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Deficiency Records for Country Crest Post-Acute
A list of the most recent deficiencies for Country Crest Post-Acute. 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 Country Crest Post-Acute. 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 | 2024-04-17 | 2024-05-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-11-06 | 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 | 2023-04-05 | 2023-04-17 | Y |
| 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 | 2023-02-17 | 2023-04-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-02-17 | 2023-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-17 | 2023-04-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-23 | 2023-03-08 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-12 | 2023-01-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-12 | 2023-01-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-07 | 2022-10-24 | 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 | 2022-10-07 | 2022-10-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-07 | 2022-10-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-01 | 2022-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-18 | 2022-04-06 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-01-18 | 2022-04-06 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-01-18 | 2022-04-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-01-18 | 2022-04-06 | 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 | 2022-01-18 | 2022-04-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-18 | 2022-04-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-18 | 2022-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-18 | 2022-04-06 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-01-18 | 2022-04-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-01-18 | 2022-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-04-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-18 | 2022-04-06 | 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 | 2022-01-24 | 2022-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-24 | 2022-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-24 | 2022-02-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-24 | 2022-02-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-01-11 | 2022-02-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-26 | 2021-11-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-26 | 2021-11-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-26 | 2021-11-30 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-08-12 | 2019-08-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-26 | 2019-08-07 | N |
| 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 | 2019-06-26 | 2019-08-07 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-06-26 | 2019-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-26 | 2019-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-26 | 2019-08-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-26 | 2019-08-07 | 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 | 2019-06-26 | 2019-08-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-26 | 2019-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-26 | 2019-08-07 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2018-06-28 | 2018-08-29 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-06-28 | 2018-08-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-28 | 2018-08-29 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-28 | 2018-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-28 | 2018-08-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-28 | 2018-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-28 | 2018-08-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-06-28 | 2018-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-28 | 2018-08-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-06-28 | 2018-08-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-08-03 | 2018-08-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-03 | 2018-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-03 | 2018-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-03 | 2018-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-03 | 2018-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-03 | 2018-08-15 | N |
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