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Deficiency Records for Cedar Grove Respiratory and Nursing Center
View the most recent health deficiencies and inspection results for Cedar Grove Respiratory and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cedar Grove Respiratory and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-20 | 2025-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-20 | 2025-08-07 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2025-05-20 | 2025-08-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-20 | 2025-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-20 | 2025-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-20 | 2025-07-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-05-20 | 2025-07-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-20 | 2025-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-20 | 2025-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-20 | 2025-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-20 | 2025-07-15 | 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 | 2025-05-20 | 2025-07-03 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-05-20 | 2025-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-20 | 2025-07-03 | 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 | 2025-05-20 | 2025-07-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-20 | 2025-07-03 | N |
| 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 | 2025-05-20 | 2025-07-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-08 | 2024-01-10 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-18 | 2023-06-15 | 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 | 2023-05-18 | 2023-06-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-18 | 2023-06-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-18 | 2023-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-18 | 2023-06-15 | 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 | 2023-05-18 | 2023-06-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-05-18 | 2023-06-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-18 | 2023-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-18 | 2023-06-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-18 | 2023-06-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-05-18 | 2023-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-18 | 2023-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-23 | 2022-03-25 | N |
| 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 | 2022-02-23 | 2022-03-25 | 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 | 2022-02-23 | 2022-03-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-03-25 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-23 | 2022-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-23 | 2022-03-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-23 | 2022-03-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-23 | 2022-03-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-02-23 | 2022-03-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-23 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-03-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-23 | 2022-03-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-23 | 2022-03-25 | 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 | 2022-02-23 | 2022-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-23 | 2022-03-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-23 | 2022-03-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-02-23 | 2022-03-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-23 | 2022-03-25 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-02-23 | 2022-03-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-23 | 2022-03-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-23 | 2022-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-03-25 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-03-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-23 | 2022-03-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-23 | 2022-03-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-02-23 | 2022-03-25 | N |