Deficiency Records for Ignite Medical Resort Crown Point LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Ignite Medical Resort Crown Point LLC. 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Develop a communication plan. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Meet other general requirements. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-12 | 2023-05-24 | 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 | 2023-04-12 | 2023-05-24 | N |
| Have an externally vented heating system. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-12 | 2023-05-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-27 | 2023-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-27 | 2023-05-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-27 | 2023-05-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-03-27 | 2023-05-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-27 | 2023-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-27 | 2023-05-05 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-07 | 2022-09-20 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-10 | 2022-02-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-10 | 2022-02-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-01-10 | 2022-01-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-10 | 2022-01-19 | 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 | 2022-01-10 | 2022-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-10 | 2022-01-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-01-10 | 2022-01-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-10 | 2022-01-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-20 | 2022-01-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-20 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-20 | 2022-01-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-20 | 2022-01-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-27 | 2021-04-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-15 | 2019-12-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-15 | 2019-12-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-15 | 2019-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-15 | 2019-11-27 | 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 | 2019-10-15 | 2019-11-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-15 | 2019-11-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-15 | 2019-11-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-15 | 2019-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-15 | 2019-11-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-15 | 2019-11-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-10-24 | 2019-11-22 | N |
