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Deficiency Records for Crown Pointe Care Center
A list of the most recent deficiencies for Crown Pointe 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 Crown Pointe 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-13 | 2024-04-05 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-13 | 2024-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-13 | 2024-04-05 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-13 | 2024-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-04-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-13 | 2024-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-13 | 2024-04-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-13 | 2024-04-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-13 | 2024-04-05 | 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 | 2024-03-13 | 2024-04-05 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-03-13 | 2024-04-05 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-03-13 | 2024-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-04-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-13 | 2024-04-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-13 | 2024-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-13 | 2024-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-13 | 2024-04-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-13 | 2024-04-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-14 | 2023-10-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-10 | 2023-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-10 | 2023-07-26 | 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 | 2023-07-10 | 2023-07-26 | Y |
| 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 | 2021-08-31 | 2021-09-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-08-31 | 2021-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-31 | 2021-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-31 | 2021-09-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-31 | 2021-09-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-31 | 2021-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-31 | 2021-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-31 | 2021-09-30 | N |
| 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 | 2021-08-24 | 2021-09-30 | 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 | 2021-08-24 | 2021-09-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-11 | 2019-05-15 | 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 | 2019-04-11 | 2019-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| 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 | 2019-04-10 | 2019-05-15 | 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 | 2019-04-10 | 2019-05-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-10 | 2019-05-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-11 | 2019-05-08 | N |
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