A list of the most recent deficiencies for Northcrest Rehab and Nursing 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? |
|---|---|---|---|---|
| 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 | 2023-12-28 | 2024-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-28 | 2024-01-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-06-26 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-08 | 2023-06-26 | 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 | 2023-03-02 | 2023-03-16 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-03-02 | 2023-03-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-04 | 2023-02-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-01 | 2022-12-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-17 | 2022-09-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-17 | 2022-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-17 | 2022-09-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-17 | 2022-09-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-17 | 2022-09-06 | 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 | 2022-08-17 | 2022-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-09-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-17 | 2022-09-06 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-08-17 | 2022-09-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-17 | 2022-09-06 | 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 | 2022-08-17 | 2022-09-06 | 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 | 2022-08-08 | 2022-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-08 | 2022-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-09-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-08 | 2022-09-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-08 | 2022-09-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-08 | 2021-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-08 | 2021-12-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-02 | 2019-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-02 | 2019-09-03 | 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 | 2019-08-02 | 2019-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-02 | 2019-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-02 | 2019-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-29 | 2019-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-29 | 2019-09-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-29 | 2019-09-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-28 | 2018-08-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-28 | 2018-08-10 | 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 | 2018-06-28 | 2018-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-25 | 2018-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-25 | 2018-08-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-25 | 2018-08-10 | N |
