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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?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-09-30 2024-10-22 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-09-30 2024-10-22 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2024-09-30 2024-10-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-09-30 2024-10-22 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-09-30 2024-10-22 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-09-30 2024-10-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-09-30 2024-10-22 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-09-30 2024-10-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-09-30 2024-10-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-09-30 2024-10-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-09-30 2024-10-22 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-09-30 2024-10-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-09-30 2024-10-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-09-30 2024-10-22 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-09-30 2024-10-22 N
Ensure each resident receives an accurate assessment. Health 2024-09-26 2024-10-18 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-09-26 2024-10-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-09-26 2024-10-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-09-26 2024-10-18 N
Post nurse staffing information every day. Health 2024-09-26 2024-10-18 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 2024-09-26 2024-10-18 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 2024-09-26 2024-10-18 N
Ensure medication error rates are not 5 percent or greater. Health 2024-09-26 2024-10-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-09-26 2024-10-18 N
Dispose of garbage and refuse properly. Health 2024-09-26 2024-10-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-09-26 2024-10-18 N
Provide and implement an infection prevention and control program. Health 2024-09-26 2024-10-18 N
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
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

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