Deficiency Records for Elizabeth Adam Crump Health and Rehab
Updated as of April 01, 2020
This is not the most recent data for Elizabeth Adam Crump Health and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Elizabeth Adam Crump Health and Rehab. 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? |
---|---|---|---|---|
Keep residents' personal and medical records private and confidential. | Health | 2020-02-05 | 2020-02-19 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-30 | 2020-01-25 | Y |
Implement emergency and standby power systems. | Fire Safety | 2019-09-05 | 2019-09-27 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-05 | 2019-09-27 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-05 | 2019-09-27 | Y |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-09-05 | 2019-09-27 | Y |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-09-05 | 2019-09-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-05 | 2019-09-27 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-27 | 2019-08-30 | 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 | 2019-06-27 | 2019-08-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-27 | 2019-08-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-27 | 2019-08-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-27 | 2019-08-30 | N |
Have an externally vented heating system. | Fire Safety | 2019-06-27 | 2019-08-30 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-06-27 | 2019-08-30 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-27 | 2019-08-30 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-06-27 | 2019-08-30 | 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 | 2019-06-14 | 2019-07-14 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-14 | 2019-07-14 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-14 | 2019-07-14 | 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 | 2019-06-14 | 2019-07-14 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-14 | 2019-07-14 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-06-14 | 2019-07-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-06-14 | 2019-07-14 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-14 | 2019-07-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-14 | 2019-07-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-14 | 2019-07-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-14 | 2019-07-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-14 | 2019-07-14 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-14 | 2019-07-14 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-06-14 | 2019-07-14 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-14 | 2019-07-14 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-14 | 2019-07-14 | 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 | 2019-06-14 | 2019-07-14 | 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 | 2019-06-14 | 2019-07-14 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-06-14 | 2019-07-14 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-14 | 2019-07-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-14 | 2019-07-14 | 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 | 2019-06-14 | 2019-07-14 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-14 | 2019-07-14 | Y |
Establish policies and procedures including evacuation. | Fire Safety | 2018-04-27 | 2018-05-29 | N |
Provide emergency officials' contact information. | Fire Safety | 2018-04-27 | 2018-05-29 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-04-27 | 2018-05-29 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-27 | 2018-05-29 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-27 | 2018-05-29 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-27 | 2018-05-29 | 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 | 2018-04-27 | 2018-05-29 | N |
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 | 2018-04-27 | 2018-05-29 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-27 | 2018-05-29 | 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 | 2018-04-27 | 2018-05-29 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-27 | 2018-05-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-27 | 2018-05-29 | 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 | 2018-04-27 | 2018-05-29 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-27 | 2018-05-29 | N |
Provide activities to meet all resident's needs. | Health | 2018-04-27 | 2018-05-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-27 | 2018-05-29 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-04-27 | 2018-05-29 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-27 | 2018-05-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-27 | 2018-05-29 | 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 | 2018-04-27 | 2018-05-29 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-27 | 2018-05-29 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-04-27 | 2018-05-29 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-04-27 | 2018-05-29 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-27 | 2018-05-29 | 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 | 2018-04-27 | 2018-05-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-27 | 2018-05-29 | N |
Provide and implement an infection prevention and control program. | Health | 2018-04-27 | 2018-05-29 | 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 | 2018-04-27 | 2018-05-29 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-04-27 | 2018-05-29 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-27 | 2018-05-29 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-27 | 2018-05-29 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-04-27 | 2018-03-21 | 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 | 2017-11-03 | 2017-11-29 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-03 | 2017-11-29 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-03 | 2017-11-29 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-03 | 2017-11-29 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-03-27 | 2017-05-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-27 | 2017-05-09 | N |
Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-03-09 | 2017-04-07 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-03-09 | 2017-04-07 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-03-09 | 2017-04-07 | N |
Completely assess the resident at least every twelve months. | Health | 2017-03-09 | 2017-04-07 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-09 | 2017-04-07 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-09 | 2017-04-07 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-09 | 2017-04-07 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-09 | 2017-04-07 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-09 | 2017-04-07 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-09 | 2017-04-07 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-09 | 2017-04-07 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-09 | 2017-04-07 | N |
Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-03-09 | 2017-04-07 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-03-09 | 2017-04-07 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-09 | 2017-04-07 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-09 | 2017-04-07 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-09 | 2017-04-07 | N |