A list of the most recent deficiencies for The Pearl of Crystal 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-01-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-10-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-28 | 2023-04-11 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-12-08 | 2023-01-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-08 | 2023-01-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-08 | 2023-01-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-08 | 2023-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-30 | 2022-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-30 | 2022-12-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-30 | 2022-12-19 | 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 | 2022-11-30 | 2022-12-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-30 | 2022-12-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-30 | 2022-12-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-30 | 2022-12-16 | 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 | 2022-11-30 | 2022-12-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-30 | 2022-12-16 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-11-30 | 2022-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2022-12-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-30 | 2022-12-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-31 | 2022-11-09 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-30 | 2022-09-09 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-08-11 | 2022-08-26 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-08-11 | 2022-08-26 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-15 | 2022-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-15 | 2022-03-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-15 | 2022-03-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-15 | 2022-03-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-15 | 2022-03-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-15 | 2022-03-11 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-02-15 | 2022-03-11 | 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 | 2022-02-16 | 2022-03-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-02-16 | 2022-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-16 | 2022-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-16 | 2022-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-18 | 2022-01-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-12 | 2021-08-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Develop a communication plan. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Establish methods for sharing information. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-03 | 2021-03-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-02-03 | 2021-02-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-03 | 2021-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-03 | 2021-02-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-02-03 | 2021-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-03 | 2021-02-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-01-21 | 2021-02-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-01-21 | 2021-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-21 | 2021-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-21 | 2021-02-12 | N |
