Deficiency Records for Crestwood Ridge Skilled Nursing and Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for Crestwood Ridge Skilled Nursing and Rehab. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-15 | 2023-08-28 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-07-06 | 2023-07-31 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-06 | 2023-07-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-19 | 2023-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-19 | 2023-02-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-05 | 2022-06-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-05 | 2022-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-05 | 2022-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-05 | 2022-06-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-05-05 | 2022-06-10 | 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 | 2022-05-05 | 2022-06-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-05 | 2022-06-10 | 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 necessary and PRN use is limited. | Health | 2022-05-05 | 2022-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-03 | 2022-06-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-03 | 2022-06-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-03 | 2022-06-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-03 | 2022-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-03 | 2022-06-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-05-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-29 | 2021-05-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-09 | 2019-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-07 | 2019-07-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-05-07 | 2019-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-07-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-07 | 2019-07-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-07 | 2019-07-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-07 | 2019-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-05 | 2018-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-05 | 2018-04-26 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-04 | 2018-04-26 | N |
