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Deficiency Records for Crystal Cove Care Center
A list of the most recent deficiencies for Crystal Cove Care Center. 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 Crystal Cove 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 | 2024-07-25 | 2024-08-08 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-07-25 | 2024-08-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-07 | 2023-12-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-11-30 | 2023-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2023-12-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-30 | 2023-12-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-30 | 2023-12-29 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-11-30 | 2023-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2023-12-29 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-08-23 | 2023-10-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-21 | 2023-09-21 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-08-21 | 2023-09-21 | 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 | 2023-08-21 | 2023-09-21 | N |
| 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 | 2023-08-21 | 2023-09-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-21 | 2023-09-21 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-21 | 2023-09-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-21 | 2023-09-21 | 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 | 2023-08-21 | 2023-09-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-21 | 2023-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-09-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-21 | 2023-09-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-21 | 2023-09-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-21 | 2023-09-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-21 | 2023-09-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-21 | 2023-09-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-21 | 2023-09-21 | 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 | 2023-08-21 | 2023-09-21 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-08-21 | 2023-09-21 | 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 | 2023-08-21 | 2023-09-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-21 | 2023-09-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-21 | 2023-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-21 | 2023-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-21 | 2023-09-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-21 | 2023-09-21 | N |
| Keep all essential equipment working safely. | Health | 2023-08-21 | 2023-09-21 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-21 | 2023-09-21 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-03-15 | 2023-04-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-15 | 2023-04-15 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-03-15 | 2023-04-15 | Y |
| Report COVID19 data to residents and families. | Health | 2022-11-29 | 2022-12-29 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-29 | 2022-12-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-16 | 2022-12-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-18 | 2022-09-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-18 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-05-24 | 2022-06-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-08 | 2021-07-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-08 | 2021-07-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-08 | 2021-07-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-08 | 2021-07-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-06-08 | 2021-07-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-08 | 2021-07-02 | 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 | 2021-06-08 | 2021-07-02 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-06-08 | 2021-07-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-06-08 | 2021-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-08 | 2021-07-02 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-08 | 2021-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-08 | 2021-07-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-08 | 2021-06-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-08 | 2021-06-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-08 | 2021-06-17 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-06-08 | 2021-06-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-08 | 2021-06-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-21 | 2019-09-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-21 | 2019-09-23 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-08-21 | 2019-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-21 | 2019-09-23 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-08-21 | 2019-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-21 | 2019-09-23 | 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 | 2019-07-31 | 2019-08-18 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-31 | 2019-08-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-31 | 2019-08-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-31 | 2019-08-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-31 | 2019-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-31 | 2019-08-18 | N |
| 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 | 2019-07-31 | 2019-08-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-31 | 2019-08-18 | 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 | 2019-07-31 | 2019-08-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-31 | 2019-08-18 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-07-31 | 2019-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-31 | 2019-08-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-31 | 2019-08-18 | N |
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