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Deficiency Records for Creekside Healthcare Center
A list of the most recent deficiencies for Creekside Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Creekside Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-24 | 2024-06-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-24 | 2024-06-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-24 | 2024-06-19 | N |
| 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. | Health | 2024-05-24 | 2024-06-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-24 | 2024-06-19 | N |
| 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. | Health | 2024-05-24 | 2024-06-19 | N |
| 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. | Health | 2024-05-24 | 2024-06-19 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-05-24 | 2024-06-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-24 | 2024-06-19 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-11 | 2024-05-02 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-08-22 | 2022-09-02 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-22 | 2022-09-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-05 | 2022-06-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-05 | 2022-06-04 | N |
| 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. | Health | 2022-05-05 | 2022-06-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-05 | 2022-06-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-05 | 2022-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-05 | 2022-06-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-05 | 2022-06-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-10 | 2022-05-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-01 | 2022-03-02 | Y |
| Provide appropriate foot care. | Health | 2021-12-08 | 2022-01-14 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-17 | 2019-10-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-17 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-17 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-17 | 2019-10-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-17 | 2019-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-17 | 2019-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-17 | 2019-10-11 | N |
| 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. | Health | 2019-08-15 | 2019-09-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-15 | 2019-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-15 | 2019-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-15 | 2019-09-13 | N |
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