A list of the most recent deficiencies for Cypress Pointe Health Campus. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-16 | 2023-11-01 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-10-13 | 2022-12-16 | 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 | 2022-10-13 | 2022-12-16 | 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 | 2022-10-13 | 2022-12-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-13 | 2022-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-12-16 | 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 | 2022-10-13 | 2022-12-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-25 | 2021-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-17 | 2019-12-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-16 | 2019-12-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-30 | 2018-10-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-30 | 2018-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-30 | 2018-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-10-15 | 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 | 2018-08-30 | 2018-10-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-30 | 2018-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-29 | 2018-10-15 | N |
