Deficiency Records for Crossroads Care Center of Fond Du Lac
Updated as of November 01, 2021
This is not the most recent data for Crossroads Care Center of Fond Du Lac. For the most recent information, click here.
A list of the most recent deficiencies for Crossroads Care Center of Fond Du Lac. 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-28 | 2021-05-26 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-28 | 2021-05-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-28 | 2021-05-26 | 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 | 2021-04-28 | 2021-05-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-28 | 2021-05-26 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-28 | 2021-05-26 | N |
Implement a program that monitors antibiotic use. | Health | 2021-04-28 | 2021-05-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-26 | 2021-05-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-26 | 2021-05-26 | 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 | 2020-08-04 | 2020-08-28 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-08-04 | 2020-08-28 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-08-04 | 2020-08-28 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-04 | 2020-08-14 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-15 | 2020-08-14 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-07-15 | 2020-08-14 | Y |
Respond appropriately to all alleged violations. | Health | 2020-07-15 | 2020-08-14 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-07-15 | 2020-08-14 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-12-17 | 2020-01-13 | 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 | 2019-12-17 | 2020-01-13 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-17 | 2020-01-13 | 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 | 2019-12-17 | 2020-01-13 | 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 | 2019-12-17 | 2020-01-13 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-17 | 2020-01-13 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-16 | 2020-01-13 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-12-16 | 2020-01-13 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-12-16 | 2020-01-13 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-01 | 2019-11-01 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-01 | 2019-11-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-01 | 2019-11-01 | Y |
Ensure that residents are free from significant medication errors. | Health | 2019-10-01 | 2019-11-01 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-19 | 2019-03-19 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-19 | 2019-03-19 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-19 | 2019-03-19 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-19 | 2019-03-19 | 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 | 2019-02-19 | 2019-03-19 | Y |
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 | 2019-02-19 | 2019-03-19 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-19 | 2019-03-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-19 | 2019-03-19 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-19 | 2019-03-19 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-19 | 2019-03-19 | Y |
Ensure that residents are free from significant medication errors. | Health | 2019-02-19 | 2019-03-19 | Y |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-02-14 | 2019-03-15 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-02-14 | 2019-03-15 | N |
Meet other general requirements. | Fire Safety | 2019-02-14 | 2019-02-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-14 | 2019-02-15 | N |