A list of the most recent deficiencies for Crystal Ridge Care Center. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-28 | 2024-01-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-28 | 2023-04-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-29 | 2023-04-14 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-11 | 2022-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-11 | 2022-11-21 | 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 | 2022-10-07 | 2022-11-07 | 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 | 2022-10-07 | 2022-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-07 | 2022-11-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-07 | 2022-11-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-10-07 | 2022-11-07 | 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 | 2022-10-07 | 2022-11-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-07 | 2022-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-11-07 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-07 | 2022-11-07 | 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 | 2022-09-20 | 2022-10-26 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-10 | 2022-08-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-16 | 2021-11-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-30 | 2021-09-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-08 | 2019-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-08 | 2019-05-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-08 | 2019-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-08 | 2019-05-22 | 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 | 2019-03-08 | 2019-05-22 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-08 | 2019-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-08 | 2019-05-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-03-08 | 2019-05-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-08 | 2019-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-08 | 2019-05-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-10 | 2019-04-23 | 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 | 2019-04-10 | 2019-04-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-10 | 2019-04-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-12-20 | 2018-01-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-12-20 | 2018-01-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-12-20 | 2018-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-20 | 2018-01-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-20 | 2018-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-20 | 2018-01-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-20 | 2018-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-07 | 2018-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-07 | 2018-01-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-07 | 2018-01-04 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2017-12-07 | 2018-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-07 | 2018-01-04 | 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 | 2017-12-07 | 2018-01-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2017-12-07 | 2018-01-04 | 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 | 2017-12-07 | 2018-01-04 | 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 | 2017-12-07 | 2018-01-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-07 | 2018-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-07 | 2018-01-04 | N |
