A list of the most recent deficiencies for Crown Rehab and Healthcare 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? |
|---|---|---|---|---|
| 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 | 2023-07-21 | 2023-09-04 | 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 | 2023-07-21 | 2023-09-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-21 | 2023-09-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-21 | 2023-09-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-21 | 2023-09-04 | 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 | 2023-07-21 | 2023-09-04 | N |
| Provide or obtain dental services for each resident. | Health | 2023-07-21 | 2023-09-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-07-21 | 2023-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-09-04 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-07-21 | 2023-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-09-04 | 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 | 2023-07-21 | 2023-09-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-07-21 | 2023-09-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-07 | 2022-04-15 | 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 | 2022-03-07 | 2022-04-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-07 | 2022-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-07 | 2022-04-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-03-07 | 2022-04-15 | N |
| Post nurse staffing information every day. | Health | 2022-03-07 | 2022-04-15 | 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 | 2022-03-07 | 2022-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-07 | 2022-04-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-07 | 2022-04-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-03-07 | 2022-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-07 | 2022-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-07 | 2022-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-07 | 2022-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-07 | 2022-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-07 | 2022-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-15 | 2021-11-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-08 | 2021-11-05 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-08 | 2021-10-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-09-08 | 2021-10-15 | N |
| Report COVID19 data to residents and families. | Health | 2021-09-08 | 2021-10-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-28 | 2021-07-08 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-05-28 | 2021-07-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-28 | 2021-07-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-28 | 2021-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-28 | 2021-07-08 | 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 | 2021-05-28 | 2021-07-08 | 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 | 2021-05-28 | 2021-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-28 | 2021-07-08 | N |
| Dispose of garbage and refuse properly. | Health | 2021-05-28 | 2021-07-08 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-05-28 | 2021-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-07-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-28 | 2021-07-08 | N |
