Deficiency Records for The Pavilion at Crescent Lake
Updated as of August 01, 2016
This is not the most recent data for The Pavilion at Crescent Lake. For the most recent information, click here.
A list of the most recent deficiencies for The Pavilion at Crescent Lake. 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? |
|---|---|---|---|---|
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-06-01 | 2015-07-13 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-06-11 | 2015-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-11 | 2015-07-11 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-06-11 | 2015-07-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-06-11 | 2015-07-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-06-11 | 2015-07-11 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-06-08 | 2015-06-15 | N |
| At least two compartments on every floor to protect residents from smoke. | Fire Safety | 2015-06-08 | 2015-06-15 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-06-08 | 2015-06-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-06-08 | 2015-06-15 | N |
| Portable fire extinguishers. | Fire Safety | 2015-06-08 | 2015-06-15 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-06-08 | 2015-06-15 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-06-08 | 2015-06-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-06-08 | 2015-06-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2014-05-23 | 2014-07-14 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-05-23 | 2014-07-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-05-23 | 2014-07-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-05-23 | 2014-07-14 | N |
| Provide housekeeping and maintenance services. | Health | 2014-05-23 | 2014-07-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-05-23 | 2014-07-14 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-05-23 | 2014-07-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-23 | 2014-07-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-05-23 | 2014-07-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-05-23 | 2014-07-14 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| At least two compartments on every floor to protect residents from smoke. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-05-19 | 2014-07-14 | N |
| Try to resolve each resident's complaints quickly. | Health | 2014-02-07 | 2014-03-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-02-07 | 2014-03-01 | Y |
| 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 | 2014-02-07 | 2014-03-01 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-02-07 | 2014-03-01 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-06-23 | Not Fixed | N |
| Provide housekeeping and maintenance services. | Health | 2016-06-23 | Not Fixed | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-06-23 | Not Fixed | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-23 | Not Fixed | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-23 | Not Fixed | 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 | 2016-06-23 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-23 | Not Fixed | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-23 | Not Fixed | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-23 | Not Fixed | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2016-06-23 | Not Fixed | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-06-23 | Not Fixed | N |
| Approved construction type or materials. | Fire Safety | 2016-06-21 | Not Fixed | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-06-21 | Not Fixed | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-06-21 | Not Fixed | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-21 | Not Fixed | N |
