Deficiency Records for Crestview Home
Updated as of May 01, 2024
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Deficiency Records for Crestview Home
A list of the most recent deficiencies for Crestview Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Crestview Home. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-10 | 2023-07-07 | Y |
| Keep all essential equipment working safely. | Health | 2023-05-10 | 2023-06-24 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-10 | 2023-06-24 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-10 | 2023-06-24 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-10 | 2023-06-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-10 | 2023-06-24 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-10 | 2023-06-24 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-10 | 2023-06-24 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-10 | 2023-06-24 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-10 | 2023-06-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-01 | 2023-03-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-01 | 2023-03-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-13 | 2023-03-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-05 | 2023-01-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-16 | 2023-01-11 | 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 | 2022-08-05 | 2022-11-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-05 | 2022-11-08 | 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 | 2022-08-05 | 2022-11-08 | 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 | 2022-08-05 | 2022-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-05 | 2022-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-05 | 2022-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-05 | 2022-11-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-08-05 | 2022-09-16 | N |
| 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 | 2022-08-05 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-05 | 2022-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-05 | 2022-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-09-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-08-05 | 2022-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-05 | 2022-09-16 | N |
| Post nurse staffing information every day. | Health | 2022-08-05 | 2022-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-05 | 2022-09-16 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-08-05 | 2022-09-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-05 | 2022-09-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-05 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-09-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-05 | 2022-09-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-08-05 | 2022-09-16 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-08-05 | 2022-09-16 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-08-05 | 2022-09-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-05 | 2022-09-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Meet other general requirements. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| 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 | 2022-08-05 | 2022-09-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-05 | 2022-09-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-19 | 2021-11-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-19 | 2021-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-19 | 2021-11-15 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-15 | 2021-11-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-07-15 | 2021-11-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-15 | 2021-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-15 | 2021-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-15 | 2021-08-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-23 | 2019-08-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-23 | 2019-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-23 | 2019-07-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-23 | 2019-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-23 | 2019-07-15 | 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 | 2019-05-23 | 2019-07-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-23 | 2019-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-07-15 | N |
| 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 | 2019-05-23 | 2019-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-23 | 2019-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-23 | 2019-07-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-23 | 2019-07-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-23 | 2019-07-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-05-03 | 2018-09-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-03 | 2018-09-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-03 | 2018-08-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-03 | 2018-08-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-03 | 2018-08-24 | 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 | 2018-05-03 | 2018-08-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-03 | 2018-06-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-03 | 2018-06-12 | 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 | 2018-05-03 | 2018-06-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-05-03 | 2018-06-12 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-03 | 2018-06-12 | N |
| Use approved construction type or materials. | Fire Safety | 2018-05-03 | 2018-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-03 | 2018-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-03 | 2018-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-10 | Not Fixed | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-10 | Not Fixed | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-05 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-05 | Not Fixed | N |
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