MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER
CMS
Actual Harm
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$32,139
Outcome
MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER in MONTROSE, CA was fined $32,139 by CMS following 80 deficiency citations identified during federal surveys.
Details
MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER (MONTROSE, CA) — $32,139 in CMS Fines
Outcome: MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER in MONTROSE, CA was fined $32,139 by CMS following 80 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Ensure that residents are fully informed and understand their health status, care and treatments.
- Honor the resident's right to organize and participate in resident/family groups in the facility.
- 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.
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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