Deficiency Records for Cedarburg Health Services
Updated as of September 01, 2018
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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-10 | 2018-06-15 | 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 | 2018-05-15 | 2018-06-15 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-05-15 | 2018-06-15 | 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 | 2018-05-15 | 2018-06-15 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-05-15 | 2018-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-15 | 2018-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-15 | 2018-06-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-15 | 2018-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-15 | 2018-06-15 | 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 | 2018-05-15 | 2018-06-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-15 | 2018-06-15 | Y |
| 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 | 2018-05-15 | 2018-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-05-15 | 2018-06-15 | 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 | 2018-01-04 | 2018-02-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-04 | 2018-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-04 | 2018-02-02 | 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 | 2018-01-04 | 2018-02-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-04 | 2018-02-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-04 | 2018-02-02 | Y |
| 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 | 2017-02-28 | 2017-03-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-28 | 2017-03-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-28 | 2017-03-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-28 | 2017-03-28 | 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 | 2017-02-28 | 2017-03-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-28 | 2017-03-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-28 | 2017-03-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-28 | 2017-03-28 | 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 | 2017-02-28 | 2017-03-28 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-02 | 2017-03-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-03-02 | 2017-03-14 | 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 clinical record information safe. | Health | 2015-12-01 | 2016-01-18 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-12-01 | 2016-01-18 | 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 | 2015-12-01 | 2016-01-18 | Y |
| 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 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-12-01 | 2016-01-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-01 | 2016-01-18 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-12-01 | 2016-01-18 | Y |
| 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 | Y |
| 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 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-12-01 | 2016-01-18 | Y |
