Creston Specialty Care
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Penalty
$19,663
Outcome
Creston Specialty Care in Creston, IA was fined $19,663 by CMS across 2 separate penalties following 17 deficiency citations identified during federal surveys.
Details
Creston Specialty Care (Creston, IA) — $19,663 in CMS Fines
Outcome: Creston Specialty Care in Creston, IA was fined $19,663 by CMS across 2 separate penalties following 17 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Assess the resident when there is a significant change in condition
- Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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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