WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT

CHESTERTOWN, MD 2024 Assisted Living / Long-Term Care
CMS Documentation Failure Immediate Jeopardy Infection Control Medication Error Resident Neglect
Penalty
$15,440

Outcome

WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT in CHESTERTOWN, MD was fined $15,440 by CMS following 31 deficiency citations identified during federal surveys.

Details

WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT (CHESTERTOWN, MD) — $15,440 in CMS Fines

Outcome: WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT in CHESTERTOWN, MD was fined $15,440 by CMS following 31 deficiency citations identified during federal surveys.

Deficiency areas cited:


  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  • 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.

  • 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.

  • Give the resident's representative the ability to exercise the resident's rights.

  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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.

Source: CMS Nursing Home Penalties Dataset — WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT

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