A list of the most recent deficiencies for Crawford Manor Healthcare 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 | 2024-01-25 | 2024-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-13 | 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 | 2023-12-28 | 2024-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-28 | 2024-02-13 | N |
| 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 | 2023-12-28 | 2024-02-13 | 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 | 2023-12-28 | 2024-02-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-28 | 2024-02-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-28 | 2024-02-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-28 | 2024-02-13 | 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 | 2023-12-27 | 2024-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-27 | 2024-02-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-27 | 2024-02-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-27 | 2024-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-27 | 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 | 2023-12-28 | 2023-12-28 | 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 | 2023-09-25 | 2023-09-11 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-10-25 | 2022-11-10 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-08-10 | 2022-08-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-10 | 2022-08-24 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-01-27 | 2022-03-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-01-27 | 2022-03-03 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-01-27 | 2022-03-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-27 | 2022-03-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-01-27 | 2022-03-03 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-01-27 | 2022-03-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-27 | 2022-03-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-27 | 2022-03-03 | 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 | 2022-01-27 | 2022-03-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-27 | 2022-03-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-27 | 2022-03-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-27 | 2022-03-03 | N |
| Provide activities to meet all resident's needs. | Health | 2022-01-27 | 2022-03-03 | N |
| Provide appropriate foot care. | Health | 2022-01-27 | 2022-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-03-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-27 | 2022-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-27 | 2022-03-03 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-01-27 | 2022-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-03-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-27 | 2022-03-03 | N |
| Report COVID19 data to residents and families. | Health | 2022-01-27 | 2022-03-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-27 | 2022-03-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-27 | 2022-03-03 | N |
| Have policies on smoking. | Health | 2022-01-27 | 2022-03-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-01-27 | 2022-03-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-19 | 2022-03-03 | 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 | 2022-01-19 | 2022-03-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-19 | 2022-03-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-02-22 | 2019-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-22 | 2019-03-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-21 | 2019-03-29 | 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 | 2019-02-21 | 2019-03-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-02-21 | 2019-03-29 | 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 | 2019-02-21 | 2019-03-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-21 | 2019-03-29 | N |
