Deficiency Records for Elm Crest Retirement Community
Updated as of October 01, 2019
This is not the most recent data for Elm Crest Retirement Community. For the most recent information, click here.
A list of the most recent deficiencies for Elm Crest Retirement Community. 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 | 2019-03-13 | 2019-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-07 | 2019-04-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-03-07 | 2019-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-07 | 2019-04-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-03-07 | 2019-04-07 | 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 ne | Health | 2019-03-07 | 2019-04-07 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-03-07 | 2019-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-07 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-05-30 | 2018-05-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-05-30 | 2018-05-30 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-02 | 2017-11-30 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-11-02 | 2017-11-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-02 | 2017-11-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-02 | 2017-11-30 | N |
| Use approved construction type or materials. | Fire Safety | 2017-11-07 | 2017-11-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-11-07 | 2017-11-16 | 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 | 2017-11-07 | 2017-11-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-11-07 | 2017-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-07 | 2017-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-02 | 2017-11-03 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-12-27 | 2016-12-28 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-15 | 2016-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-15 | 2016-10-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-15 | 2016-10-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-15 | 2016-10-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-15 | 2016-10-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-15 | 2016-10-15 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-09-20 | 2016-10-03 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-20 | 2016-09-22 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-09-20 | 2016-09-20 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-09-20 | 2016-09-20 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-09-20 | 2016-09-20 | N |
