A list of the most recent deficiencies for Accura Healthcare of Cresco. 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? |
|---|---|---|---|---|
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-20 | 2024-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-20 | 2024-03-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-20 | 2024-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-20 | 2024-03-08 | 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 | 2024-02-20 | 2024-03-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-20 | 2024-03-07 | 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 | 2024-02-20 | 2024-03-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-20 | 2024-03-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-20 | 2024-03-07 | 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 | 2024-02-20 | 2024-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-20 | 2024-03-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-20 | 2024-03-07 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-02-20 | 2024-03-07 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-20 | 2024-03-07 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-20 | 2024-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-11-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-11-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-22 | 2023-09-08 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-27 | 2023-04-11 | 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 | 2023-02-27 | 2023-04-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-27 | 2023-04-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-27 | 2023-04-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-27 | 2023-03-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-27 | 2023-03-24 | 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 | 2023-02-27 | 2023-03-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-27 | 2023-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-27 | 2023-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-27 | 2023-03-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-27 | 2023-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-23 | 2023-03-17 | 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 | 2023-02-23 | 2023-03-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-23 | 2023-03-17 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-23 | 2023-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-23 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-07 | 2021-12-22 | 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 | 2021-10-07 | 2021-11-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-07 | 2021-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-07 | 2021-11-01 | 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 | 2021-10-07 | 2021-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-07 | 2021-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-11-01 | 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 | 2021-09-28 | 2021-11-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-09-28 | 2021-10-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-28 | 2021-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-28 | 2021-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-28 | 2021-09-28 | N |
