Axiom Healthcare of Flora
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Penalty
$14,015
Outcome
Axiom Healthcare of Flora in FLORA, IL was fined $14,015 by CMS following 23 deficiency citations identified during federal surveys.
Details
Axiom Healthcare of Flora (FLORA, IL) — $14,015 in CMS Fines
Outcome: Axiom Healthcare of Flora in FLORA, IL was fined $14,015 by CMS following 23 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide and implement an infection prevention and control program.
- 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.
- Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
- 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.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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