A list of the most recent deficiencies for Cedar Ridge Inn. 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 | 2023-12-01 | 2023-12-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-01 | 2023-12-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-01 | 2023-12-19 | 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 | 2023-12-01 | 2023-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-01 | 2023-12-19 | 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 | 2023-12-01 | 2023-12-19 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-01 | 2023-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2023-12-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-01 | 2023-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2023-12-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-01 | 2023-12-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-12-01 | 2023-12-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-01 | 2023-12-19 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-29 | 2023-12-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-29 | 2023-12-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-14 | 2022-11-07 | 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 | 2022-09-09 | 2022-10-21 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-09 | 2022-10-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-09 | 2022-10-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-09 | 2022-10-21 | 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 | 2022-09-09 | 2022-10-21 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-09-09 | 2022-10-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-09 | 2022-10-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-14 | 2022-10-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-09-14 | 2022-10-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-14 | 2022-10-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-14 | 2022-10-21 | 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 | 2022-09-14 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-14 | 2022-09-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-26 | 2022-06-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-26 | 2022-06-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-26 | 2022-06-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-26 | 2022-06-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-13 | 2021-06-18 | 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 | 2021-05-13 | 2021-06-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-13 | 2021-06-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-13 | 2021-06-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-11 | 2021-06-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-11 | 2021-06-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-11 | 2021-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-11 | 2021-06-18 | N |
| Meet fire sprinkler requirement for tall buildings. | Fire Safety | 2021-05-11 | 2021-06-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-11 | 2021-06-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-11 | 2021-06-18 | N |
