Deficiency Records for Crestmoor Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Crestmoor Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-14 | 2023-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-29 | 2023-10-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-08-29 | 2023-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-10-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-29 | 2023-10-06 | 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 | 2023-08-29 | 2023-10-06 | 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 | 2023-08-29 | 2023-10-06 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-29 | 2023-10-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-29 | 2023-10-06 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-13 | 2022-10-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-13 | 2022-09-14 | 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 | 2022-07-13 | 2022-09-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-07-13 | 2022-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-13 | 2022-09-14 | 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 | 2022-06-23 | 2022-08-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-23 | 2022-08-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-23 | 2022-08-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-23 | 2022-08-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-23 | 2022-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-20 | 2021-06-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-20 | 2021-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-20 | 2021-05-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-20 | 2021-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-20 | 2021-05-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-04-20 | 2021-05-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-04-20 | 2021-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-20 | 2021-05-18 | 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 | 2021-04-20 | 2021-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-20 | 2021-05-15 | 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 | 2021-03-24 | 2021-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-24 | 2021-04-28 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-24 | 2021-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-24 | 2021-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-24 | 2021-04-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-03-24 | 2021-04-28 | 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 | 2021-03-24 | 2021-04-28 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-03-24 | 2021-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-24 | 2021-04-28 | N |
