Deficiency Records for Cypress Woods Care Center
Updated as of July 01, 2021
This is not the most recent data for Cypress Woods Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Cypress Woods 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-23 | 2020-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-23 | 2020-12-16 | 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 | 2019-08-02 | 2019-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-02 | 2019-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-02 | 2019-09-15 | 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 | 2019-08-02 | 2019-09-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-02 | 2019-09-15 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2019-08-02 | 2019-09-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-02 | 2019-09-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-02 | 2019-09-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-31 | 2019-09-13 | 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 | 2019-07-31 | 2019-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-31 | 2019-09-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-31 | 2019-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-31 | 2019-09-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-31 | 2019-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-31 | 2019-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-12 | 2019-08-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-12 | 2019-07-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-12 | 2019-07-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-15 | 2018-08-30 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-05 | 2018-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-06-05 | 2018-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-05 | 2018-06-06 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-08 | 2017-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-08 | 2017-07-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-06-08 | 2017-07-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-08 | 2017-06-29 | 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 | 2017-06-08 | 2017-06-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-08 | 2017-06-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-06-27 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-06-08 | 2017-06-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-06 | 2017-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-06 | 2017-06-07 | N |
