Deficiency Records for Cypress Garden Center For Nursing and Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for Cypress Garden Center For Nursing and Rehab. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2022-07-05 | 2022-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-05 | 2022-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-05 | 2022-08-22 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-05 | 2022-08-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-05 | 2022-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-05 | 2022-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-05 | 2022-07-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-05 | 2022-07-11 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-06-24 | 2021-08-06 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-09-23 | 2019-11-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-23 | 2019-10-31 | 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 | 2019-09-23 | 2019-10-31 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-09-23 | 2019-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-23 | 2019-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-23 | 2019-10-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-20 | 2018-02-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-20 | 2018-02-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-12-20 | 2018-02-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-12-20 | 2018-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-20 | 2018-02-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-20 | 2018-02-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-20 | 2018-02-19 | 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 | 2017-12-20 | 2018-02-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-20 | 2018-02-18 | N |
