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Deficiency Records for Cedar Hill Healthcare and Rehabilitation Center
View the most recent health deficiencies and inspection results for Cedar Hill Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cedar Hill Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-04-28 | 2026-05-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-28 | 2025-09-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-28 | 2025-09-19 | Y |
| 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 | 2025-08-28 | 2025-09-19 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-08-28 | 2025-09-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-28 | 2025-09-19 | 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 | 2025-08-28 | 2025-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-28 | 2025-09-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-08-28 | 2025-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-28 | 2025-09-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-28 | 2025-09-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-28 | 2025-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-28 | 2025-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-28 | 2025-09-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-08-28 | 2025-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-28 | 2025-09-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-17 | 2025-07-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-30 | 2025-02-14 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-20 | 2024-10-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-09-20 | 2024-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-20 | 2024-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-20 | 2024-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-20 | 2024-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-20 | 2024-10-25 | 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 | 2024-09-20 | 2024-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-20 | 2024-10-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-09-20 | 2024-10-21 | 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 | 2024-09-20 | 2024-10-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-20 | 2024-10-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-20 | 2024-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-20 | 2024-10-21 | 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 | 2024-09-20 | 2024-10-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-20 | 2024-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-20 | 2024-10-21 | 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 | 2024-09-20 | 2024-10-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-09-20 | 2024-10-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-09-20 | 2024-10-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-20 | 2024-10-21 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-08-08 | 2024-08-22 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-14 | 2024-03-25 | Y |
| 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 | 2024-02-14 | 2024-03-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-14 | 2024-03-20 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-02-14 | 2024-03-20 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-01-04 | 2024-03-04 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-01-04 | 2024-03-04 | Y |
| 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 | 2024-01-04 | 2024-03-04 | 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 | 2023-10-13 | 2023-11-24 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-13 | 2023-11-24 | 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 | 2023-10-13 | 2023-11-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-13 | 2023-11-24 | 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 | 2023-10-13 | 2023-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-13 | 2023-11-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-13 | 2023-11-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-13 | 2023-11-24 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-13 | 2023-11-24 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-13 | 2023-11-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-13 | 2023-11-24 | 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 | 2023-10-13 | 2023-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-28 | 2023-10-23 | Y |
| 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 | 2023-06-29 | 2023-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-07-28 | Y |