A list of the most recent deficiencies for Crescent Health Care. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-28 | 2024-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-28 | 2024-02-09 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-25 | 2024-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-25 | 2024-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-25 | 2024-01-05 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-10-31 | 2023-12-08 | 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 | 2023-10-31 | 2023-12-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-31 | 2023-12-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-31 | 2023-12-08 | 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 | 2023-10-31 | 2023-12-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-31 | 2023-12-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-31 | 2023-12-08 | 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 | 2023-10-31 | 2023-12-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-31 | 2023-12-08 | 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 | 2023-10-31 | 2023-12-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-31 | 2023-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-31 | 2023-12-08 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Meet other general requirements. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-09 | 2023-11-10 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-09 | 2023-11-10 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-09-06 | 2022-11-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-06 | 2022-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-06 | 2022-10-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-14 | 2022-10-21 | N |
| 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 | 2022-09-14 | 2022-10-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-14 | 2022-10-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-14 | 2022-10-21 | 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 | 2022-09-14 | 2022-10-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-14 | 2022-10-21 | 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 | 2022-09-14 | 2022-10-21 | 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 | 2022-09-14 | 2022-10-21 | 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 | 2022-09-14 | 2022-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-10-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-14 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-06 | 2022-10-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-06 | 2022-10-10 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-09-06 | 2022-10-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-06 | 2022-10-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-06 | 2022-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-06 | 2022-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-16 | 2022-02-25 | Y |
| 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 | 2019-09-12 | 2019-10-17 | N |
| Post nurse staffing information every day. | Health | 2019-09-12 | 2019-10-17 | 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 | 2019-09-12 | 2019-10-17 | 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 | 2019-09-12 | 2019-10-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-10 | 2019-09-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-10 | 2019-09-20 | N |
