12-22 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-12-02 | 2025-12-22 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-07-15 | 2025-08-26 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-07-15 | 2025-08-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-15 | 2025-08-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-05 | 2025-08-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-07-15 | 2025-08-26 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-07-15 | 2025-08-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-07-15 | 2025-08-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-26 | 2025-07-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-06-26 | 2025-07-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-14 | 2025-06-09 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-04-03 | 2025-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-03 | 2025-05-13 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-12-05 | 2024-12-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-07 | 2024-12-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-07 | 2024-12-04 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-19 | 2024-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-07 | 2024-10-31 | Y |
| 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 | 2024-09-19 | 2024-10-24 | 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 | 2024-09-19 | 2024-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-10-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-19 | 2024-10-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-19 | 2024-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-19 | 2024-10-24 | 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 | 2024-09-19 | 2024-10-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-19 | 2024-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-19 | 2024-10-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-19 | 2024-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-13 | 2024-08-28 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-11-16 | 2023-12-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-14 | 2023-09-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-14 | 2023-09-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-09-12 | 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 | 2023-07-14 | 2023-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-09-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-14 | 2023-09-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-07-14 | 2023-09-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-14 | 2023-09-12 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-14 | 2023-09-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-14 | 2023-09-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-07-14 | 2023-09-12 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-14 | 2023-09-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-14 | 2023-09-12 | 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 | 2023-07-14 | 2023-09-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-14 | 2023-09-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-14 | 2023-09-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-14 | 2023-09-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-17 | 2021-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-10-26 | N |
| Post nurse staffing information every day. | Health | 2021-09-17 | 2021-10-26 | 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 | 2021-09-17 | 2021-10-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-17 | 2021-10-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-17 | 2021-10-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-17 | 2021-10-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-17 | 2021-10-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-17 | 2021-10-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-09-17 | 2021-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-17 | 2021-10-26 | N |