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Deficiency Records for Crest Haven Care Centre

A list of the most recent deficiencies for Crest Haven Care Centre. 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 Crest Haven Care Centre. 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-11 2024-08-08 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-07-11 2024-08-08 N
Assess the resident when there is a significant change in condition Health 2024-07-11 2024-08-08 N
Ensure each resident receives an accurate assessment. Health 2024-07-11 2024-08-08 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-07-11 2024-08-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-11 2024-08-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-11 2024-08-08 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-11 2024-08-08 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-07-11 2024-08-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-11 2024-08-08 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-07-11 2024-08-08 N
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Health 2024-07-11 2024-08-08 N
Provide and implement an infection prevention and control program. Health 2024-07-11 2024-08-08 N
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2024-07-11 2024-08-08 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2024-07-11 2024-08-08 N
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2024-07-11 2024-08-08 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2024-07-11 2024-08-08 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2024-07-11 2024-08-08 N
Provide training in compliance and ethics. Health 2024-07-11 2024-08-08 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2024-07-11 2024-08-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-11 2024-08-08 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-07-11 2024-08-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-11 2024-08-08 Y
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 2024-07-11 2024-08-08 Y
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-16 2024-08-02 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-07-16 2024-07-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-16 2024-07-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-07-16 2024-07-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-16 2024-07-30 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-07-11 2024-07-25 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-07-16 2024-07-25 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-07-16 2024-07-25 N
Provide properly protected cooking facilities. Fire Safety 2024-07-16 2024-07-22 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 2024-05-16 2024-06-01 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-03-21 2024-03-22 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-01 2024-02-26 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-02-01 2024-02-26 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-01 2024-02-26 Y
Provide a written emergency evacuation plan. Fire Safety 2024-01-31 2024-02-23 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-01 2024-02-08 Y
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-05-08 2023-05-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-08 2023-05-23 N
Provide properly protected cooking facilities. Fire Safety 2023-05-08 2023-05-19 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-05-08 2023-05-19 N
Provide a written emergency evacuation plan. Fire Safety 2023-05-08 2023-05-18 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-08 2023-05-17 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-05-08 2023-05-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-08 2023-05-17 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-05-08 2023-05-17 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-05-08 2023-05-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-10-21 2022-12-07 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-10 2022-04-09 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-03-10 2022-04-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-10 2022-04-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-03-10 2022-04-09 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 2022-03-10 2022-04-09 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-03-10 2022-04-09 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 2022-03-11 2022-04-01 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-03-11 2022-03-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-03-11 2022-03-21 N
Install an approved automatic sprinkler system. Fire Safety 2022-03-11 2022-03-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-03-11 2022-03-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-03-11 2022-03-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-03-11 2022-03-16 N
Have proper medical gas storage and administration areas. Fire Safety 2022-03-11 2022-03-16 N

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