PA PETERSON AT THE CITADEL
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$21,212
Outcome
PA PETERSON AT THE CITADEL in ROCKFORD, IL was fined $21,212 by CMS following 64 deficiency citations identified during federal surveys.
Details
PA PETERSON AT THE CITADEL (ROCKFORD, IL) — $21,212 in CMS Fines
Outcome: PA PETERSON AT THE CITADEL in ROCKFORD, IL was fined $21,212 by CMS following 64 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Respond appropriately to all alleged violations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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