A list of the most recent deficiencies for Harrison's Crossing Health Campus. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-09 | 2024-02-02 | 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 | 2024-01-09 | 2024-02-02 | 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 | 2024-01-09 | 2024-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-09 | 2024-02-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-09 | 2024-02-02 | 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 | 2024-01-09 | 2024-02-02 | 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 | 2024-01-09 | 2024-02-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-22 | 2024-02-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-22 | 2024-02-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-06 | 2023-09-27 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-09 | 2023-05-22 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-23 | 2022-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-23 | 2022-12-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-23 | 2022-12-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-25 | 2022-11-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-25 | 2022-11-18 | N |
| 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. | Health | 2022-10-25 | 2022-11-18 | 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 | 2022-10-25 | 2022-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-25 | 2022-11-18 | N |
| Post nurse staffing information every day. | Health | 2022-10-25 | 2022-11-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-25 | 2022-11-18 | 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 | 2022-10-25 | 2022-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-25 | 2022-11-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-29 | 2022-04-22 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-10 | 2019-11-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-10 | 2019-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-10 | 2019-10-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-10 | 2019-10-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-10 | 2019-10-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-10-10 | 2019-10-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-27 | 2019-09-16 | N |
| 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. | Health | 2019-08-27 | 2019-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-27 | 2019-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-27 | 2019-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-27 | 2019-09-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-27 | 2019-09-16 | 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 | 2019-08-27 | 2019-09-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-27 | 2019-09-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-27 | 2019-09-16 | N |
