Deficiency Records for Crystal Creek at Preston Hollow
Updated as of October 01, 2022
This is not the most recent data for Crystal Creek at Preston Hollow. For the most recent information, click here.
A list of the most recent deficiencies for Crystal Creek at Preston Hollow. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-12 | 2022-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-06-01 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-04-13 | 2022-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-13 | 2022-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-13 | 2022-05-20 | 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 | 2022-04-13 | 2022-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-13 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-13 | 2022-05-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-30 | 2021-12-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-30 | 2021-12-06 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-06-09 | 2021-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-16 | 2021-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-10 | 2020-12-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-13 | 2019-07-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-13 | 2019-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-13 | 2019-07-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-06-13 | 2019-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-13 | 2019-07-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-12 | 2018-07-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-07-12 | 2018-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-07-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-07-12 | 2018-07-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-12 | 2018-07-13 | N |
