Deficiency Records for Cedarburg Health Services
Updated as of October 01, 2016
This is not the most recent data for Cedarburg Health Services. For the most recent information, click here.
A list of the most recent deficiencies for Cedarburg Health Services. 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? |
|---|---|---|---|---|
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-12-01 | 2016-01-18 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-12-01 | 2016-01-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-12-01 | 2016-01-18 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-12-01 | 2016-01-18 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-01 | 2016-01-18 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-12-01 | 2016-01-18 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-12-01 | 2016-01-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-12-01 | 2016-01-18 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-12-01 | 2016-01-18 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-12-01 | 2016-01-18 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-01 | 2016-01-18 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-01 | 2016-01-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-01 | 2016-01-18 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-12-01 | 2016-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-01 | 2016-01-18 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-12-01 | 2016-01-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-12-01 | 2016-01-18 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-12-01 | 2016-01-18 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-12-01 | 2016-01-18 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-12-01 | 2016-01-18 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-12-01 | 2016-01-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-01 | 2016-01-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-12-01 | 2016-01-18 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-12-01 | 2016-01-18 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-12-01 | 2016-01-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-12-01 | 2016-01-18 | N |
| Keep clinical record information safe. | Health | 2015-12-01 | 2016-01-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-11-11 | 2016-01-18 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-11-11 | 2016-01-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-11 | 2016-01-18 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-12-01 | 2016-01-18 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-12-01 | 2016-01-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-12-01 | 2016-01-18 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-12-01 | 2016-01-18 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-01 | 2016-01-18 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-12-01 | 2016-01-18 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-12-01 | 2016-01-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-12-01 | 2016-01-18 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-12-01 | 2016-01-18 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-12-01 | 2016-01-18 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-01 | 2016-01-18 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-01 | 2016-01-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-01 | 2016-01-18 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-12-01 | 2016-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-01 | 2016-01-18 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-12-01 | 2016-01-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-12-01 | 2016-01-18 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-12-01 | 2016-01-18 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-12-01 | 2016-01-18 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-12-01 | 2016-01-18 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-12-01 | 2016-01-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-01 | 2016-01-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-12-01 | 2016-01-18 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-12-01 | 2016-01-18 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-12-01 | 2016-01-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-12-01 | 2016-01-18 | N |
| Keep clinical record information safe. | Health | 2015-12-01 | 2016-01-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-11-11 | 2016-01-18 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-11-11 | 2016-01-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-11 | 2016-01-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-29 | 2015-09-29 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-29 | 2015-09-29 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-04-29 | 2015-05-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-04-29 | 2015-05-21 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-04-29 | 2015-05-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-29 | 2015-05-21 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-04-29 | 2015-05-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-04-29 | 2015-05-21 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-04-29 | 2015-05-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-29 | 2015-05-21 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-02-16 | 2015-03-05 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-02-16 | 2015-03-05 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-08-14 | 2014-09-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-08-14 | 2014-09-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-08-14 | 2014-09-14 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-08-14 | 2014-09-14 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2014-08-14 | 2014-09-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-08-14 | 2014-09-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-08-14 | 2014-09-14 | N |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2014-08-14 | 2014-09-14 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-08-14 | 2014-09-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-08-14 | 2014-09-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-08-14 | 2014-09-14 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-08-14 | 2014-09-14 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2014-08-14 | 2014-09-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-08-14 | 2014-09-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-08-14 | 2014-09-14 | N |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2014-08-14 | 2014-09-14 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-04-28 | 2014-06-06 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-04-28 | 2014-06-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-06-20 | 2013-07-20 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-06-20 | 2013-07-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-06-20 | 2013-07-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-06-20 | 2013-07-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-06-20 | 2013-07-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-06-20 | 2013-07-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-06-20 | 2013-07-20 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2013-06-20 | 2013-07-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-06-20 | 2013-07-20 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-06-20 | 2013-07-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-06-20 | 2013-07-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-06-20 | 2013-07-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-06-20 | 2013-07-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-06-20 | 2013-07-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-06-20 | 2013-07-20 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2013-06-20 | 2013-07-20 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-06-19 | 2013-07-19 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-06-19 | 2013-07-01 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-06-19 | 2013-07-01 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-06-19 | 2013-06-19 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2013-06-19 | 2013-06-19 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-06-19 | 2013-06-19 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2013-06-19 | 2013-06-19 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-04-17 | Not Fixed | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-04-17 | Not Fixed | Y |
