A list of the most recent deficiencies for Cedar Pointe. 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? |
---|---|---|---|---|
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 |
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 |
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 |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 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 |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-10 | 2023-05-17 | 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 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 |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-10 | 2023-05-15 | 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 |
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 |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 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 |
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 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 |
Post nurse staffing information every day. | Health | 2023-04-10 | 2023-05-01 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-24 | 2023-03-24 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-14 | 2022-03-08 | Y |
Ensure each resident receives an accurate assessment. | Health | 2022-02-14 | 2022-03-08 | 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 | 2022-02-14 | 2022-03-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-14 | 2022-03-08 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-14 | 2022-03-03 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-14 | 2022-03-03 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-22 | 2021-11-17 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-22 | 2021-11-17 | 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 | 2021-04-14 | 2021-05-19 | Y |
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 |
Provide and implement an infection prevention and control program. | Health | 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 |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-04 | 2021-03-21 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-04-19 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-03-21 | 2019-04-19 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-21 | 2019-04-19 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-21 | 2019-04-19 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-19 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-21 | 2019-04-19 | N |