A list of the most recent deficiencies for Crescent Manor Care Ctrs. 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? |
|---|---|---|---|---|
| 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 | 2023-10-05 | 2023-11-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-05 | 2023-10-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-05 | 2023-10-27 | 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 | 2023-07-26 | 2023-09-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-26 | 2023-09-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-26 | 2023-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-26 | 2023-09-01 | 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 | 2023-07-26 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-18 | 2023-05-26 | Y |
| 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 | 2023-04-18 | 2023-05-26 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-04-18 | 2023-05-26 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-02-17 | 2023-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-27 | 2022-09-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-07-27 | 2022-09-05 | 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 | 2022-07-27 | 2022-09-05 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-07-27 | 2022-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-09 | 2021-07-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-09 | 2021-07-06 | 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 | 2021-06-09 | 2021-07-06 | 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 | 2021-06-09 | 2021-07-06 | 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 | 2021-06-09 | 2021-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-09 | 2021-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-09 | 2021-07-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-09 | 2021-07-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-09 | 2021-07-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-09 | 2021-07-06 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-09 | 2021-07-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-09 | 2021-07-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-09 | 2021-07-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-07 | 2021-06-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-06-07 | 2021-06-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-06-07 | 2021-06-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-07 | 2021-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-07 | 2021-06-07 | 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 | 2021-03-23 | 2021-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-23 | 2021-04-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-23 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-23 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-17 | Not Fixed | Y |
