Deficiency Records for Crossroads Care Center of Weyauwega
Updated as of May 01, 2024
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Deficiency Records for Crossroads Care Center of Weyauwega
A list of the most recent deficiencies for Crossroads Care Center of Weyauwega. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Crossroads Care Center of Weyauwega. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-14 | 2024-03-13 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-02-14 | 2024-03-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-14 | 2024-03-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-14 | 2024-03-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-14 | 2024-03-13 | 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 | 2024-02-14 | 2024-03-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-14 | 2024-03-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-14 | 2024-03-13 | 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 | 2024-02-13 | 2024-03-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-13 | 2024-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-13 | 2024-03-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-13 | 2024-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-13 | 2024-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-01 | 2023-11-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-01 | 2023-11-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-15 | 2023-03-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-15 | 2023-03-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-28 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-01-12 | 2023-02-28 | 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 | 2023-01-12 | 2023-02-28 | 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 | 2023-01-12 | 2023-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-12 | 2023-02-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-12 | 2023-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-12 | 2023-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-12 | 2023-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-12 | 2023-02-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-12 | 2023-02-14 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-01-12 | 2023-02-14 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-12 | 2023-02-06 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-12 | 2023-02-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-10 | 2022-12-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-09 | 2022-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-01 | 2022-03-04 | 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 | 2022-02-01 | 2022-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-01 | 2022-03-04 | N |
| Respond appropriately to all alleged violations. | Health | 2022-02-01 | 2022-03-04 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-31 | 2022-02-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-31 | 2022-02-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-01-31 | 2022-02-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-31 | 2022-02-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-31 | 2022-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-31 | 2022-02-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-04 | 2021-11-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-04 | 2021-11-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-30 | 2021-09-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-03 | 2021-09-03 | 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 | 2021-05-24 | 2021-06-23 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-24 | 2021-06-23 | Y |
| Post nurse staffing information every day. | Health | 2021-05-24 | 2021-06-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-24 | 2021-06-23 | 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 | 2024-02-13 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-13 | Not Fixed | N |
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