Deficiency Records for Cedargate Healthcare

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Updated as of March 01, 2024

A list of the most recent deficiencies for Cedargate Healthcare. 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?
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-18 2022-12-17 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 2022-11-18 2022-12-17 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 2022-11-18 2022-12-17 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-11-18 2022-12-17 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-11-18 2022-12-17 N
Assess the resident when there is a significant change in condition Health 2022-11-18 2022-12-17 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-11-18 2022-12-17 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-11-18 2022-12-17 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-11-18 2022-12-17 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 2022-11-18 2022-12-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-18 2022-12-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-18 2022-12-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-18 2022-12-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-11-18 2022-12-17 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2022-11-18 2022-12-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-18 2022-12-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-11-18 2022-12-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-11-18 2022-12-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-18 2022-12-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-28 2020-03-30 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-02-28 2020-03-30 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-02-28 2020-03-30 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 2020-02-28 2020-03-30 N
Observe each nurse aide's job performance and give regular training. Health 2020-02-28 2020-03-30 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 2020-02-28 2020-03-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-28 2020-03-30 N
Provide and implement an infection prevention and control program. Health 2020-02-28 2020-03-30 N
Install an approved automatic sprinkler system. Fire Safety 2020-02-28 2020-03-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-02-28 2020-03-30 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2020-02-28 2020-03-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-04-04 2019-05-03 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-04-04 2019-05-03 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-04-04 2019-05-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-04-04 2019-05-03 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2019-04-04 2019-05-03 N
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 2019-04-04 2019-05-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-04-04 2019-05-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-04 2019-05-03 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 2019-04-04 2019-05-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-04-04 2019-05-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-04-04 2019-05-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-04 2019-05-03 N
Provide enough food/fluids to maintain a resident's health. Health 2019-04-04 2019-05-03 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 2019-04-04 2019-05-03 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2019-04-04 2019-05-03 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2019-04-04 2019-05-03 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2019-04-04 2019-05-03 N
Provide and implement an infection prevention and control program. Health 2019-04-04 2019-05-03 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2019-04-04 2019-05-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-04 2019-05-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-04-04 2019-05-03 N
Have proper medical gas storage and administration areas. Fire Safety 2019-04-04 2019-05-03 N