Crystal Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Crystal Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF686Dec 9, 2025

  Based on interviews, record review and facility policy review, the facility failed to ensure timely assessment, physician notification, and initiation of appropriate treatment for an identified pressure ulcer to prevent further deterioration and promote healing for one (1) of three (3) residents reviewed for pressure ulcers. Resident #1.Findings Include:Record review of facility policy The [Proper Name of Corporation] Skin Integrity Prevention and Treatment Program revealed .Weekly Skin Integrity Checks a. Weekly assessment looking for new wounds-completed by a licensed nurse; b.Document on/in Treatment Record; c. […]

• No harm, potential for more than minimal, widespreadF865Oct 24, 2024

  Based on staff interview, record review and facility policy review the facility failed to ensure there was an effective Quality Assurance and Performance Improvement (QAPI) program, as evidenced by repeat deficiencies for Activities of Daily Living (ADL) F677 over the last three annual surveys. Findings Include Review of the facility policy titled, (Proper facility name) QAPI Program with no revision date revealed under the Purpose Statement .The purpose of Quality Assurance Performance Improvement committee is to create a system for improving the care for our residents . […]

• No harm, potential for more than minimal, widespreadF880Oct 24, 2024

  Based on observation, staff interview, record review and facility policy review, the facility failed to inform staff and visitors of residents that were in Transmission-Based Precautions (TBP) for six (6) of six (6) positive COVID-19 residents reviewed. Residents #6, #28, #29, #38, #81, and #84. Cross Reference F882 Findings Include: Record review of the facility policy titled, COVID-19 Policy and Procedures with a revision date of 9/15/23 revealed under, Training: Signage should be posted describing ways to prevent the spread of germs and protect against COVID-19 virus. […]

• No harm, potential for more than minimal, widespreadF882Oct 24, 2024

  Based on observations, staff interviews, record review and facility policy review, the facility failed to ensure the Infection Preventionist fully implemented the Infection Control Program, as evidence by failure to ensure signage was applied to resident's rooms that were under Transmission-Based Precautions and complete surveillance for the current COVID-19 outbreak for one (1) of three (3) days of survey. Cross Reference F880 Findings Include: Record review of the facility policy titled, COVID-19 Policy and Procedures with a revision date of 9-15-23 revealed under, Training: Signage should be posted describing ways to prevent the spread of germs and protect against COVID-19 virus .Core Principles of COVID-19 Infection Prevention .Instructional signage throughout the facility and proper… […]

• No harm, potential for more than minimal, patternF656Oct 24, 2024

  Based on observation, staff and resident interview, record review and facility policy review, the facility failed to implement an Activities of Daily Living (ADL) care plan for a resident that was dependent on staff for nail care and shaving (Resident #11, #13, #47, #51) and failed to implement a care plan for a resident requiring a hand splint (Resident #62) for five (5) of 29 care plans reviewed. Findings Include A review of the facility policy titled, Care Pans, Comprehensive, Person-Centered, revealed, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident ' s physical, psychosocial and functional needs is developed and implemented for each resident . […]