Deficiency Records for The Chateau at Mountain Crest Nursing and Rehab Ctr
Updated as of March 01, 2019
This is not the most recent data for The Chateau at Mountain Crest Nursing and Rehab Ctr. For the most recent information, click here.
A list of the most recent deficiencies for The Chateau at Mountain Crest Nursing and Rehab Ctr. 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 or obtain dental services for each resident. | Health | 2018-12-19 | 2019-01-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-17 | 2018-12-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-07 | 2018-09-10 | 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 | 2018-08-07 | 2018-09-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Be properly staffed | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-07 | 2018-09-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-21 | 2018-09-10 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-06-21 | 2018-09-10 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-08-09 | 2018-09-10 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-08-09 | 2018-09-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-09 | 2018-09-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-09 | 2018-09-10 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-08-09 | 2018-09-10 | 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 | 2018-08-09 | 2018-09-10 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-08-09 | 2018-09-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-09 | 2018-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-09 | 2018-09-10 | 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 | 2018-08-09 | 2018-09-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-08-09 | 2018-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-09 | 2018-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-09 | 2018-09-10 | 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 | 2018-08-09 | 2018-09-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-09 | 2018-09-10 | 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 ne | Health | 2018-08-09 | 2018-09-10 | 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 | 2018-08-09 | 2018-09-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-08-09 | 2018-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-09 | 2018-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-09 | 2018-09-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-09 | 2018-09-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-07-10 | 2018-08-07 | Y |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-07-10 | 2018-08-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-20 | 2018-03-14 | Y |
| Keep all essential equipment working safely. | Health | 2017-10-12 | 2017-11-08 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-06-06 | 2017-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-06 | 2017-07-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-06 | 2017-07-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-06-06 | 2017-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-06 | 2017-07-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-06 | 2017-07-19 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-06-19 | 2017-07-19 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-19 | 2017-07-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-19 | 2017-07-19 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-19 | 2017-07-19 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-06-19 | 2017-07-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-06-19 | 2017-07-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-19 | 2017-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-19 | 2017-06-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-25 | 2017-05-16 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-25 | 2017-05-16 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-03-06 | 2017-05-16 | Y |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2017-03-06 | 2017-05-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-22 | 2017-01-27 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-25 | 2016-09-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-08-25 | 2016-09-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-13 | 2016-09-16 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-07-13 | 2016-09-16 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-22 | 2016-05-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-22 | 2016-05-31 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-04-22 | 2016-05-31 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-04-22 | 2016-05-31 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-04-22 | 2016-05-31 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-22 | 2016-05-31 | N |
| An externally vented heating system. | Fire Safety | 2016-04-22 | 2016-05-31 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-04-22 | 2016-05-31 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-04-21 | 2016-05-31 | N |
| Give notice to the resident before a room or roommate change. | Health | 2016-04-21 | 2016-05-31 | N |
| Provide housekeeping and maintenance services. | Health | 2016-04-21 | 2016-05-31 | N |
| Maintain comfortable and safe temperature levels. | Health | 2016-04-21 | 2016-05-31 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-04-21 | 2016-05-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-21 | 2016-05-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-21 | 2016-05-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-21 | 2016-05-31 | N |
