A list of the most recent deficiencies for Crystal Heights Care Center. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-07 | 2024-01-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-07 | 2024-01-07 | 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 | 2023-12-07 | 2024-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-11 | 2023-12-28 | 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 | 2023-12-11 | 2023-12-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-11 | 2023-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-11 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-11 | 2023-12-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-11 | 2023-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-11 | 2023-12-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-28 | 2022-09-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-28 | 2022-09-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-07-28 | 2022-09-08 | 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 | 2022-07-28 | 2022-09-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-28 | 2022-09-08 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-08-02 | 2022-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-02 | 2022-08-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-02 | 2022-08-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-12 | 2021-09-12 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-12 | 2021-09-12 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-08-12 | 2021-09-12 | 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 | 2021-08-12 | 2021-09-12 | 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 | 2021-08-12 | 2021-09-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-12 | 2021-09-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-08-12 | 2021-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-12 | 2021-09-12 | N |
| Keep all essential equipment working safely. | Health | 2021-08-12 | 2021-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-19 | 2021-08-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-19 | 2021-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-19 | 2021-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-19 | 2021-08-26 | 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 | 2021-08-19 | 2021-08-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-19 | 2021-08-24 | N |
