Deficiency Records for Crook County Medical Services District Ltc
Updated as of April 01, 2024
A list of the most recent deficiencies for Crook County Medical Services District Ltc. 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? |
|---|---|---|---|---|
| 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 | 2023-02-16 | 2023-04-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-04-15 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-16 | 2023-04-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-16 | 2023-04-15 | 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 | 2023-02-16 | 2023-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-16 | 2023-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-04-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-16 | 2023-04-15 | N |
| Post nurse staffing information every day. | Health | 2023-02-16 | 2023-04-15 | 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 | 2023-02-16 | 2023-04-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-02-16 | 2023-04-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-16 | 2023-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-04-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-16 | 2023-04-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-16 | 2023-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-16 | 2023-04-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-02 | 2022-09-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-02 | 2022-09-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-21 | 2022-08-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-07 | 2022-05-24 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-03-02 | 2022-04-15 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-03-02 | 2022-04-08 | 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 | 2022-03-02 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-03-24 | 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 | 2021-03-04 | 2021-04-01 | 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 | 2021-03-04 | 2021-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-02 | 2021-03-31 | N |
