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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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-07 | 2021-10-08 | 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 | 2021-10-07 | 2021-10-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-10-08 | Y |
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