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Deficiency Records for Crossroads Care Center of Mayville
A list of the most recent deficiencies for Crossroads Care Center of Mayville. 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 Mayville. 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 pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-08 | 2023-12-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-06 | 2023-09-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-25 | 2023-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-25 | 2023-05-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-25 | 2023-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-25 | 2023-05-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-25 | 2023-05-18 | 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 | 2023-04-25 | 2023-05-18 | 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 | 2023-04-25 | 2023-05-18 | 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 | 2023-04-25 | 2023-05-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-04-25 | 2023-05-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-25 | 2023-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-25 | 2023-05-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-25 | 2023-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-10 | 2022-11-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-10 | 2022-11-07 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-05-03 | 2022-06-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-03 | 2022-06-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-03 | 2022-06-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-03 | 2022-06-03 | N |
| Provide appropriate foot care. | Health | 2022-05-03 | 2022-06-03 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-05-03 | 2022-06-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-05-03 | 2022-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-03 | 2022-06-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Develop a communication plan. | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-02 | 2022-06-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-18 | 2022-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-18 | 2022-02-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-08 | 2021-12-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-08 | 2021-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-08 | 2021-12-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-12 | 2021-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-12 | 2021-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-12 | 2021-11-11 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-10-12 | 2021-11-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-28 | 2021-05-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-28 | 2021-05-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-28 | 2021-05-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-28 | 2021-05-25 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-28 | 2021-05-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-28 | 2021-05-25 | N |
| 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 | 2021-04-28 | 2021-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-28 | 2021-05-25 | 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 | 2021-04-28 | 2021-05-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-28 | 2021-05-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-28 | 2021-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-28 | 2021-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-28 | 2021-05-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-28 | 2021-05-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-28 | 2021-05-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-28 | 2021-05-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-04-28 | 2021-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-28 | 2021-05-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-04-28 | 2021-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-28 | 2021-05-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-28 | 2021-05-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-28 | 2021-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-28 | 2021-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-15 | Not Fixed | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-15 | Not Fixed | Y |
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