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Deficiency Records for Crestwood Care Center
A list of the most recent deficiencies for Crestwood Care 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 Crestwood Care 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-25 | 2024-10-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-25 | 2024-10-21 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-09-25 | 2024-10-21 | 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 | 2024-09-25 | 2024-10-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-22 | 2024-06-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-22 | 2024-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-22 | 2024-06-04 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-22 | 2024-06-04 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-05-22 | 2024-06-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-22 | 2024-06-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-11 | 2024-06-04 | 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 | 2024-04-11 | 2024-06-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-11 | 2024-06-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-04 | 2024-06-04 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-03-04 | 2024-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-06-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-01-08 | 2024-06-04 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-11 | 2024-05-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-03-04 | 2024-05-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-04 | 2024-05-22 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-03-04 | 2024-05-22 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-03-04 | 2024-05-22 | Y |
| Post nurse staffing information every day. | Health | 2024-04-11 | 2024-05-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-01 | 2023-11-20 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-01 | 2023-11-20 | Y |
| 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 | 2023-10-18 | 2023-11-20 | 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 | 2023-10-18 | 2023-11-20 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-22 | 2023-06-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-19 | 2023-05-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-19 | 2023-05-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-30 | 2023-02-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-30 | 2023-02-13 | 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 | 2022-09-30 | 2023-02-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-30 | 2023-02-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-30 | 2023-02-13 | N |
| 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 | 2022-09-30 | 2023-02-13 | 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 | 2022-09-30 | 2023-02-13 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-09-30 | 2023-02-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-30 | 2023-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-30 | 2023-02-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-30 | 2023-02-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-10 | 2023-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-02-13 | Y |
| 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 | 2023-01-10 | 2023-02-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-10 | 2023-02-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-10 | 2023-02-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-10 | 2023-02-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-10 | 2023-02-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-10 | 2023-02-13 | 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 | 2023-01-10 | 2023-02-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-10 | 2023-02-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-02-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-15 | 2023-02-13 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-15 | 2023-02-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-27 | 2023-02-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-27 | 2023-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-27 | 2023-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-27 | 2023-02-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-27 | 2023-02-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-09-27 | 2023-02-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-27 | 2023-02-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-27 | 2023-02-13 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-08 | 2022-09-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-08 | 2022-09-07 | Y |
| Provide appropriate foot care. | Health | 2022-08-08 | 2022-09-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-08 | 2022-09-07 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-16 | 2022-03-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-16 | 2022-03-16 | 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 | 2022-02-16 | 2022-03-16 | 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 | 2022-02-16 | 2022-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-16 | 2022-03-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-01-25 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-12-16 | 2022-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2022-01-25 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-16 | 2022-01-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2022-01-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-03 | 2019-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-03 | 2019-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-03 | 2019-11-20 | 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 | 2019-10-03 | 2019-11-20 | 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 | 2019-10-03 | 2019-11-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-10-03 | 2019-11-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-30 | 2019-11-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-08-29 | 2018-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-29 | 2018-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-29 | 2018-09-19 | N |
| 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 | 2018-08-29 | 2018-09-19 | N |
| Post nurse staffing information every day. | Health | 2018-08-29 | 2018-09-19 | 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 | 2018-08-29 | 2018-09-19 | 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 | 2018-08-29 | 2018-09-19 | 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 | 2018-08-29 | 2018-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-29 | 2018-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-29 | 2018-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-29 | 2018-09-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-08-29 | 2018-09-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-08-29 | 2018-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-29 | 2018-09-18 | N |
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