Deficiency Records for Elm Crest Retirement Community
Updated as of November 01, 2022
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-09-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-25 | 2022-09-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-25 | 2022-09-30 | 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 | 2022-08-25 | 2022-09-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-30 | 2022-09-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-30 | 2022-09-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-30 | 2022-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-30 | 2022-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-16 | 2021-03-16 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-02-16 | 2021-03-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-11 | 2021-03-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-11 | 2021-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-11 | 2021-03-11 | 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 | 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 and maintain the bed rail. | 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 necessary and PRN use is limited. | 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 |
