Deficiency Records for Ignite Medical Resort Crown Point LLC
Updated as of March 01, 2021
This is not the most recent data for Ignite Medical Resort Crown Point LLC. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-25 | 2021-02-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-12 | 2020-09-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-12 | 2020-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-12 | 2020-09-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-12 | 2020-09-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-03-31 | 2020-04-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-12 | 2020-03-06 | 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 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-15 | 2019-12-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-11-27 | 2019-12-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-27 | 2019-12-23 | Y |
| 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 | 2019-11-27 | 2019-12-23 | Y |
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-04 | 2019-09-20 | 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 | 2019-09-04 | 2019-09-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-04 | 2019-09-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-23 | 2019-08-05 | Y |
| 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 | 2019-07-23 | 2019-08-05 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-14 | 2019-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-14 | 2019-04-12 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-03-14 | 2019-04-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-14 | 2019-04-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-07 | 2019-01-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-07 | 2019-01-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-07 | 2019-01-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Be properly staffed | Fire Safety | 2018-10-29 | 2018-12-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-28 | 2018-10-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-28 | 2018-10-12 | 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 | 2018-09-28 | 2018-10-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-28 | 2018-10-12 | 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 | 2018-09-28 | 2018-10-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-09-28 | 2018-10-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-28 | 2018-10-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-28 | 2018-10-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-13 | 2018-05-07 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-04-13 | 2018-05-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-13 | 2018-05-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-13 | 2018-05-07 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-04-13 | 2018-05-07 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-03-22 | 2018-04-06 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-10-10 | 2017-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-10 | 2017-10-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-10-10 | 2017-10-31 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-10-10 | 2017-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-10 | 2017-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-10 | 2017-10-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-29 | 2017-09-21 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-29 | 2017-09-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-29 | 2017-09-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-29 | 2017-09-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-29 | 2017-09-21 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation. | Health | 2017-08-29 | 2017-09-21 | N |
