Deficiency Records for Crossroads Care Center of Sun Prairie
Updated as of March 01, 2024
A list of the most recent deficiencies for Crossroads Care Center of Sun Prairie. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2023-04-27 | 2023-05-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-27 | 2023-05-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-27 | 2023-05-25 | 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 | 2023-04-24 | 2023-05-25 | 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 | 2023-04-24 | 2023-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-24 | 2023-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-24 | 2023-05-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-10 | 2022-11-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-04-15 | 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 | 2022-03-16 | 2022-04-15 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-04-13 | 2021-05-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-11 | 2021-04-08 | Y |
| 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 | 2021-03-11 | 2021-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-11 | 2021-04-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-03-11 | 2021-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-11 | 2021-04-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-03-11 | 2021-04-08 | 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 | 2021-03-11 | 2021-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-11 | 2021-04-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-11 | 2021-04-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-11 | 2021-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-10 | 2021-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-10 | 2021-04-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-10 | 2021-04-08 | N |
