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Deficiency Records for Crystal Health and Rehab Center, LLC

A list of the most recent deficiencies for Crystal Health and Rehab Center, LLC. 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 Health and Rehab Center, LLC. 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?
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2024-04-23 2024-06-10 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-04-26 2024-05-26 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-26 2024-05-26 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-26 2024-05-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-26 2024-05-26 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-04-26 2024-05-26 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-04-26 2024-05-26 Y
Provide properly protected cooking facilities. Fire Safety 2024-04-23 2024-05-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-04-23 2024-05-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-23 2024-05-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-04-23 2024-05-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-23 2024-05-26 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 2022-06-30 2022-08-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-06-30 2022-08-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-30 2022-08-01 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 2022-06-30 2022-08-01 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-06-30 2022-08-01 N
Provide activities to meet all resident's needs. Health 2022-06-30 2022-08-01 N
Ensure the activities program is directed by a qualified professional. Health 2022-06-30 2022-08-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-30 2022-08-01 N
Observe each nurse aide's job performance and give regular training. Health 2022-06-30 2022-08-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-06-30 2022-08-01 N
Provide routine and 24-hour emergency dental care for each resident. Health 2022-06-30 2022-08-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-30 2022-08-01 N
Dispose of garbage and refuse properly. Health 2022-06-30 2022-08-01 N
Provide or get specialized rehabilitative services as required for a resident. Health 2022-06-30 2022-08-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-07 2022-08-01 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-04-07 2022-08-01 Y
Install proper backup exit lighting. Fire Safety 2022-06-28 2022-07-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-28 2022-07-26 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-06-28 2022-07-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-28 2022-07-26 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-06-28 2022-07-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-28 2022-07-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-06-28 2022-07-26 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2022-06-28 2022-07-26 N
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 2022-04-07 2022-05-05 Y
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2022-04-07 2022-05-05 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2020-11-20 2020-12-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-11-20 2020-12-19 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 2020-11-20 2020-12-19 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2020-11-20 2020-12-19 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 2020-11-20 2020-12-19 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 2020-11-20 2020-12-19 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2020-11-20 2020-12-19 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2020-11-20 2020-12-19 N
Provide and implement an infection prevention and control program. Health 2020-11-20 2020-12-19 N
Implement a program that monitors antibiotic use. Health 2020-11-20 2020-12-19 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2020-11-20 2020-12-19 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2020-11-20 2020-12-19 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2020-11-20 2020-12-19 N
Provide family notifications of emergency plan. Fire Safety 2020-11-19 2020-12-19 N
Conduct testing and exercise requirements. Fire Safety 2020-11-19 2020-12-19 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2020-11-19 2020-12-19 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 2020-11-19 2020-12-19 N
Provide properly protected cooking facilities. Fire Safety 2020-11-19 2020-12-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-11-19 2020-12-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-11-19 2020-12-19 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-11-19 2020-12-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-11-19 2020-12-19 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2020-11-19 2020-12-19 N

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