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Deficiency Records for Cedar Pointe
View the most recent health deficiencies and inspection results for Cedar Pointe. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cedar Pointe. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-02 | 2025-04-03 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-04-02 | 2025-03-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-23 | 2025-02-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-01 | 2024-10-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-01 | 2024-10-17 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-18 | 2024-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-18 | 2024-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-18 | 2024-08-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-18 | 2024-08-23 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-18 | 2024-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-22 | 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 | 2024-07-18 | 2024-08-09 | N |
| Provide activities to meet all resident's needs. | Health | 2024-07-18 | 2024-08-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-18 | 2024-08-09 | 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 | 2024-07-18 | 2024-08-09 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-18 | 2024-08-09 | 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 | 2024-07-18 | 2024-08-09 | 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 | 2024-07-18 | 2024-07-26 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-07-18 | 2024-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-18 | 2024-07-18 | 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 | 2024-03-05 | 2024-03-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-05 | 2024-03-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-05 | 2024-03-08 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-11-09 | 2023-12-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-10 | 2023-06-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-10 | 2023-05-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-10 | 2023-05-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-10 | 2023-05-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-10 | 2023-05-17 | 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 | 2023-04-10 | 2023-05-17 | 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 | 2023-04-10 | 2023-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-10 | 2023-05-15 | 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 | 2023-04-10 | 2023-05-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-10 | 2023-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-10 | 2023-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-10 | 2023-05-15 | 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 | 2023-04-10 | 2023-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-10 | 2023-05-11 | 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 | 2023-04-10 | 2023-05-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-10 | 2023-05-10 | 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 | 2023-04-10 | 2023-05-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-10 | 2023-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-10 | 2023-05-05 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-04-10 | 2023-05-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-04-10 | 2023-05-04 | N |
| Post nurse staffing information every day. | Health | 2023-04-10 | 2023-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-03-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-02-04 | 2021-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-04 | 2021-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-04 | 2021-03-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-04 | 2021-03-21 | 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 | 2021-02-04 | 2021-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-04 | 2021-03-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-02-04 | 2021-03-21 | N |