A list of the most recent deficiencies for Cedarwood Plaza. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-14 | 2023-12-16 | Y |
| 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 | 2023-09-28 | 2023-10-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-28 | 2023-10-18 | 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 | 2023-09-28 | 2023-10-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-09-28 | 2023-10-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-28 | 2023-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-10-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-28 | 2023-10-18 | Y |
| 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 | 2023-09-26 | 2023-10-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-09-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-15 | 2022-03-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-22 | 2022-01-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-22 | 2022-01-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-22 | 2022-01-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-22 | 2022-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-22 | 2022-01-04 | Y |
| 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 | 2021-12-22 | 2022-01-04 | Y |
| 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 | 2021-12-22 | 2022-01-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-27 | 2021-11-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-02 | 2021-06-07 | Y |
| 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 | 2021-06-02 | 2021-06-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-04-01 | 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 | 2020-03-12 | 2020-04-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-03-12 | 2020-04-01 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-31 | 2019-02-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-31 | 2019-02-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-28 | 2019-02-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-01-28 | 2019-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-28 | 2019-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-28 | 2019-02-28 | N |
