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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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-14 | 2024-10-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-15 | 2024-09-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-15 | 2024-09-13 | 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 | 2024-08-15 | 2024-09-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-15 | 2024-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-15 | 2024-09-13 | 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 | 2024-09-13 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-08-14 | 2024-09-13 | N |
| 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 |
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