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Deficiency Records for Crescent Cities Nursing and Rehabilitation Center
A list of the most recent deficiencies for Crescent Cities Nursing and Rehabilitation Center. 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 Crescent Cities Nursing and Rehabilitation Center. 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 | 2021-11-29 | 2022-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-29 | 2022-04-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-29 | 2022-04-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-11-29 | 2022-04-20 | 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 | 2021-11-29 | 2022-04-20 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-11-29 | 2022-04-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-29 | 2022-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-29 | 2022-04-20 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-11-29 | 2022-04-20 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-29 | 2022-04-20 | Y |
| 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 | 2021-11-29 | 2022-04-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-29 | 2022-04-20 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-11-29 | 2022-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-29 | 2022-04-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-16 | 2019-10-10 | 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 | 2019-07-16 | 2019-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-16 | 2019-10-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-16 | 2019-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-16 | 2019-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-16 | 2019-10-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-07-16 | 2019-10-10 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-07-16 | 2019-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-16 | 2019-10-10 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-07-16 | 2019-10-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-07-24 | 2019-08-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-24 | 2019-08-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-07-24 | 2019-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-24 | 2019-08-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-03-30 | 2018-05-14 | 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 | 2018-03-30 | 2018-05-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-03-29 | 2018-05-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-03-29 | 2018-05-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-03-29 | 2018-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-29 | 2018-05-13 | 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 | 2018-03-29 | 2018-05-13 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-29 | 2018-05-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-29 | 2018-05-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-03-29 | 2018-05-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-29 | 2018-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-29 | 2018-05-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-29 | 2018-05-13 | 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 | 2017-01-10 | 2017-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-01-10 | 2017-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-10 | 2017-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-10 | 2017-03-17 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2017-01-10 | 2017-03-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-05 | 2017-02-19 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-01-05 | 2017-02-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-01-05 | 2017-02-19 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-05 | 2017-02-19 | N |
| Provide clean bed and bath linens that are in good condition. | Health | 2017-01-05 | 2017-02-19 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-05 | 2017-02-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-05 | 2017-02-19 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-05 | 2017-02-19 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-01-05 | 2017-02-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-05 | 2017-02-19 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-05 | 2017-02-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-05 | 2017-02-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-05 | 2017-02-19 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-01-05 | 2017-02-19 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-01-05 | 2017-02-19 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-05 | 2017-02-19 | N |
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