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Deficiency Records for Crystal Pines Rehab and Hcc
A list of the most recent deficiencies for Crystal Pines Rehab and Hcc. 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 Pines Rehab and Hcc. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-18 | 2024-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-05 | 2024-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-05 | 2024-06-25 | 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 | 2024-06-05 | 2024-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-05 | 2024-06-25 | 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 | 2024-06-05 | 2024-06-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-05 | 2024-06-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-05 | 2024-06-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-06-05 | 2024-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-05 | 2024-06-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-05 | 2024-06-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-05 | 2024-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-26 | 2024-03-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-02 | 2023-08-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-02 | 2023-08-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-02 | 2023-08-19 | 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 | 2023-08-02 | 2023-08-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-02 | 2023-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-02 | 2023-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-02 | 2023-08-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-02 | 2023-08-19 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2023-08-02 | 2023-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-08-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-02 | 2023-08-19 | 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 | 2023-07-19 | 2023-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-19 | 2023-08-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-19 | 2023-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-19 | 2023-08-02 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-19 | 2023-08-02 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-07-19 | 2023-08-02 | 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 | 2023-07-19 | 2023-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-19 | 2023-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-19 | 2023-08-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-30 | 2023-04-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-30 | 2023-04-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-15 | 2023-02-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-17 | 2023-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-17 | 2023-01-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-08 | 2022-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-29 | 2022-11-29 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-31 | 2022-09-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-31 | 2022-09-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-31 | 2022-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-31 | 2022-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-31 | 2022-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-31 | 2022-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-31 | 2022-09-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-24 | 2022-09-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-24 | 2022-09-08 | 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 | 2022-08-24 | 2022-09-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-24 | 2022-09-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-24 | 2022-09-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-08-24 | 2022-09-08 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-08-24 | 2022-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-24 | 2022-09-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-24 | 2022-09-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-06 | 2022-07-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-15 | 2022-04-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-15 | 2022-04-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-10-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-10-04 | N |
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