A list of the most recent deficiencies for St Crispin Living Community. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-07 | 2024-01-23 | 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 | 2023-12-07 | 2024-01-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2024-01-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-07 | 2024-01-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-07 | 2024-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-07 | 2024-01-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-07 | 2024-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-06 | 2024-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-28 | 2023-01-23 | Y |
| 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 | 2022-12-28 | 2023-01-23 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-10 | 2022-12-14 | 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 | 2022-11-10 | 2022-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-10 | 2022-12-10 | N |
| Post nurse staffing information every day. | Health | 2022-11-10 | 2022-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-12-10 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-10 | 2022-12-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-10 | 2022-12-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-10 | 2022-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-10 | 2022-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-10 | 2022-12-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-10 | 2022-12-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-10 | 2022-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-08-04 | Y |
| 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 | 2022-07-07 | 2022-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-21 | 2021-11-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-18 | 2019-09-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-18 | 2019-09-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-07-18 | 2019-09-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-18 | 2019-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-17 | 2019-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-17 | 2019-09-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-17 | 2019-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-17 | 2019-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-17 | 2019-09-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-17 | 2019-09-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-17 | 2019-09-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-17 | 2019-09-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-17 | 2019-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-17 | 2019-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-17 | 2019-07-26 | N |
