Focused Care at Crane

In the surveyor’s words

From the most serious findings on record at Focused Care at Crane, in the surveyor’s own words.

• Immediate jeopardy, patternF689Apr 25, 2024

  Based on observations, interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 3 of 4 halls (Hall 300, Hall 400, and Hall 500) reviewed for accidents and supervision. 1. The temperature reading for Hall 300 shower room sink was 119 F. 2. The temperature reading for Hall 400 shower room sink was 141.3 F and for the shower itself was 137.9 F. 3. The temperature for Hall 500 shower was 136 F. 4. The temperature readings for Hall 500 resident sinks were in temperature ranges from 130 F to 135 5. The temperature of Hall 500 hot water heater was 140 F. An Immediate Jeopardy (IJ) situation was identified on 04/22/2024. […]

• Actual harm, isolatedF686May 20, 2021

  Based on interview and record review, the facility failed to provide the necessary treatment and services, based on the comprehensive assessment and consistent with professional standards of practice to promote healing and prevent worsening of pressure injuries to 1 of 4 residents (Resident #1) reviewed for pressure ulcers. The facility failed to identify, assess and provide care for Resident #1's facility acquired unstageable pressure injury to her left heel. This deficient practice could place residents at risk for pressure injuries, pain, and a decline in health. Findings included: Record review of Resident #1's Face Sheet (Admission Record) dated 5/20/21 indicated an [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF868Jun 26, 2025

  Based on interviews and record review, the facility failed to maintain a quality assessment and assurance committee consisting at a minimum the required committee members for 3 of 4 quarterly meetings reviewed for QAPI. The facility did not ensure the MD, or a representative attended quarterly QAPI meetings. This failure could place residents at risk for quality deficiencies being unidentified, no appropriate plans of action developed and implemented, and no appropriate guidance developed. Findings included: Interview during the Entrance Conference on 6/24/25 at 9:56 a.m. the Administrator identified the Medical Director. […]

• No harm, potential for more than minimal, widespreadF814Feb 24, 2023

  Based on the observations, interviews, and record reviews the facility failed to dispose of garbage and refuse properly for 6 of 6 dumpster and 1 of 1 oil fryer container reviewed for food safety requirements. 1. Garbage and refuse were observed on the ground near the dumpsters in the back of the facility. 2. 2 dumpsters were observed uncovered with garbage inside and one fry oil container was uncovered with used fry oil in it. This failure could affect residents by placing them at risk of illnesses, or be provided a unsafe, unsanitary and uncomfortable environment. Findings include: Observation on 02/21/2023 at 8:40 a.m., with Dietary Manager, six metal dumpsters and one metal oil (fryer) container were lined up in a row around 50 to 75 feet away from facility. […]

• No harm, potential for more than minimal, widespreadF838Nov 19, 2021

  Based on interview and record review, the facility failed to conduct and document a facility-wide assessment to determine what resources were necessary to care for its residents competently during both day-to-day operations and emergencies. The facility's failure could place the resident population at risk for not having resources identified and available to provide the necessary care and services the residents required. The findings included: Review of the facility's Facility Assessment documented the facility completed an incomplete assessment of: The facility's Facility Assessment did not assess the facility's: Average or maximum census. […]