A list of the most recent deficiencies for Crowell Memorial 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-14 | 2024-01-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-14 | 2023-12-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-26 | 2023-08-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-26 | 2023-08-09 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-18 | 2023-07-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-18 | 2023-07-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-18 | 2023-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-18 | 2023-07-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-20 | 2023-06-15 | 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 | 2023-04-20 | 2023-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-20 | 2023-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-06-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-20 | 2023-06-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-20 | 2023-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-06-15 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-18 | 2023-06-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-18 | 2023-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-18 | 2023-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-17 | 2022-04-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-17 | 2022-04-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-17 | 2022-04-20 | 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 | 2022-03-17 | 2022-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-03-15 | 2022-04-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-12 | 2022-02-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-26 | 2021-11-22 | Y |
| 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 | 2021-03-01 | 2021-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-01 | 2021-04-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-01 | 2021-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-01 | 2021-04-08 | Y |
| 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 | 2021-03-01 | 2021-04-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-01 | 2021-04-08 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-03-01 | 2021-04-08 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-08-17 | 2020-10-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-08-17 | 2020-10-02 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2020-08-17 | 2020-10-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-08-17 | 2020-10-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-17 | 2020-10-02 | N |
| Respond appropriately to all alleged violations. | Health | 2020-08-17 | 2020-10-02 | 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 | 2020-08-17 | 2020-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-08-17 | 2020-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-17 | 2020-10-02 | 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 | 2020-08-17 | 2020-10-02 | 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 | 2020-08-17 | 2020-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-08-17 | 2020-10-02 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-08-17 | 2020-10-02 | 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 | 2020-08-17 | 2020-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-17 | 2020-10-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-08-06 | 2020-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-06 | 2020-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-06 | 2020-09-28 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2020-08-06 | 2020-09-28 | N |
