Deficiency Records for Cimarron Nursing Center
Updated as of August 01, 2021
This is not the most recent data for Cimarron Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Cimarron Nursing Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-21 | 2020-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-21 | 2020-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-30 | 2020-11-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-01 | 2020-09-25 | Y |
| Report COVID19 data to residents and families. | Health | 2020-09-01 | 2020-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-08 | 2020-09-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-07 | 2020-03-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-10-07 | 2020-03-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-07 | 2020-03-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-10 | 2020-03-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-10 | 2020-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-10 | 2020-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-10 | 2020-03-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-10 | 2020-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-26 | 2020-03-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-26 | 2020-03-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-02 | 2020-03-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-07 | 2020-02-10 | N |
| 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 | 2019-12-26 | 2020-02-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-12-02 | 2020-02-10 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-12-02 | 2020-02-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-02 | 2020-02-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-01 | 2019-12-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-01 | 2019-12-01 | 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 | 2019-10-01 | 2019-12-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-10-01 | 2019-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-01 | 2019-12-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-01 | 2019-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-01 | 2019-12-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-07 | 2019-12-01 | 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 | 2019-10-07 | 2019-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-07 | 2019-12-01 | 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 | 2019-10-07 | 2019-12-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-07 | 2019-12-01 | 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 | 2019-10-07 | 2019-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-07 | 2019-12-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-07 | 2019-12-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-07 | 2019-12-01 | 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 | 2019-10-07 | 2019-12-01 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-05-07 | 2019-06-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-07 | 2019-06-24 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-31 | 2018-08-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-07-31 | 2018-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-31 | 2018-08-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-31 | 2018-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-31 | 2018-08-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-07 | 2018-08-31 | 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 | 2018-08-07 | 2018-08-31 | 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 | 2018-08-07 | 2018-08-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-07 | 2018-08-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-07 | 2018-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-07 | 2018-08-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-07 | 2018-08-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-07 | 2018-08-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-07 | 2018-08-31 | 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 | 2018-08-07 | 2018-08-31 | 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 | 2018-08-07 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-07 | 2018-08-31 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2018-08-07 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-07 | 2018-08-31 | N |
| Keep all essential equipment working safely. | Health | 2018-08-07 | 2018-08-31 | 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 | 2017-05-09 | 2017-06-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-05-12 | 2017-06-28 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2017-05-12 | 2017-06-28 | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-12 | 2017-06-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-05-12 | 2017-06-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-12 | 2017-06-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-12 | 2017-06-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-12 | 2017-06-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-05-12 | 2017-06-28 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-12 | 2017-06-28 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-12 | 2017-06-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-12 | 2017-06-28 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-05-12 | 2017-06-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-12 | 2017-06-28 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-05-12 | 2017-06-28 | N |
