Deficiency Records for Cross Timbers Nursing and Rehabilitation
Updated as of January 01, 2020
This is not the most recent data for Cross Timbers Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Cross Timbers Nursing 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-12 | 2019-10-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-05 | 2019-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-05 | 2019-09-27 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-03-18 | 2019-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-18 | 2019-06-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-18 | 2019-05-22 | 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 | 2019-03-18 | 2019-05-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-03-18 | 2019-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-18 | 2019-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-18 | 2019-05-22 | 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 | 2019-03-20 | 2019-05-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-03-20 | 2019-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-20 | 2019-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-20 | 2019-05-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-20 | 2019-05-22 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-03-20 | 2019-05-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-03-20 | 2019-05-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-20 | 2019-05-22 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-04 | 2018-02-15 | 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 | 2018-01-04 | 2018-02-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Have an externally vented heating system. | Fire Safety | 2018-01-04 | 2018-02-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-01-04 | 2018-02-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-01-04 | 2018-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-04 | 2018-02-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-01-04 | 2018-02-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-04 | 2018-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-04 | 2018-02-06 | N |
