GRACE MANOR CARE CENTER
CMS
Actual Harm
Infection Control
Medication Error
Penalty
$1,609
Outcome
GRACE MANOR CARE CENTER in BURLINGTON, CO was fined $1,609 by CMS following 10 deficiency citations identified during federal surveys.
Details
GRACE MANOR CARE CENTER (BURLINGTON, CO) — $1,609 in CMS Fines
Outcome: GRACE MANOR CARE CENTER in BURLINGTON, CO was fined $1,609 by CMS following 10 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- 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.
- Provide and implement an infection prevention and control program.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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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