Deficiency Records for The Terrace at Crystal LLC
Updated as of January 01, 2019
This is not the most recent data for The Terrace at Crystal LLC. For the most recent information, click here.
A list of the most recent deficiencies for The Terrace at Crystal LLC. 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 | 2018-09-24 | 2018-10-31 | Y |
Give residents a notice of rights, rules, services and charges. | Health | 2017-10-06 | 2017-11-15 | N |
Allow residents to self-administer drugs if determined safe. | Health | 2017-10-06 | 2017-11-15 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-06 | 2017-11-15 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-06 | 2017-11-15 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-06 | 2017-11-15 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-06 | 2017-11-15 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-06 | 2017-11-15 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-06 | 2017-11-15 | N |
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-10-06 | 2017-11-15 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-06 | 2017-11-15 | 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 | 2017-10-06 | 2017-11-15 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-06 | 2017-11-15 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-06 | 2017-11-15 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-06 | 2017-11-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-05 | 2017-11-01 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-22 | 2017-03-21 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-22 | 2017-03-21 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-22 | 2017-03-21 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-22 | 2017-03-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-20 | 2017-02-10 | N |
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2016-12-20 | 2017-02-10 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-12-22 | 2017-02-10 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-22 | 2017-02-10 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-12-22 | 2017-02-10 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-22 | 2017-02-10 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-02-02 | 2016-03-16 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-02 | 2016-03-16 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2016-02-05 | 2016-03-16 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-05 | 2016-03-16 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-02-05 | 2016-03-16 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-05 | 2016-03-16 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-05 | 2016-03-16 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-05 | 2016-03-16 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-05 | 2016-03-16 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-05 | 2016-03-16 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-02-05 | 2016-03-16 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-05 | 2016-03-16 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-05 | 2016-03-16 | 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 | 2016-02-05 | 2016-03-16 | N |
Dispose of garbage and refuse properly. | Health | 2016-02-05 | 2016-03-16 | N |
Provide or obtain dental services for each resident. | Health | 2016-02-05 | 2016-03-16 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-05 | 2016-03-16 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-05 | 2016-03-16 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-05 | 2016-03-16 | N |