Deficiency Records for Cayuga Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Cayuga Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-10-18 | 2023-12-17 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-06-08 | 2023-08-07 | 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 | 2023-06-08 | 2023-08-07 | 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 | 2023-06-08 | 2023-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-08-07 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-08 | 2023-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-08-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-08-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-08 | 2023-08-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-08 | 2023-08-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-08 | 2023-08-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-08 | 2023-08-07 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-07 | 2023-08-06 | 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 | 2023-06-07 | 2023-08-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-26 | 2023-07-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-26 | 2023-07-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-30 | 2021-09-28 | 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 | 2021-07-30 | 2021-09-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-30 | 2021-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-30 | 2021-09-28 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-30 | 2021-09-28 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-07-30 | 2021-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-09-28 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-30 | 2021-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-30 | 2021-09-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-20 | 2019-08-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-06-20 | 2019-08-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-20 | 2019-08-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-06-20 | 2019-08-30 | 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 | 2019-06-20 | 2019-08-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-20 | 2019-08-30 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-20 | 2019-08-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-06-20 | 2019-08-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-20 | 2019-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-20 | 2019-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-08-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-20 | 2019-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-20 | 2019-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-20 | 2019-08-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-20 | 2019-08-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-20 | 2019-08-30 | 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 | 2019-06-20 | 2019-08-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-06-20 | 2019-08-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-20 | 2019-08-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-06-20 | 2019-08-30 | 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 | 2019-06-20 | 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 | 2019-06-20 | 2019-08-30 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-06-20 | 2019-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-08-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-20 | 2019-08-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-06-20 | 2019-08-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-06-14 | 2019-08-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-14 | 2019-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-14 | 2019-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-14 | 2019-08-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-14 | 2019-08-13 | N |
