Luther Manor at Hillcrest
CMS
Actual Harm
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Penalty
$8,281
Outcome
Luther Manor at Hillcrest in Dubuque, IA was fined $8,281 by CMS following 18 deficiency citations identified during federal surveys.
Details
Luther Manor at Hillcrest (Dubuque, IA) — $8,281 in CMS Fines
Outcome: Luther Manor at Hillcrest in Dubuque, IA was fined $8,281 by CMS following 18 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that residents are free from significant medication errors.
- 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.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Have a plan that describes the process for conducting QAPI and QAA activities.
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Assure that each resident’s assessment is updated at least once every 3 months.
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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