A list of the most recent deficiencies for Cedars 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-13 | 2023-11-01 | Y |
| 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 | 2023-09-13 | 2023-03-07 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-10-13 | 2023-01-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-13 | 2023-01-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2023-01-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-13 | 2022-10-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-29 | 2021-11-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-29 | 2021-11-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-29 | 2021-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-11-12 | Y |
| Keep all essential equipment working safely. | Health | 2021-09-29 | 2021-11-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-24 | 2021-08-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-24 | 2021-08-06 | 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 | 2021-06-24 | 2021-08-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-06-24 | 2021-08-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-24 | 2021-08-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-24 | 2021-08-06 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-06-24 | 2021-08-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-24 | 2021-08-06 | 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 | 2021-06-24 | 2021-08-06 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-06-24 | 2021-08-06 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-29 | 2021-07-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-15 | 2019-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-15 | 2019-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-15 | 2019-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-15 | 2019-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-15 | 2019-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-09-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-01 | 2019-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-01 | 2019-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-01 | 2019-09-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-01 | 2019-09-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-01 | 2019-09-10 | 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 | 2019-08-01 | 2019-09-10 | 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 | 2019-08-01 | 2019-09-10 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-08-01 | 2019-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-09-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-12 | 2018-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-12 | 2018-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-12 | 2018-08-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-07-12 | 2018-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-12 | 2018-08-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-21 | 2018-07-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-21 | 2018-07-20 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-06-21 | 2018-07-20 | 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 | 2018-06-21 | 2018-07-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-21 | 2018-07-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-21 | 2018-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-21 | 2018-07-20 | 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 | 2018-06-21 | 2018-07-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-21 | 2018-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-21 | 2018-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-21 | 2018-07-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-21 | 2018-07-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-21 | 2018-07-20 | 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 | 2018-06-21 | 2018-07-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-06-21 | 2018-07-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-06-21 | 2018-07-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-21 | 2018-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-21 | 2018-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-21 | 2018-07-20 | N |
| Keep all essential equipment working safely. | Health | 2018-06-21 | 2018-07-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-21 | 2017-05-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-21 | 2017-05-19 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-12-27 | Not Fixed | Y |
