Deficiency Records for Gold Crest Retirement Center
Updated as of May 01, 2021
This is not the most recent data for Gold Crest Retirement Center. For the most recent information, click here.
A list of the most recent deficiencies for Gold Crest Retirement 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? |
|---|---|---|---|---|
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2020-08-14 | 2020-09-18 | 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 | 2020-08-14 | 2020-09-18 | 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 | 2020-08-14 | 2020-09-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-08-14 | 2020-09-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-08-18 | 2020-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-18 | 2020-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-08-18 | 2020-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-18 | 2020-09-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-08-18 | 2020-09-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-08-18 | 2020-09-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-27 | 2019-04-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-27 | 2019-04-19 | 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 | 2019-02-27 | 2019-04-19 | 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 | 2019-02-27 | 2019-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-27 | 2019-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-27 | 2019-04-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-27 | 2019-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-27 | 2019-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-27 | 2019-04-19 | 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 | 2019-03-05 | 2019-04-12 | 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 | 2019-03-05 | 2019-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-05 | 2019-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-05 | 2019-04-12 | 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 | 2019-03-05 | 2019-04-12 | 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 | 2019-03-05 | 2019-04-12 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-05 | 2019-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-05 | 2019-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-05 | 2019-04-12 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-03-05 | 2019-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-16 | 2018-01-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-11-16 | 2017-12-18 | 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 | 2017-11-16 | 2017-12-18 | 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 | 2017-11-16 | 2017-12-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-11-16 | 2017-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-16 | 2017-12-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-11-16 | 2017-12-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-11-16 | 2017-12-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-16 | 2017-12-18 | N |
