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Deficiency Records for The Pavilion at Crescent Lake

View the most recent health deficiencies and inspection results for The Pavilion at Crescent Lake. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Pavilion at Crescent Lake. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Meet the requirements of an integrated health system. Fire Safety 2026-01-08 2026-02-17 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 2026-01-08 2026-02-17 N
Ensure each resident receives an accurate assessment. Health 2026-01-08 2026-02-17 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2026-01-08 2026-02-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-01-08 2026-02-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-01-08 2026-02-17 N
Post nurse staffing information every day. Health 2026-01-08 2026-02-17 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 2026-01-08 2026-02-17 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2026-01-08 2026-02-17 N
Provide and implement an infection prevention and control program. Health 2026-01-08 2026-02-17 N
Implement emergency and standby power systems. Fire Safety 2026-01-08 2026-02-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2026-01-08 2026-02-17 N
Provide properly protected cooking facilities. Fire Safety 2026-01-08 2026-02-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-08-01 2024-08-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-01 2024-08-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-01 2024-08-30 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-11-13 2023-12-22 Y
Conduct testing and exercise requirements. Fire Safety 2023-03-23 2023-06-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-23 2023-06-05 N
Ensure each resident receives an accurate assessment. Health 2023-03-23 2023-05-03 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-03-23 2023-05-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-23 2023-05-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-03-23 2023-05-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-23 2023-05-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-23 2023-05-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-03-23 2023-05-03 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-03-23 2023-05-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-23 2023-05-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-23 2023-05-03 N
Provide properly protected cooking facilities. Fire Safety 2023-03-23 2023-05-03 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-03-23 2023-05-03 N
Provide family notifications of emergency plan. Fire Safety 2023-03-23 2023-05-03 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2023-03-23 2023-05-03 N
Provide emergency officials' contact information. Fire Safety 2023-03-23 2023-05-03 N
List the names and contact information of those in the facility. Fire Safety 2023-03-23 2023-05-03 N
Create arrangements with other facilities to receive patients. Fire Safety 2023-03-23 2023-05-03 N
Establish policies and procedures for volunteers. Fire Safety 2023-03-23 2023-05-03 N
Address patient/client population and determine types of services needed. Fire Safety 2023-03-23 2023-05-03 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-03-23 2023-05-03 N

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