Deficiency Records for Crystal Creek Health and Rehabilitation Center
Updated as of March 01, 2021
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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-21 | 2020-10-29 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-09-21 | 2020-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-21 | 2020-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-21 | 2020-10-21 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-05 | 2020-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-05 | 2020-03-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-05 | 2020-03-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-05 | 2020-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-05 | 2020-03-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-05 | 2020-03-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-05 | 2020-03-16 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-02-05 | 2020-03-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-05 | 2020-03-16 | 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 | 2020-02-05 | 2020-03-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-05 | 2020-03-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-05 | 2020-03-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-05 | 2020-03-16 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-05 | 2020-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-05 | 2020-03-16 | 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 | 2020-02-05 | 2020-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-05 | 2020-03-16 | 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 | 2020-02-05 | 2020-03-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-05 | 2020-03-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-05 | 2020-03-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-05 | 2020-03-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-05 | 2020-03-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-05 | 2020-03-16 | 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 | 2020-02-05 | 2020-03-16 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-02-05 | 2020-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-05 | 2020-03-16 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-05 | 2020-03-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-02-05 | 2020-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-05 | 2020-03-16 | N |
| 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 |
