Deficiency Records for Cedarwood Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Cedarwood Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-01 | 2023-12-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-01 | 2023-12-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-01 | 2023-12-18 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-09-13 | 2023-10-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-13 | 2023-08-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-07-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-30 | 2023-07-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-30 | 2023-07-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-30 | 2023-07-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-23 | 2023-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-04-30 | 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 | 2023-03-23 | 2023-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-23 | 2023-04-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-23 | 2023-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-04-30 | 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 | 2023-03-23 | 2023-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-30 | 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 | 2023-03-23 | 2023-04-30 | 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 | 2023-03-23 | 2023-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-23 | 2023-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-04-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-23 | 2023-04-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-23 | 2023-04-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-29 | 2023-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-02-10 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-10 | 2023-02-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-01 | 2022-09-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-21 | 2022-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-08-17 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-04-28 | 2022-07-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-28 | 2022-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-07-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-28 | 2022-06-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-28 | 2022-06-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-28 | 2022-06-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-28 | 2022-06-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-27 | 2022-06-02 | N |
| 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 | 2022-04-27 | 2022-06-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-27 | 2022-06-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-27 | 2022-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-27 | 2022-06-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-27 | 2022-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-04-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-16 | 2022-04-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-07 | 2022-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-21 | 2021-10-19 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-21 | 2021-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-10-19 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-09-21 | 2021-10-19 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-09-08 | 2021-10-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-08 | 2021-10-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-08 | 2021-10-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-08 | 2021-10-16 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-09-08 | 2021-10-16 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-09-08 | 2021-10-16 | 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 | 2021-05-05 | 2021-06-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-05 | 2021-06-02 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-05-05 | 2021-06-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-06-02 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2020-10-13 | 2020-12-09 | N |
| Use approved construction type or materials. | Fire Safety | 2020-10-13 | 2020-12-09 | 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 | 2020-10-13 | 2020-12-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-10-13 | 2020-12-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-10-13 | 2020-12-09 | 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 | 2020-10-13 | 2020-12-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-10-13 | 2020-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-13 | 2020-12-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-13 | 2020-12-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-13 | 2020-12-09 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-10-13 | 2020-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-13 | 2020-12-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-07 | 2020-11-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-10-07 | 2020-11-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-10-07 | 2020-11-24 | 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 | 2020-10-07 | 2020-11-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-07 | 2020-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-07 | 2020-11-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-10-07 | 2020-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-07 | 2020-11-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-07 | 2020-11-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-10-07 | 2020-11-24 | N |
