Deficiency Records for Crystal Creek Health and Rehabilitation Center
Updated as of April 01, 2019
This is not the most recent data for Crystal Creek Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Crystal Creek Health and Rehabilitation 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 medication error rates are not 5 percent or greater. | Health | 2018-05-04 | 2018-07-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-04 | 2018-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-04 | 2018-06-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-04 | 2018-06-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-05-04 | 2018-06-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-04 | 2018-06-18 | 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 | 2018-05-04 | 2018-06-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-04 | 2018-06-18 | N |
| Provide activities to meet all resident's needs. | Health | 2018-05-04 | 2018-06-18 | 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 | 2018-05-04 | 2018-06-18 | N |
| 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 | 2018-05-04 | 2018-06-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-04 | 2018-06-18 | 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 | 2018-05-04 | 2018-06-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-04 | 2018-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-04 | 2018-06-18 | Y |
| Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2017-11-06 | 2017-12-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-06 | 2017-12-13 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-11-06 | 2017-12-13 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-10-13 | 2017-11-16 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-08-15 | 2017-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-15 | 2017-09-27 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-08-15 | 2017-09-25 | Y |
| 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 | 2017-08-15 | 2017-09-22 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-10 | 2017-06-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-10 | 2017-06-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-10 | 2017-06-30 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-10 | 2017-06-30 | Y |
| 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 | 2017-04-10 | 2017-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-10 | 2017-05-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-04-10 | 2017-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-10 | 2017-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-10 | 2017-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-10 | 2017-05-22 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-04-10 | 2017-05-22 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2017-04-10 | 2017-05-22 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-04-10 | 2017-05-22 | N |
| 1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions. | Health | 2017-04-10 | 2017-05-22 | 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 | 2017-04-10 | 2017-05-22 | 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 | 2017-04-10 | 2017-05-22 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-04-10 | 2017-05-22 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-04-10 | 2017-05-22 | N |
| Provide housekeeping and maintenance services. | Health | 2017-04-10 | 2017-05-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-10 | 2017-05-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-10 | 2017-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-10 | 2017-05-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-04-10 | 2017-05-22 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-04-10 | 2017-05-22 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-04-10 | 2017-05-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-10 | 2017-05-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-28 | 2016-05-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-28 | 2016-05-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-28 | 2016-05-12 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-28 | 2016-05-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-28 | 2016-05-12 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-03-28 | 2016-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-28 | 2016-05-12 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-03-28 | 2016-05-12 | 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 | 2016-03-28 | 2016-05-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-28 | 2016-05-12 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-28 | 2016-05-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-28 | 2016-05-12 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-03-28 | 2016-05-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-28 | 2016-05-02 | N |
