Crestwood Rehabilitation and Nursing

This section preserves official CMS inspection text matched to this facility from the current provider page source.

Inspection Report:
2024-01-29
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
16
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-12-30 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2025-12-30 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2025-12-30 | Tag F0807 | Nutrition and Dietary Deficiencies | Severity: E
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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Survey: 2024-01-29 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2024-01-29 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2024-01-29 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Survey: 2024-01-29 | Tag F0622 | Resident Rights Deficiencies | Severity: D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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Survey: 2024-01-29 | Tag F0658 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure services provided by the nursing facility meet professional standards of quality.
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Survey: 2024-01-29 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2024-01-29 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2024-01-29 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2024-01-29 | Tag F0759 | Pharmacy Service Deficiencies | Severity: E
Ensure medication error rates are not 5 percent or greater.
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Survey: 2024-01-29 | Tag F0770 | Administration Deficiencies | Severity: E
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2024-01-29 | Tag F0775 | Administration Deficiencies | Severity: D
Keep complete, dated laboratory records in the resident's record.
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Survey: 2024-01-29 | Tag F0779 | Administration Deficiencies | Severity: D
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
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Survey: 2024-01-29 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2024-05-01 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2024-05-01 | Tag F0660 | Resident Assessment and Care Planning Deficiencies | Severity: D
Plan the resident's discharge to meet the resident's goals and needs.
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Survey: 2022-04-25 | Tag F0554 | Resident Rights Deficiencies | Severity: D
Allow residents to self-administer drugs if determined clinically appropriate.
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Survey: 2022-04-25 | Tag F0583 | Resident Rights Deficiencies | Severity: E
Keep residents' personal and medical records private and confidential.
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Survey: 2022-04-25 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure each resident receives an accurate assessment.
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Survey: 2022-04-25 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2022-04-25 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2022-04-25 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Survey: 2022-04-25 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D
Provide enough food/fluids to maintain a resident's health.
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Survey: 2022-04-25 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: E
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2022-04-25 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2022-04-25 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2022-04-25 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2022-04-25 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: D
Provide or obtain dental services for each resident.
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Survey: 2022-04-25 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Survey: 2022-04-25 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2022-04-25 | Tag F0867 | Administration Deficiencies | Severity: F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2022-04-25 | Tag F0880 | Infection Control Deficiencies | Severity: L
Provide and implement an infection prevention and control program.
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Survey: 2022-04-25 | Tag F0885 | Infection Control Deficiencies | Severity: F
Report COVID19 data to residents and families.
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Survey: 2022-04-25 | Tag F0923 | Environmental Deficiencies | Severity: E
Have enough outside ventilation via a window or mechanical ventilation, or both.
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Survey: 2023-07-26 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2021-08-04 | Tag F0582 | Resident Rights Deficiencies | Severity: D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Survey: 2021-08-04 | Tag F0636 | Resident Assessment and Care Planning Deficiencies | Severity: F
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Survey: 2021-08-04 | Tag F0638 | Resident Assessment and Care Planning Deficiencies | Severity: F
Assure that each resident’s assessment is updated at least once every 3 months.
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Survey: 2021-08-04 | Tag F0640 | Resident Assessment and Care Planning Deficiencies | Severity: F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Survey: 2021-08-04 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2021-08-04 | Tag F0801 | Nutrition and Dietary Deficiencies | Severity: F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Survey: 2021-08-04 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.