A list of the most recent deficiencies for Crenshaw Nursing Home. 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? |
---|---|---|---|---|
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-06 | 2024-03-06 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-13 | 2023-03-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-02-17 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-04 | 2022-12-16 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-04 | 2022-12-16 | 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 | 2022-09-09 | 2022-09-27 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-09-09 | 2022-09-27 | Y |
Respond appropriately to all alleged violations. | Health | 2022-09-09 | 2022-09-27 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-03 | 2022-06-10 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-03 | 2022-06-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-03 | 2022-06-10 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-08 | 2022-05-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-24 | 2022-03-15 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-01-24 | 2022-02-17 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-01-24 | 2022-02-17 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-24 | 2022-02-17 | 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 | 2022-01-24 | 2022-02-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-24 | 2022-02-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-24 | 2022-02-17 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-02-17 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-24 | 2022-02-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-24 | 2022-02-11 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-01-07 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-11-24 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-06 | 2021-11-24 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-16 | 2021-09-21 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-13 | 2021-09-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-09-10 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-28 | 2021-08-13 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-28 | 2021-08-13 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-07 | 2019-11-05 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-10-06 | 2019-10-31 | 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 | 2019-10-06 | 2019-10-31 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-10-06 | 2019-10-31 | 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 | 2019-10-06 | 2019-10-31 | N |
Post nurse staffing information every day. | Health | 2019-10-06 | 2019-10-31 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-06 | 2019-10-31 | 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 | 2019-10-06 | 2019-10-31 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-06 | 2019-10-31 | 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 | 2019-10-06 | 2019-10-31 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-10-06 | 2019-10-31 | 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 | 2019-10-06 | 2019-10-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-06 | 2019-10-31 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-06 | 2019-10-31 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-06 | 2019-10-31 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-30 | 2018-11-27 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-09-30 | 2018-11-27 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-30 | 2018-11-27 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-09-30 | 2018-11-27 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-09-30 | 2018-11-27 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-09-30 | 2018-11-27 | 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 | 2018-09-30 | 2018-11-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-30 | 2018-11-27 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-30 | 2018-11-27 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2018-09-30 | 2018-11-27 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-30 | 2018-10-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-30 | 2018-10-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-30 | 2018-10-25 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-30 | 2018-10-25 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-30 | 2018-10-25 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-09-30 | 2018-10-25 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-09-30 | 2018-10-25 | N |