Deficiency Records for Cedarburg Health Services
Updated as of December 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? |
---|---|---|---|---|
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-13 | 2018-10-12 | Y |
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 | 2018-09-13 | 2018-10-12 | Y |
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2018-09-13 | 2018-10-12 | Y |
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 |