Deficiency Records for Crystal Creek Health and Rehabilitation Center
Updated as of April 01, 2020
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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-04 | 2019-10-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-09 | 2019-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-09 | 2019-08-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-16 | 2019-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-16 | 2019-06-18 | Y |
| 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 | 2019-03-20 | 2019-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-20 | 2019-06-18 | 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 | 2019-03-20 | 2019-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-20 | 2019-06-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-20 | 2019-04-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-20 | 2019-04-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-20 | 2019-04-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-20 | 2019-04-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-20 | 2019-04-29 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-03-20 | 2019-04-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-20 | 2019-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-20 | 2019-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-20 | 2019-04-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-20 | 2019-04-29 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-03-20 | 2019-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-20 | 2019-04-29 | 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 | 2019-03-20 | 2019-04-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-20 | 2019-04-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-20 | 2019-04-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-20 | 2019-04-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-20 | 2019-04-29 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-03-20 | 2019-04-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-20 | 2019-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-20 | 2019-04-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-20 | 2019-04-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-17 | 2018-09-15 | Y |
| 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 |
