A list of the most recent deficiencies for Northcrest Specialty Care. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-03-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-30 | 2024-02-29 | 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 | 2024-01-30 | 2024-02-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-30 | 2024-02-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-30 | 2024-02-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-30 | 2024-02-29 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-30 | 2024-02-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-30 | 2024-02-29 | Y |
| 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 | 2024-01-30 | 2024-02-29 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-30 | 2024-02-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-30 | 2024-02-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-30 | 2024-02-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-30 | 2024-02-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-30 | 2024-02-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-13 | 2023-08-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-13 | 2023-08-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-13 | 2023-08-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-26 | 2023-02-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-02-18 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-18 | 2022-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-18 | 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 | 2022-10-13 | 2022-10-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-13 | 2022-10-29 | N |
| Post nurse staffing information every day. | Health | 2022-10-13 | 2022-10-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-13 | 2022-10-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-24 | 2022-09-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-24 | 2022-09-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-24 | 2022-09-24 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-24 | 2022-09-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-02-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-27 | 2021-10-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-29 | 2021-05-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-29 | 2021-05-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-29 | 2021-05-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-04-29 | 2021-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-29 | 2021-05-27 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-29 | 2021-05-27 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-27 | 2021-04-27 | N |
