Deficiency Records for The Cedars at Broadwell
Updated as of October 01, 2020
This is not the most recent data for The Cedars at Broadwell. For the most recent information, click here.
A list of the most recent deficiencies for The Cedars at Broadwell. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-06 | 2019-08-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-06 | 2019-08-30 | 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 | 2019-06-06 | 2019-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-06 | 2019-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-06 | 2019-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-08-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-06 | 2019-07-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-06 | 2019-07-25 | Y |
| 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 | 2019-06-06 | 2019-07-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-06 | 2019-07-25 | 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 | 2019-06-06 | 2019-07-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-06-06 | 2019-07-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-06 | 2019-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-06 | 2019-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-06 | 2019-07-25 | 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 | 2019-06-06 | 2019-07-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-06 | 2019-07-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-06-06 | 2019-07-25 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-06-06 | 2019-07-25 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-06-06 | 2019-07-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-06 | 2019-07-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-06-06 | 2019-07-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-06 | 2019-07-25 | 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 | 2019-06-06 | 2019-07-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-06 | 2019-07-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-06-06 | 2019-07-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-06 | 2019-07-25 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-06-06 | 2019-07-25 | 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 | 2019-06-04 | 2019-07-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-06-04 | 2019-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-04 | 2019-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-04 | 2019-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-04 | 2019-07-22 | 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 | 2018-11-14 | 2018-12-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-14 | 2018-12-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-14 | 2018-03-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-14 | 2018-03-31 | 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 | 2018-02-14 | 2018-03-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-14 | 2018-03-31 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-02-14 | 2018-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-14 | 2018-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-14 | 2018-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-14 | 2018-03-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-02-14 | 2018-03-31 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-02-14 | 2018-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-08 | 2018-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-08 | 2018-03-30 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2018-02-08 | 2018-03-30 | N |
| Be properly staffed | Fire Safety | 2018-02-08 | 2018-03-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-02-08 | 2018-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-11 | 2017-02-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-11 | 2017-02-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-11 | 2017-02-17 | 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 | 2017-01-11 | 2017-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-11 | 2017-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-12 | 2017-01-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-12 | 2017-01-30 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-01-12 | 2017-01-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-12 | 2017-01-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-01-11 | 2017-01-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-11 | 2017-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-11 | 2017-01-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-01-11 | 2017-01-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-01-11 | 2017-01-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-01-11 | 2017-01-17 | N |
