Deficiency Records for The Cedars at Broadwell
Updated as of August 01, 2022
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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-08 | 2022-04-21 | 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 | 2022-03-08 | 2022-04-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-08 | 2022-04-21 | 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 | 2022-03-08 | 2022-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-08 | 2022-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-04-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-08 | 2022-04-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-08 | 2022-04-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-08 | 2022-04-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-03 | 2022-04-21 | 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 | 2022-03-03 | 2022-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-03 | 2022-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-03 | 2022-04-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-10-01 | 2020-11-06 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-10-01 | 2020-11-06 | 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 | 2020-10-01 | 2020-11-06 | 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 | 2020-10-01 | 2020-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-01 | 2020-11-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-01 | 2020-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-01 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-01 | 2020-11-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-01 | 2020-11-06 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2020-10-01 | 2020-11-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-01 | 2020-11-06 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-10-01 | 2020-11-06 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-10-01 | 2020-11-06 | Y |
| Post nurse staffing information every day. | Health | 2020-10-01 | 2020-11-06 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-09-29 | 2020-11-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-09-29 | 2020-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-29 | 2020-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-29 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-16 | 2020-08-14 | N |
| 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 | 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 | 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 | 2019-06-06 | 2019-07-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-06 | 2019-07-25 | N |
| Respond appropriately to all alleged violations. | 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 |
| Ensure medication error rates are not 5 percent or greater. | 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 |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-06-06 | 2019-07-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-06 | 2019-07-25 | 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 | 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 |
