Deficiency Records for Crestfield Rehabilitation Center and Fenwood Manor
Updated as of January 01, 2021
This is not the most recent data for Crestfield Rehabilitation Center and Fenwood Manor. For the most recent information, click here.
A list of the most recent deficiencies for Crestfield Rehabilitation Center and Fenwood Manor. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-05-19 | 2020-06-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-16 | 2019-04-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-16 | 2019-04-25 | 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 | 2019-01-22 | 2019-02-21 | 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 | 2019-01-22 | 2019-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-22 | 2019-02-21 | 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 | 2019-01-22 | 2019-02-21 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-01-22 | 2019-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-22 | 2019-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-22 | 2019-02-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-22 | 2019-02-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-01-22 | 2019-02-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-22 | 2019-02-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-22 | 2019-02-21 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-01-22 | 2019-02-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-22 | 2019-02-21 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-01-22 | 2019-02-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-22 | 2019-02-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-12 | 2018-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-12 | 2018-06-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-27 | 2018-06-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-27 | 2018-06-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-27 | 2018-06-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-04 | 2018-01-15 | N |
| Provide activities to meet all resident's needs. | Health | 2017-12-04 | 2018-01-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-04 | 2018-01-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-04 | 2018-01-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2017-12-04 | 2018-01-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2017-12-04 | 2018-01-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-06 | 2017-02-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-06 | 2017-02-15 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-01-06 | 2017-02-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-06 | 2017-02-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-06 | 2017-02-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-06 | 2017-02-15 | N |
