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Deficiency Records for Crenshaw Nursing Home

A list of the most recent deficiencies for Crenshaw Nursing Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Crenshaw Nursing Home. 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?
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-16 2024-08-02 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-07-17 2024-07-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-24 2024-07-19 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-06-24 2024-07-19 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-05-07 2024-06-06 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-26 2024-05-17 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-04-26 2024-05-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-26 2024-05-17 Y
Respond appropriately to all alleged violations. Health 2024-04-26 2024-05-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-26 2024-05-17 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-04-01 2024-04-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-01 2024-04-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-24 2024-04-12 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 2024-03-24 2024-04-12 N
Assess the resident when there is a significant change in condition Health 2024-03-24 2024-04-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-24 2024-04-12 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2024-03-24 2024-04-12 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 2024-03-24 2024-04-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-24 2024-04-12 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-03-24 2024-04-12 N
Provide and implement an infection prevention and control program. Health 2024-03-24 2024-04-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-06 2024-03-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-13 2023-03-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-13 2023-03-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-11 2023-02-17 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-11-04 2022-12-16 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-04 2022-12-16 Y
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 2022-09-09 2022-09-27 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-09-09 2022-09-27 Y
Respond appropriately to all alleged violations. Health 2022-09-09 2022-09-27 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-03 2022-06-10 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-05-03 2022-06-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-03 2022-06-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-08 2022-05-04 Y
Provide and implement an infection prevention and control program. Health 2022-02-24 2022-03-15 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-01-24 2022-02-17 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-01-24 2022-02-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-24 2022-02-17 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 2022-01-24 2022-02-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-24 2022-02-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-24 2022-02-17 N
Provide and implement an infection prevention and control program. Health 2022-01-24 2022-02-17 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-01-24 2022-02-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-01-24 2022-02-11 N
Provide and implement an infection prevention and control program. Health 2022-01-05 2022-01-07 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-07 2019-11-05 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-10-06 2019-10-31 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 2019-10-06 2019-10-31 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2019-10-06 2019-10-31 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-10-06 2019-10-31 N
Post nurse staffing information every day. Health 2019-10-06 2019-10-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-10-06 2019-10-31 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-10-06 2019-10-31 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-10-06 2019-10-31 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 2019-10-06 2019-10-31 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2019-10-06 2019-10-31 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2019-10-06 2019-10-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-06 2019-10-31 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-10-06 2019-10-31 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-10-06 2019-10-31 N

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