A list of the most recent deficiencies for Cathedral Village. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-21 | 2023-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-15 | 2023-07-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-15 | 2023-07-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-15 | 2023-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-07-31 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-15 | 2023-07-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-07-31 | 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 | 2023-06-15 | 2023-07-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-06-15 | 2023-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-07-31 | 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 | 2023-06-15 | 2023-07-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-26 | 2023-05-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-13 | 2022-10-31 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-31 | 2022-10-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-31 | 2022-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-31 | 2022-10-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-31 | 2022-10-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-31 | 2022-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-31 | 2022-10-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-05 | 2022-09-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-05 | 2022-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-05 | 2022-09-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-05 | 2022-09-15 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-08-05 | 2022-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-09-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-08-10 | 2021-09-17 | 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 | 2021-07-23 | 2021-09-08 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-23 | 2021-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-23 | 2021-09-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-23 | 2021-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-23 | 2021-09-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-23 | 2021-09-08 | 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 | 2021-07-23 | 2021-09-08 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-07-23 | 2021-09-08 | N |
