EISENBERG VILLAGE
CMS
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$30,744
Outcome
EISENBERG VILLAGE in RESEDA, CA was fined $30,744 by CMS following 51 deficiency citations identified during federal surveys.
Details
EISENBERG VILLAGE (RESEDA, CA) — $30,744 in CMS Fines
Outcome: EISENBERG VILLAGE in RESEDA, CA was fined $30,744 by CMS following 51 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- Ensure medication error rates are not 5 percent or greater.
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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