A list of the most recent deficiencies for Cedar Crossings. 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 | 2023-11-09 | 2023-12-07 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-09 | 2023-12-07 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-09 | 2023-12-07 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-14 | 2023-09-29 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-14 | 2023-09-29 | 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 | 2023-08-14 | 2023-09-29 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-08-14 | 2023-09-29 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-14 | 2023-09-29 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-14 | 2023-09-29 | N |
Provide activities to meet all resident's needs. | Health | 2023-08-14 | 2023-09-29 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-14 | 2023-09-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-14 | 2023-09-29 | 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 | 2023-08-14 | 2023-09-29 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-14 | 2023-09-29 | 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 | 2023-08-14 | 2023-09-29 | 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 | 2023-08-14 | 2023-09-29 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-08-14 | 2023-09-29 | N |
Provide or obtain dental services for each resident. | Health | 2023-08-14 | 2023-09-29 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-14 | 2023-09-29 | N |
Provide and implement an infection prevention and control program. | Health | 2023-08-14 | 2023-09-29 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-14 | 2023-09-29 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-14 | 2023-09-29 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-14 | 2023-09-29 | Y |
Address subsistence needs for staff and patients. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
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 | 2023-08-10 | 2023-09-29 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-10 | 2023-09-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-31 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-27 | 2023-05-31 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-27 | 2023-05-31 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-05-31 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-27 | 2023-05-31 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-01-13 | 2023-03-01 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-13 | 2023-03-01 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-13 | 2023-03-01 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-12 | 2022-11-04 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-12 | 2022-10-12 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2022-09-12 | Y |
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 | 2022-05-25 | 2022-08-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-25 | 2022-08-05 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-25 | 2022-08-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-25 | 2022-08-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-01 | 2022-07-14 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-01 | 2022-07-14 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2022-06-01 | 2022-07-14 | N |
Post nurse staffing information every day. | Health | 2022-06-01 | 2022-07-14 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-01 | 2022-07-14 | 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 | 2022-06-01 | 2022-07-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-01 | 2022-07-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-01 | 2022-07-14 | N |
Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-07-14 | N |
Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-05-25 | 2022-07-14 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-25 | 2022-07-14 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-25 | 2022-07-12 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-04 | 2022-05-18 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-04-04 | 2022-05-18 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-04-04 | 2022-05-18 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-04 | 2022-05-18 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-04 | 2022-05-18 | Y |
Provide activities to meet all resident's needs. | Health | 2022-04-04 | 2022-05-18 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-04 | 2022-05-18 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-04-04 | 2022-05-18 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-04-04 | 2022-05-18 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-04-04 | 2022-05-18 | Y |