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Deficiency Records for Crossroads Care Center of Fond Du Lac
A list of the most recent deficiencies for Crossroads Care Center of Fond Du Lac. 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 Crossroads Care Center of Fond Du Lac. 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-04 | 2024-07-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-04 | 2024-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-04 | 2024-07-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-04 | 2024-07-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-05 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-05 | 2024-07-05 | N |
| 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 | 2024-06-05 | 2024-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-05 | 2024-07-05 | 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 | 2024-06-04 | 2024-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-04 | 2024-07-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-04 | 2024-06-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-04 | 2024-06-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-04 | 2024-06-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-06-04 | 2024-06-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-06-04 | 2024-06-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-06-04 | 2024-06-08 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-06-04 | 2024-06-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-04 | 2024-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-04 | 2024-06-07 | 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 | 2024-06-04 | 2024-06-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-01 | 2024-05-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-01 | 2024-05-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-19 | 2023-11-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-19 | 2023-11-03 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-19 | 2023-11-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-17 | 2023-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-17 | 2023-06-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-05-16 | 2023-06-16 | 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 | 2023-05-16 | 2023-06-16 | 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 | 2023-05-16 | 2023-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-21 | 2023-04-17 | 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 | 2023-03-15 | 2023-04-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-18 | 2022-07-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-18 | 2022-07-01 | 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 | 2022-05-18 | 2022-07-01 | N |
| Provide appropriate foot care. | Health | 2022-05-18 | 2022-07-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-18 | 2022-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-17 | 2022-07-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-17 | 2022-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-17 | 2022-07-01 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-06-01 | 2022-06-28 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-01 | 2022-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-18 | 2022-06-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-04 | 2022-06-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-02 | 2022-03-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-30 | 2021-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2021-11-05 | Y |
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