Deficiency Records for Crestwood Rehabilitation and Nursing
Updated as of February 01, 2020
This is not the most recent data for Crestwood Rehabilitation and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Crestwood Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-11 | 2020-01-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-09 | 2019-07-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-09 | 2019-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-09 | 2019-07-26 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-05-09 | 2019-07-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-09 | 2019-07-26 | 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 | 2019-05-09 | 2019-07-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-09 | 2019-07-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-05-09 | 2019-07-26 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-05-09 | 2019-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-07-26 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-05-07 | 2019-05-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-07 | 2019-05-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-07 | 2019-05-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-07 | 2019-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-26 | 2018-04-23 | 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 | 2018-03-26 | 2018-04-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-03-26 | 2018-04-23 | 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 | 2018-03-26 | 2018-04-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-03-26 | 2018-04-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-26 | 2018-04-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-26 | 2018-04-23 | 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 | 2018-03-26 | 2018-04-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-26 | 2018-04-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-03-26 | 2018-04-23 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-03-26 | 2018-04-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-03-26 | 2018-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-26 | 2018-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-26 | 2018-04-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-26 | 2018-04-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-26 | 2018-04-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-03-26 | 2018-04-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-26 | 2018-04-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-03-26 | 2018-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-26 | 2018-04-23 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-20 | 2018-04-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-20 | 2018-03-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-20 | 2018-03-30 | N |
| Hire sufficient dietary support personnel. | Health | 2016-12-01 | 2017-01-30 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-12-01 | 2017-01-30 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-12-01 | 2017-01-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-01 | 2017-01-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-01 | 2017-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-30 | 2016-12-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2016-11-30 | 2016-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-30 | 2016-12-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-30 | 2016-12-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-11-30 | 2016-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-30 | 2016-12-31 | N |
