Deficiency Records for Crest View Lutheran Home
Updated as of April 01, 2022
This is not the most recent data for Crest View Lutheran Home. For the most recent information, click here.
A list of the most recent deficiencies for Crest View Lutheran Home. 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? |
|---|---|---|---|---|
| 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 | 2022-01-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-07 | 2022-01-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-07 | 2022-01-04 | 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 | 2021-10-07 | 2022-01-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-07 | 2022-01-04 | 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 | 2021-10-07 | 2022-01-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-07 | 2022-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2022-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-05 | 2021-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-05 | 2021-11-17 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-10-05 | 2021-11-17 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-02-04 | 2021-03-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-06-25 | 2020-07-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-25 | 2020-07-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-23 | 2020-05-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-21 | 2020-01-06 | 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 | 2019-11-21 | 2020-01-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-21 | 2020-01-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-21 | 2020-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2020-01-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-21 | 2020-01-06 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-11-21 | 2020-01-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2020-01-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-11-21 | 2020-01-06 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-11-22 | 2020-01-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-22 | 2020-01-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-18 | 2018-11-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-18 | 2018-11-27 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-18 | 2018-11-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-18 | 2018-11-27 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-18 | 2018-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-18 | 2018-11-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-18 | 2018-11-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-18 | 2018-11-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-18 | 2018-11-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-18 | 2018-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2018-11-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-18 | 2018-11-27 | N |
| Ensure that paid feeding assistants have the training they need. | Health | 2018-10-18 | 2018-11-27 | N |
