Deficiency Records for Complete Care at Cedar Grove
Updated as of March 01, 2023
This is not the most recent data for Complete Care at Cedar Grove. For the most recent information, click here.
A list of the most recent deficiencies for Complete Care at Cedar Grove. 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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-03 | 2021-09-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-03 | 2021-09-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-09-03 | 2021-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-03 | 2021-09-20 | 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 | 2021-09-03 | 2021-09-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-01-15 | 2021-02-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-01-15 | 2021-02-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-10-09 | 2019-11-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-09 | 2019-11-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-10-09 | 2019-11-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-09 | 2019-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-09 | 2019-11-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-09 | 2019-11-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-09 | 2019-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-09 | 2019-11-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-14 | 2018-12-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-14 | 2018-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-14 | 2018-12-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-11-14 | 2018-12-31 | 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 | 2018-11-14 | 2018-12-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-14 | 2018-12-31 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-11-14 | 2018-12-31 | N |
| Have policies on smoking. | Health | 2018-11-14 | 2018-12-31 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-11-14 | 2018-12-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-14 | 2018-12-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-14 | 2018-12-31 | N |
