Deficiency Records for The Cedars at Broadwell
Updated as of April 01, 2019
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 | 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 |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-10-14 | 2016-02-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-14 | 2015-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-14 | 2015-11-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-10-14 | 2015-11-25 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-10-12 | 2015-11-20 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-10-12 | 2015-11-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-12 | 2015-11-16 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-10-12 | 2015-11-16 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2015-10-12 | 2015-11-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-12 | 2015-11-16 | N |
