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Deficiency Records for Crown Point Christian Village
A list of the most recent deficiencies for Crown Point Christian Village. 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 Crown Point Christian Village. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-14 | 2024-09-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-14 | 2024-09-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-14 | 2024-09-03 | Y |
| 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 | 2024-08-14 | 2024-09-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-14 | 2024-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-14 | 2024-09-03 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-16 | 2024-06-25 | 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 | 2024-04-16 | 2024-06-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-04-16 | 2024-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-16 | 2024-06-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-16 | 2024-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-16 | 2024-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-16 | 2024-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-16 | 2024-06-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-09 | 2024-05-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-09 | 2024-05-24 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-22 | 2024-04-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-03-22 | 2024-04-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-22 | 2024-04-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-22 | 2024-04-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-22 | 2024-04-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-22 | 2024-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-22 | 2024-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-22 | 2024-04-16 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-03-22 | 2024-04-16 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-31 | 2024-02-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-31 | 2024-02-19 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-10-26 | 2023-11-02 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-24 | 2023-05-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-04-24 | 2023-05-26 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-24 | 2023-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-24 | 2023-05-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-24 | 2023-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-24 | 2023-05-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-24 | 2023-05-26 | 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 | 2023-04-24 | 2023-05-26 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-04-24 | 2023-05-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-24 | 2023-05-26 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-04-24 | 2023-05-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-24 | 2023-05-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-19 | 2023-01-20 | Y |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2022-04-12 | 2022-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-12 | 2022-05-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-12 | 2022-04-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-12 | 2022-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-12 | 2022-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-12 | 2022-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-21 | 2022-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-21 | 2022-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-21 | 2022-04-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-21 | 2022-04-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-21 | 2022-04-08 | 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 | 2022-03-21 | 2022-04-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-03-21 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-16 | 2021-12-09 | N |
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