PEKIN MANOR
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Wound Care
Penalty
$14,015
Outcome
PEKIN MANOR in PEKIN, IL was fined $14,015 by CMS following 23 deficiency citations identified during federal surveys.
Details
PEKIN MANOR (PEKIN, IL) — $14,015 in CMS Fines
Outcome: PEKIN MANOR in PEKIN, IL was fined $14,015 by CMS following 23 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Provide and implement an infection prevention and control program.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide safe and appropriate respiratory care for a resident when needed.
- 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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