ST ELIZABETH NURSING HOME
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$31,171
Outcome
ST ELIZABETH NURSING HOME in JANESVILLE, WI was fined $31,171 by CMS across 2 separate penalties following 60 deficiency citations identified during federal surveys.
Details
ST ELIZABETH NURSING HOME (JANESVILLE, WI) — $31,171 in CMS Fines
Outcome: ST ELIZABETH NURSING HOME in JANESVILLE, WI was fined $31,171 by CMS across 2 separate penalties following 60 deficiency citations identified during federal surveys.
Deficiency areas cited:
- 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.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide safe, appropriate pain management for a resident who requires such services.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- 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.
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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