A list of the most recent deficiencies for Crossroads 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-19 | 2023-08-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-19 | 2023-08-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-19 | 2023-08-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-19 | 2023-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-19 | 2023-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-19 | 2023-08-26 | 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 | 2023-07-19 | 2023-08-26 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-07-19 | 2023-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-19 | 2023-08-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-19 | 2023-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-16 | 2023-07-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-16 | 2023-07-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-16 | 2023-07-13 | Y |
| 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 | 2022-12-19 | 2023-01-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-09 | 2022-01-10 | 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 | 2021-12-09 | 2022-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-09 | 2022-01-10 | 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 | 2021-12-09 | 2022-01-10 | 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 | 2021-12-09 | 2022-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-20 | 2021-08-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-08-20 | 2020-10-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-08-20 | 2020-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-20 | 2020-10-01 | 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 | 2020-08-20 | 2020-10-01 | 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 | 2020-08-20 | 2020-10-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-08-20 | 2020-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-20 | 2020-10-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-08-20 | 2020-10-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-08-20 | 2020-10-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-08-18 | 2020-09-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-18 | 2020-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-18 | 2020-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-08-18 | 2020-09-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-08-18 | 2020-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-18 | 2020-09-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-08-18 | 2020-09-18 | N |
