Deficiency Records for Crystal Lake Healthcare and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Crystal Lake Healthcare and Rehabilitation. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-08 | 2024-02-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-08 | 2024-02-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-08 | 2024-02-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-08 | 2024-02-13 | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-08 | 2024-02-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-02-08 | 2024-02-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-08 | 2024-02-13 | N |
| 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 | 2024-02-08 | 2024-02-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-08 | 2024-02-13 | 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 | 2024-02-08 | 2024-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-02-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-18 | 2023-09-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-18 | 2023-09-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-18 | 2023-09-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-18 | 2023-09-08 | 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 | 2021-10-29 | 2021-11-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-29 | 2021-11-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-10-29 | 2021-11-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-29 | 2021-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-29 | 2021-11-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-29 | 2021-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-29 | 2021-11-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-29 | 2021-11-26 | 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 | 2021-10-29 | 2021-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-29 | 2021-11-26 | N |
| Dispose of garbage and refuse properly. | Health | 2021-10-29 | 2021-11-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-29 | 2021-11-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-10-29 | 2021-11-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-29 | 2021-11-26 | 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 | 2021-10-29 | 2021-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-29 | 2021-11-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-29 | 2021-11-26 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-10-29 | 2021-11-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-29 | 2021-11-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-29 | 2021-11-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-19 | 2021-09-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-19 | 2021-09-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-23 | 2020-02-04 | N |
