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Deficiency Records for Crestwood Terrace
A list of the most recent deficiencies for Crestwood Terrace. 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 Crestwood Terrace. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-08-28 | 2024-09-12 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-08-28 | 2024-09-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-08-28 | 2024-09-12 | 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 | 2024-08-28 | 2024-09-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-28 | 2024-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-28 | 2024-09-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-08-28 | 2024-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-28 | 2024-09-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-28 | 2024-09-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-23 | 2024-09-06 | 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 | 2024-08-23 | 2024-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-23 | 2024-09-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-23 | 2024-09-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-24 | 2024-06-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-24 | 2024-06-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-15 | 2024-04-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-15 | 2024-04-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-19 | 2023-12-04 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-09-20 | 2023-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-20 | 2023-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-15 | 2023-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-15 | 2023-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-08-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-18 | 2023-04-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-01 | 2023-04-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-11 | 2023-03-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-27 | 2022-11-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | 2022-11-18 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-10-27 | 2022-11-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-26 | 2022-09-09 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-08-26 | 2022-09-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-26 | 2022-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-26 | 2022-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-26 | 2022-08-31 | 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 | 2022-06-30 | 2022-07-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-30 | 2022-07-18 | 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 | 2022-06-30 | 2022-07-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-06-30 | 2022-07-18 | 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 | 2022-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-07-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-30 | 2022-07-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-08 | 2022-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-08 | 2022-06-25 | Y |
| Keep all essential equipment working safely. | Health | 2022-06-08 | 2022-06-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-04 | 2022-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-04 | 2022-01-21 | Y |
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