A list of the most recent deficiencies for The Cypress at Midtown. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-11-30 | 2024-01-25 | 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 | 2023-11-30 | 2024-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-30 | 2024-01-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-11-30 | 2024-01-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-30 | 2024-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-30 | 2024-01-23 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-27 | 2023-02-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-27 | 2023-02-01 | 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 | 2022-10-27 | 2022-11-21 | 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 | 2022-10-27 | 2022-11-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-27 | 2022-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-11-21 | 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 | 2022-10-27 | 2022-11-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-11-21 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-10-27 | 2022-11-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-27 | 2022-11-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-11-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-27 | 2022-11-21 | 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 | 2022-10-27 | 2022-11-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-27 | 2022-11-21 | 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 | 2022-10-27 | 2022-11-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-27 | 2022-11-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-03 | 2022-09-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-03 | 2022-09-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-03 | 2022-09-01 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-08-03 | 2022-09-01 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-15 | 2021-09-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-15 | 2021-09-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-21 | 2021-08-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-07-21 | 2021-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-21 | 2021-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-08-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-21 | 2021-08-16 | 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 | 2021-07-21 | 2021-08-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-21 | 2021-08-16 | 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 | 2021-07-21 | 2021-08-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-21 | 2021-08-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-15 | 2021-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-15 | 2021-08-12 | N |
