A list of the most recent deficiencies for Cambridge Ltc Partners Inc. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-23 | 2024-02-22 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-01-23 | 2024-02-22 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-12-14 | 2024-01-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-21 | 2023-12-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-21 | 2023-12-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-08 | 2023-09-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-08 | 2023-09-23 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-01 | 2023-08-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-01 | 2023-08-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-01 | 2023-08-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-01 | 2023-08-01 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-23 | 2023-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-03-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-23 | 2023-03-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-21 | 2023-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-21 | 2023-03-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-02 | 2021-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2021-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2021-12-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-02 | 2021-12-22 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-09-24 | 2020-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-24 | 2020-10-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-09-24 | 2020-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-24 | 2020-10-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-09-24 | 2020-10-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-24 | 2020-10-28 | 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 | 2020-09-24 | 2020-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-24 | 2020-10-28 | N |
