Most Recent Deficiencies for CRESTWOOD NURSING CENTER

Updated as of March 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Address subsistence needs for staff and patients. 2020-01-16
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. 2020-01-16
Have generator or other power source capable of supplying service within 10 seconds. 2020-01-16
Ensure that testing and maintenance of electrical equipment is performed. 2020-01-16
Establish an Emergency Preparedness Program (EP). 2019-08-12
Develop and maintain an Emergency Preparedness Program (EP). 2019-08-12
Conduct risk assessment and an All-Hazards approach. 2019-08-12
Address patient/client population and determine types of services needed. 2019-08-12
Include a process for Emergency Preparedness collaboration. 2019-08-12
Develop Emergency Preparedness policies and procedures. 2019-08-12
Address subsistence needs for staff and patients. 2019-08-12
Establish procedures for tracking staff and patients during an emergency. 2019-08-12
Establish policies and procedures including evacuation. 2019-08-12
Establish policies and procedures for sheltering. 2019-08-12
Establish policies and procedures for medical documentation. 2019-08-12
Establish policies and procedures for volunteers. 2019-08-12
Establish roles under a Waiver declared by secretary. 2019-08-12
Develop a communication plan. 2019-08-12
List the names and contact information of those in the facility. 2019-08-12
Provide primary/alternate means for communication. 2019-08-12
Establish methods for sharing information. 2019-08-12
Provide a means of sharing information on occupancy/needs. 2019-08-12
Provide family notifications of emergency plan. 2019-08-12
Establish emergency prep training and testing. 2019-08-12
Keep aisles, corridors, and exits free of obstruction in case of emergency. 2019-08-12
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. 2019-08-12
Install proper backup exit lighting. 2019-08-12
Provide properly protected cooking facilities. 2019-08-12
Have approved installation, maintenance and testing program for fire alarm systems. 2019-08-12
Inspect, test, and maintain automatic sprinkler systems. 2019-08-12
Install corridor and hallway doors that block smoke. 2019-08-12
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. 2019-08-12
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 2019-08-12
Have elevators that firefighters can control in the event of a fire. 2019-08-12
Provide a written emergency evacuation plan. 2019-08-12
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. 2019-08-12
Be properly staffed 2019-08-12
Have proper power supply for life support equipment. 2019-08-12
Have generator or other power source capable of supplying service within 10 seconds. 2019-08-12
Ensure proper usage of power strips and extension cords. 2019-08-12
Ensure that testing and maintenance of electrical equipment is performed. 2019-08-12
Have proper medical gas storage and administration areas. 2019-08-12
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. 2019-08-12
Establish an Emergency Preparedness Program (EP). 2018-05-29
Develop and maintain an Emergency Preparedness Program (EP). 2018-05-29
Conduct risk assessment and an All-Hazards approach. 2018-05-29
Address patient/client population and determine types of services needed. 2018-05-29
Include a process for Emergency Preparedness collaboration. 2018-05-29
Develop Emergency Preparedness policies and procedures. 2018-05-29
Address subsistence needs for staff and patients. 2018-05-29
Establish procedures for tracking staff and patients during an emergency. 2018-05-29
Establish policies and procedures including evacuation. 2018-05-29
Establish policies and procedures for sheltering. 2018-05-29
Establish policies and procedures for medical documentation. 2018-05-29
Establish policies and procedures for volunteers. 2018-05-29
Establish roles under a Waiver declared by secretary. 2018-05-29
Develop a communication plan. 2018-05-29
List the names and contact information of those in the facility. 2018-05-29
Provide primary/alternate means for communication. 2018-05-29
Establish methods for sharing information. 2018-05-29
Provide a means of sharing information on occupancy/needs. 2018-05-29
Provide family notifications of emergency plan. 2018-05-29
Establish emergency prep training and testing. 2018-05-29
Have stairways and smokeproof enclosures used as exits that meet safety requirements. 2018-05-29
Install emergency lighting that can last at least 1 1/2 hours. 2018-05-29
Have properly located and lighted "Exit" signs. 2018-05-29
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2018-05-29
Provide properly protected cooking facilities. 2018-05-29
Have approved installation, maintenance and testing program for fire alarm systems. 2018-05-29
Inspect, test, and maintain automatic sprinkler systems. 2018-05-29
Install corridor and hallway doors that block smoke. 2018-05-29
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. 2018-05-29
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 2018-05-29
Have elevators that firefighters can control in the event of a fire. 2018-05-29
Provide a written emergency evacuation plan. 2018-05-29
Have simulated fire drills held at unexpected times. 2018-05-29
Have restrictions on the use of highly flammable decorations. 2018-05-29
Meet other general requirements that are deficient. 2018-05-29
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. 2018-05-29
Have a battery powered remote alarm panel in a location accessible by operating personnel. 2018-05-29
Have generator or other power source capable of supplying service within 10 seconds. 2018-05-29
Ensure proper usage of power strips and extension cords. 2018-05-29
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. 2018-05-29
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 2019-08-29
Develop and implement policies and procedures to prevent abuse, neglect, and theft. 2019-08-29
Respond appropriately to all alleged violations. 2019-08-29
Ensure services provided by the nursing facility meet professional standards of quality. 2019-08-29
Honor each resident's preferences, choices, values and beliefs. 2019-08-29
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. 2019-08-29
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 2019-08-29
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. 2019-08-29
Ensure that residents are free from significant medication errors. 2019-08-29
Administer the facility in a manner that enables it to use its resources effectively and efficiently. 2019-08-29
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2019-07-09
Post nurse staffing information every day. 2019-07-09
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2020-01-16
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. 2020-01-16
Provide special eating equipment and utensils for residents who need them and appropriate assistance. 2020-01-16
Provide and implement an infection prevention and control program. 2020-01-16
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. 2018-10-26
Keep all essential equipment working safely. 2018-10-26
Reasonably accommodate the needs and preferences of each resident. 2019-08-08
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. 2019-08-08
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 2019-08-08
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2019-08-08
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. 2019-08-08
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. 2019-08-08
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. 2019-08-08
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2019-08-08
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. 2019-08-08
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. 2019-08-08
Provide and implement an infection prevention and control program. 2019-08-08
Keep all essential equipment working safely. 2019-08-08
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 2017-11-03
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2017-11-03
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 2017-11-03
Honor the resident's right to organize and participate in resident/family groups in the facility. 2018-06-01
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. 2018-06-01
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2018-06-01
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2018-06-01
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. 2018-06-01
Provide safe, appropriate dialysis care/services for a resident who requires such services. 2018-06-01
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. 2018-06-01
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2018-06-01
Provide and implement an infection prevention and control program. 2018-06-01