A list of the most recent deficiencies for Crestwood Health Care Center, LLC. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-14 | 2023-05-24 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-04-14 | 2023-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-01 | 2023-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-23 | 2023-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-22 | 2023-01-24 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-07-13 | 2022-08-27 | Y |
| 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 | 2022-07-13 | 2022-08-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-13 | 2022-08-27 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-07-13 | 2022-08-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-13 | 2022-08-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-13 | 2022-08-27 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-07-13 | 2022-08-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-13 | 2022-08-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-13 | 2022-08-27 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-07-13 | 2022-08-27 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-07 | 2022-05-13 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-21 | 2022-01-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-21 | 2021-09-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-21 | 2021-09-04 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-07-21 | 2021-09-04 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-07-21 | 2021-09-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-07-21 | 2021-09-04 | 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 | 2021-07-21 | 2021-09-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-07-21 | 2021-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-21 | 2021-09-04 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-21 | 2021-09-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-21 | 2021-09-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-21 | 2021-09-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-07-21 | 2021-09-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-21 | 2021-09-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-21 | 2021-09-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-21 | 2021-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-21 | 2021-09-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-21 | 2021-09-04 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2021-07-21 | 2021-09-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-21 | 2021-09-04 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-07-21 | 2021-09-04 | 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 | 2021-07-21 | 2021-09-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-21 | 2021-09-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-21 | 2021-09-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-21 | 2021-09-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-21 | 2021-09-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-21 | 2021-09-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-21 | 2021-09-04 | 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 | 2021-07-21 | 2021-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-21 | 2021-09-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-21 | 2021-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-21 | 2021-09-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-21 | 2021-09-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-21 | 2021-09-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-21 | 2021-09-04 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-01-31 | 2020-03-13 | 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 | 2020-01-31 | 2020-03-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-31 | 2020-03-13 | 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 | 2020-01-31 | 2020-03-13 | 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 | 2020-01-31 | 2020-03-13 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-01-31 | 2020-03-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2020-01-31 | 2020-03-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2020-01-31 | 2020-03-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-31 | 2020-03-13 | 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 | 2020-01-31 | 2020-03-13 | 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 | 2020-01-31 | 2020-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-31 | 2020-03-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-31 | 2020-03-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-31 | 2020-03-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-31 | 2020-03-13 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-01-22 | 2019-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-22 | 2019-02-28 | 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 | 2019-01-22 | 2019-02-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-22 | 2019-02-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-22 | 2019-02-28 | 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 | 2019-01-22 | 2019-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-22 | 2019-02-28 | 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 | 2019-01-22 | 2019-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-22 | 2019-02-28 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-01-22 | 2019-02-28 | 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 | 2019-01-22 | 2019-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-22 | 2019-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-22 | 2019-02-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-22 | 2019-02-28 | N |
