A list of the most recent deficiencies for Crestwood Manor - 104. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-05 | 2023-06-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-05 | 2023-06-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-05 | 2023-06-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-05 | 2023-06-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-05 | 2023-06-05 | 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 | 2023-05-05 | 2023-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-06-05 | N |
| Keep all essential equipment working safely. | Health | 2023-05-05 | 2023-06-05 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-10 | 2023-05-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-10 | 2023-05-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-10 | 2023-05-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-10 | 2023-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-10 | 2023-05-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-10 | 2023-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-10 | 2023-05-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-18 | 2021-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-17 | 2021-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-24 | 2021-09-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-11 | 2019-08-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-11 | 2019-08-27 | 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 | 2019-07-11 | 2019-08-27 | 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 | 2019-07-11 | 2019-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-27 | 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 | 2019-08-07 | 2019-08-19 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-08-07 | 2019-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-07 | 2019-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-07 | 2019-08-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-07 | 2019-08-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-07 | 2019-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-21 | 2018-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-21 | 2018-08-15 | N |
| Use approved construction type or materials. | Fire Safety | 2018-07-18 | 2018-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-18 | 2018-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-18 | 2018-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-18 | 2018-08-02 | N |
