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Deficiency Records for Calhoun Crossing of Journey LLC

View the most recent health deficiencies and inspection results for Calhoun Crossing of Journey LLC. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Calhoun Crossing of Journey LLC. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2026-03-29 2026-05-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-03-29 2026-05-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2026-03-29 2026-05-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-03-29 2026-05-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2026-03-29 2026-05-04 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-08-28 2024-10-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-28 2024-10-17 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-08-28 2024-10-17 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 2024-08-28 2024-10-17 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-08-28 2024-10-17 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-08-28 2024-10-17 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-08-28 2024-10-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-28 2024-10-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-28 2024-10-17 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-08-28 2024-10-17 Y
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-08-28 2024-10-17 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-08-28 2024-10-17 Y
Provide and implement an infection prevention and control program. Health 2024-08-28 2024-10-17 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-08-28 2024-10-17 Y
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2024-08-28 2024-10-17 Y
Honor the resident's right to manage his or her financial affairs. Health 2024-08-28 2024-10-17 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2024-08-28 2024-10-17 Y
Establish an Emergency Preparedness Program (EP). Fire Safety 2024-08-28 2024-10-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-28 2024-10-17 N
Have proper medical gas storage and administration areas. Fire Safety 2024-08-28 2024-10-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-08-28 2024-10-17 N
Ensure each resident receives an accurate assessment. Health 2023-03-16 2023-04-11 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-03-16 2023-04-11 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-03-16 2023-04-11 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 2023-03-16 2023-04-11 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-16 2023-04-11 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 2023-03-16 2023-04-11 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-03-16 2023-04-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-16 2023-04-11 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-03-16 2023-04-11 N
Provide and implement an infection prevention and control program. Health 2023-03-16 2023-04-11 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-03-16 2023-04-11 N
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-03-16 2023-04-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-03-16 2023-04-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-16 2023-04-11 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-03-16 2023-04-11 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-16 2023-04-11 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-03-16 2023-04-11 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-03-16 2023-04-11 N
Install an approved automatic sprinkler system. Fire Safety 2023-03-16 2023-04-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-16 2023-04-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-16 2023-04-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-03-16 2023-04-11 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-16 2023-04-11 N

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