CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Cardinal Woods Skilled Nursing and Rehab Ctr
View the most recent health deficiencies and inspection results for Cardinal Woods Skilled Nursing and Rehab Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cardinal Woods Skilled Nursing and Rehab Ctr. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-03 | 2025-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-10 | 2025-04-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-10 | 2025-04-11 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-04-10 | 2025-04-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-10 | 2025-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-22 | 2025-02-03 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-28 | 2024-09-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-28 | 2024-09-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-28 | 2024-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-28 | 2024-09-30 | 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 | 2024-08-28 | 2024-09-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-28 | 2024-09-30 | 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 | 2024-08-28 | 2024-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-28 | 2024-07-19 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-04-11 | 2024-04-23 | Y |
| 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 | 2024-02-07 | 2024-02-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-05 | 2023-11-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-27 | 2022-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-27 | 2022-07-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-27 | 2022-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-07-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-27 | 2022-07-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-06-27 | 2022-07-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-27 | 2022-07-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-27 | 2022-07-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-27 | 2022-07-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-06-27 | 2022-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-27 | 2022-07-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-07-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-27 | 2022-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-27 | 2022-07-22 | 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 | 2022-06-27 | 2022-07-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-27 | 2022-07-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-06-27 | 2022-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-27 | 2022-07-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-27 | 2022-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-16 | 2019-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-16 | 2019-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-16 | 2019-06-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-16 | 2019-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-16 | 2019-06-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-16 | 2019-06-15 | 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 | 2019-05-16 | 2019-06-15 | N |
| Have policies on smoking. | Health | 2019-05-16 | 2019-06-15 | N |
| Develop a communication plan. | Fire Safety | 2019-05-16 | 2019-06-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-16 | 2019-06-15 | 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 | 2019-05-16 | 2019-06-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-05-16 | 2019-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-16 | 2019-06-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-16 | 2019-06-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-16 | 2019-06-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-05-16 | 2019-06-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-16 | 2019-05-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-16 | 2019-05-24 | N |