Cleveland Pines
CMS
Documentation Failure
Infection Control
Resident Neglect
Penalty
$5,000
Outcome
Cleveland Pines in Shelby, NC was fined $5,000 by CMS following 13 deficiency citations identified during federal surveys.
Details
Cleveland Pines (Shelby, NC) — $5,000 in CMS Fines
Outcome: Cleveland Pines in Shelby, NC was fined $5,000 by CMS following 13 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Provide appropriate foot care.
- Provide safe and appropriate respiratory care for a resident when needed.
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Provide activities to meet all resident's needs.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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