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Deficiency Records for Cedar Ridge Center
A list of the most recent deficiencies for Cedar Ridge Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Cedar Ridge 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? |
---|---|---|---|---|
Ensure the activities program is directed by a qualified professional. | Health | 2023-12-13 | 2024-01-11 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-26 | 2023-10-29 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-26 | 2023-10-29 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-26 | 2023-10-29 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-26 | 2023-10-29 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-15 | 2023-10-14 | 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 | 2023-08-02 | 2023-08-31 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-02 | 2023-08-31 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-02 | 2023-08-31 | Y |
Post nurse staffing information every day. | Health | 2023-08-02 | 2023-08-31 | 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 | 2023-08-02 | 2023-08-31 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-08-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-08-31 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-02 | 2023-08-31 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-02 | 2023-08-31 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-23 | 2023-05-09 | 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 | 2023-03-23 | 2023-05-09 | 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 | 2023-03-23 | 2023-05-09 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-23 | 2023-05-09 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-23 | 2023-05-09 | N |
Respond appropriately to all alleged violations. | Health | 2023-03-23 | 2023-05-09 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-03-23 | 2023-05-09 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-03-23 | 2023-05-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-05-09 | 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 | 2023-03-23 | 2023-05-09 | N |
Provide activities to meet all resident's needs. | Health | 2023-03-23 | 2023-05-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-05-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-23 | 2023-05-09 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-23 | 2023-05-09 | 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 | 2023-03-23 | 2023-05-09 | N |
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2023-03-23 | 2023-05-09 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-03-23 | 2023-05-09 | 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 | 2023-03-23 | 2023-05-09 | 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 | 2023-03-23 | 2023-05-09 | N |
Keep complete, dated laboratory records in the resident's record. | Health | 2023-03-23 | 2023-05-09 | N |
Provide or obtain dental services for each resident. | Health | 2023-03-23 | 2023-05-09 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-23 | 2023-05-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-05-09 | N |
Dispose of garbage and refuse properly. | Health | 2023-03-23 | 2023-05-09 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-05-09 | N |
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-03-23 | 2023-05-09 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-23 | 2023-05-09 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-23 | 2023-05-09 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-05-09 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-23 | 2023-05-09 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-05-09 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2023-03-21 | 2023-04-25 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-21 | 2023-04-25 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-21 | 2023-04-25 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-01 | 2022-02-23 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-02-01 | 2022-02-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-01 | 2022-02-23 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-01 | 2022-02-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-01 | 2022-02-23 | 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 | 2022-02-03 | 2022-02-22 | N |
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 | 2022-02-03 | 2022-02-22 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-03 | 2022-02-22 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-03 | 2022-02-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-02-03 | 2022-02-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-02-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-03 | 2022-02-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-02-22 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-03 | 2022-02-22 | 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 | 2022-02-03 | 2022-02-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-03 | 2022-02-22 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-02-03 | 2022-02-22 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-03 | 2022-02-22 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-03 | 2022-02-22 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-03 | 2022-02-22 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-03 | 2022-02-22 | 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 | 2022-02-03 | 2022-02-22 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-22 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-03 | 2022-02-22 | N |
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 | 2022-02-03 | 2022-02-22 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-03 | 2022-02-22 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-24 | 2019-09-06 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-24 | 2019-09-06 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-24 | 2019-09-06 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-07-24 | 2019-09-06 | 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 | 2019-07-24 | 2019-09-06 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-24 | 2019-09-06 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-07-24 | 2019-09-06 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-24 | 2019-09-06 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-24 | 2019-09-06 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-24 | 2019-09-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-24 | 2019-09-06 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
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