A list of the most recent deficiencies for Continuing Healthcare at Cedar Hill. 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 | 2024-01-05 | 2024-01-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-13 | 2023-07-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-13 | 2023-07-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-13 | 2023-07-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-13 | 2023-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-07-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-13 | 2023-07-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-13 | 2023-07-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-07-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-10 | 2023-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-10 | 2023-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-10 | 2023-07-28 | 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 | 2021-11-30 | 2021-12-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-18 | 2021-07-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-18 | 2021-07-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-18 | 2021-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-18 | 2021-07-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-18 | 2021-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-18 | 2021-07-01 | 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 | 2021-05-18 | 2021-07-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-05-18 | 2021-07-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-18 | 2021-07-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-18 | 2021-07-01 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-18 | 2021-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-18 | 2021-07-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-05-18 | 2021-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-18 | 2021-07-01 | N |
| 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 | 2021-05-18 | 2021-07-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-18 | 2021-07-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-05-18 | 2021-07-01 | N |
| 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 | 2021-05-18 | 2021-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-18 | 2021-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-18 | 2021-07-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-17 | 2021-07-01 | 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 | 2021-03-30 | 2021-04-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-30 | 2021-04-08 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-30 | 2021-04-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-28 | 2019-05-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-28 | 2019-05-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-28 | 2019-05-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-28 | 2019-05-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-28 | 2019-05-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-28 | 2019-05-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-28 | 2019-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-28 | 2019-05-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-28 | 2019-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-28 | 2019-05-16 | N |
| 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 | 2019-03-28 | 2019-05-16 | 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 | 2019-03-28 | 2019-05-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-28 | 2019-05-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-28 | 2019-05-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-03-28 | 2019-05-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-05-16 | N |
| Provide or obtain dental services for each resident. | Health | 2019-03-28 | 2019-05-16 | N |
| Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2019-03-28 | 2019-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-05-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-28 | 2019-05-16 | N |
