Deficiency Records for Crescent Manor Care Ctrs
Updated as of August 01, 2020
This is not the most recent data for Crescent Manor Care Ctrs. For the most recent information, click here.
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? |
---|---|---|---|---|
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-11-26 | 2020-01-08 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-26 | 2020-01-08 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-13 | 2019-09-02 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-13 | 2019-09-02 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-08-13 | 2019-09-02 | Y |
Establish policies and procedures for medical documentation. | Fire Safety | 2019-05-08 | 2019-06-02 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-05-08 | 2019-06-02 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-05-08 | 2019-06-02 | 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 | 2019-05-08 | 2019-06-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-08 | 2019-06-02 | 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 | 2019-05-08 | 2019-06-02 | N |
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 | 2019-04-17 | 2019-05-08 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-17 | 2019-05-08 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-17 | 2019-05-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-17 | 2019-05-08 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-11-16 | 2018-12-21 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-16 | 2018-12-21 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-11-16 | 2018-12-21 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-16 | 2018-12-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-16 | 2018-12-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-12 | 2018-05-09 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-04-18 | 2018-05-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-04-18 | 2018-05-08 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-18 | 2018-05-08 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-18 | 2018-05-08 | 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 | 2018-04-18 | 2018-05-08 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-18 | 2018-05-08 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-04-18 | 2018-05-08 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-18 | 2018-05-08 | 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 | 2018-03-14 | 2018-04-09 | Y |
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 | 2018-03-14 | 2018-04-09 | Y |
Completely assess the resident at least every twelve months. | Health | 2017-10-25 | 2017-11-18 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-10-25 | 2017-11-18 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-25 | 2017-11-18 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-25 | 2017-11-18 | N |
Tell 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 | 2017-09-11 | 2017-09-30 | Y |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-09-11 | 2017-09-30 | Y |
Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-09-11 | 2017-09-30 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-11 | 2017-09-30 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-11 | 2017-09-30 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-11 | 2017-09-30 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-29 | 2017-09-22 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-08-29 | 2017-09-14 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-13 | 2017-05-12 | Y |
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 | 2017-10-23 | Not Fixed | 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 | 2017-10-23 | Not Fixed | N |
Install an approved automatic sprinkler system. | Fire Safety | 2017-10-23 | Not Fixed | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-23 | Not Fixed | N |