A list of the most recent deficiencies for Crest Haven Care Centre. 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? |
|---|---|---|---|---|
| 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 | 2023-05-08 | 2023-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-08 | 2023-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-08 | 2023-05-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-08 | 2023-05-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-08 | 2023-05-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-08 | 2023-05-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-08 | 2023-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-08 | 2023-05-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-08 | 2023-05-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-08 | 2023-05-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-21 | 2022-12-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-10 | 2022-04-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-10 | 2022-04-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-04-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-10 | 2022-04-09 | 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 | 2022-03-10 | 2022-04-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-10 | 2022-04-09 | 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 | 2022-03-11 | 2022-04-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-11 | 2022-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-11 | 2022-03-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-11 | 2022-03-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-11 | 2022-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-11 | 2022-03-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-11 | 2022-03-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-11 | 2022-03-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-07 | 2021-10-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-07 | 2021-10-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-10-08 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-30 | 2020-03-02 | 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 | 2020-01-23 | 2020-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-30 | 2020-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-30 | 2020-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-30 | 2020-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-30 | 2020-01-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-30 | 2020-01-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-30 | 2020-01-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-01-30 | 2020-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-30 | 2020-01-30 | N |
