Deficiency Records for Cheney Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Cheney Care 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 appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-07 2023-10-06 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-06-13 2023-07-18 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-05-11 2023-06-23 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-11 2023-06-23 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-05-11 2023-06-23 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-05-11 2023-06-23 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-05-11 2023-06-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-11 2023-06-23 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-05-11 2023-06-23 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 2023-05-11 2023-06-23 N
Provide and implement an infection prevention and control program. Health 2023-05-11 2023-06-23 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-05-11 2023-06-23 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2023-05-11 2023-06-23 N
Respond appropriately to all alleged violations. Health 2023-05-11 2023-06-23 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 2023-05-03 2023-06-07 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-05-03 2023-06-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-03 2023-06-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-03 2023-06-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-03 2023-06-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-05-03 2023-06-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-03 2023-06-07 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-05-03 2023-06-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-05-03 2023-06-07 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-05-03 2023-06-07 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-05-03 2023-06-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-16 2023-04-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-16 2023-04-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-28 2023-03-28 Y
Provide and implement an infection prevention and control program. Health 2022-11-08 2022-11-30 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-08-02 2022-09-06 Y
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 2022-08-02 2022-09-06 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-02 2022-09-02 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-08-02 2022-08-29 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-02 2022-08-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-02 2022-08-29 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-08-02 2022-08-29 Y
Provide and implement an infection prevention and control program. Health 2022-08-02 2022-08-29 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-18 2022-04-08 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-02-09 2022-04-08 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2021-10-15 2021-11-12 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-15 2021-11-12 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-15 2021-11-12 Y
Perform COVID19 testing on residents and staff. Health 2021-10-15 2021-11-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-19 2021-09-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-07-22 2021-09-03 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-07-22 2021-09-03 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-04-09 2021-06-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-09 2021-06-21 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-30 2020-03-10 N
Honor the resident's right to manage his or her financial affairs. Health 2020-01-30 2020-03-10 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2020-01-30 2020-03-10 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 2020-01-30 2020-03-10 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-01-30 2020-03-10 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 2020-01-30 2020-03-10 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2020-01-30 2020-03-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-30 2020-03-10 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 2020-01-30 2020-03-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-01-30 2020-03-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-01-30 2020-03-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-30 2020-03-10 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 2020-01-30 2020-03-10 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2020-01-30 2020-03-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-01-30 2020-03-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2020-01-30 2020-03-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-01-30 2020-03-10 N
Observe each nurse aide's job performance and give regular training. Health 2020-01-30 2020-03-10 N
Post nurse staffing information every day. Health 2020-01-30 2020-03-10 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2020-01-30 2020-03-10 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 2020-01-30 2020-03-10 N
Ensure that residents are free from significant medication errors. Health 2020-01-30 2020-03-10 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2020-01-30 2020-03-10 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2020-01-30 2020-03-10 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2020-01-30 2020-03-10 N
Provide and implement an infection prevention and control program. Health 2020-01-30 2020-03-10 N
Implement a program that monitors antibiotic use. Health 2020-01-30 2020-03-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-01-28 2020-03-03 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2020-01-28 2020-03-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-28 2020-03-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-03-08 2019-04-21 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-03-08 2019-04-21 N
Ensure each resident receives an accurate assessment. Health 2019-03-08 2019-04-21 N
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Health 2019-03-08 2019-04-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-03-08 2019-04-21 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 2019-03-08 2019-04-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-03-08 2019-04-21 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2019-03-08 2019-04-21 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 2019-03-08 2019-04-21 N
Ensure medication error rates are not 5 percent or greater. Health 2019-03-08 2019-04-21 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 2019-03-08 2019-04-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-08 2019-04-21 N
Implement a program that monitors antibiotic use. Health 2019-03-08 2019-04-21 N
Conduct testing and exercise requirements. Fire Safety 2019-02-28 2019-04-03 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 2019-02-28 2019-04-03 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-02-28 2019-04-03 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 2019-02-28 2019-04-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-02-28 2019-04-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-02-28 2019-04-03 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-02-28 2019-04-03 N