Deficiency Records for Cheney Care Center
Updated as of July 01, 2022
This is not the most recent data for Cheney Care Center. For the most recent information, click here.
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 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 |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-01-29 | 2021-02-24 | Y |
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 | 2021-01-29 | 2021-02-24 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-12-04 | 2021-02-24 | Y |
Honor the resident's right to manage his or her financial affairs. | 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 |
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 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 |
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 |
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 |
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 |
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 | Y |
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 | Y |
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 | 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 | 2020-01-30 | 2020-03-10 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-30 | 2020-03-10 | Y |
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 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-01-30 | 2020-03-10 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-01-30 | 2020-03-10 | Y |
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 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-20 | 2020-03-10 | 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 | 2019-12-30 | 2020-03-10 | Y |
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 |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-05 | 2019-12-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-11 | 2019-12-03 | Y |
Respond appropriately to all alleged violations. | Health | 2019-10-11 | 2019-12-03 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-11 | 2019-12-03 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-11 | 2019-12-03 | Y |
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 | 2019-09-06 | 2019-12-03 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-09-06 | 2019-12-03 | Y |
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 |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-05-10 | 2018-08-16 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-05-10 | 2018-08-16 | N |
Assess the resident when there is a significant change in condition | Health | 2018-05-10 | 2018-08-16 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-10 | 2018-08-16 | 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 | 2018-05-10 | 2018-08-16 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-10 | 2018-08-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-10 | 2018-08-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-10 | 2018-08-16 | 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 | 2018-05-10 | 2018-08-16 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-10 | 2018-08-16 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-05-10 | 2018-08-16 | 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 | 2018-05-10 | 2018-08-16 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-05-10 | 2018-08-16 | N |
Provide and implement an infection prevention and control program. | Health | 2018-05-10 | 2018-08-16 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-05-10 | 2018-08-16 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2018-05-04 | 2018-06-10 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-05-04 | 2018-06-10 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2018-05-04 | 2018-06-10 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-04 | 2018-06-10 | N |
Provide primary/alternate means for communication. | Fire Safety | 2018-05-04 | 2018-06-10 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-05-04 | 2018-06-10 | 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 | 2018-05-04 | 2018-06-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-04 | 2018-06-10 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-05-04 | 2018-06-10 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-04 | 2018-06-10 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-04 | 2018-06-10 | N |