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Deficiency Records for Ivy Creek Healthcare and Wellness Centre
A list of the most recent deficiencies for Ivy Creek Healthcare and Wellness Centre. 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 Ivy Creek Healthcare and Wellness Centre. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-12 | 2024-05-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-12 | 2024-05-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-12 | 2024-05-07 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-12 | 2024-05-07 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2024-04-12 | 2024-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-12 | 2024-05-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-12 | 2024-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-12 | 2024-05-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-12 | 2024-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-05-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-04-12 | 2024-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-07 | N |
| Keep all essential equipment working safely. | Health | 2024-04-12 | 2024-05-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-12 | 2024-05-07 | 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 | 2024-04-17 | 2024-05-07 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-04-17 | 2024-05-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-17 | 2024-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-02-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-24 | 2024-02-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-29 | 2023-09-25 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-26 | 2021-07-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-26 | 2021-07-13 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-05-26 | 2021-07-13 | 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 | 2021-05-26 | 2021-07-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-05-26 | 2021-07-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-26 | 2021-07-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-26 | 2021-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-26 | 2021-07-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-26 | 2021-07-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-05-26 | 2021-07-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-28 | 2021-07-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-28 | 2021-07-01 | 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 | 2021-05-28 | 2021-07-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-28 | 2021-07-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-28 | 2021-07-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-05-28 | 2021-07-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-05-28 | 2021-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-01 | 2019-12-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-01 | 2019-12-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-01 | 2019-12-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide appropriate foot care. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-11-01 | 2019-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-01 | 2019-12-04 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-01 | 2019-12-04 | 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 | 2019-11-01 | 2019-12-04 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-01 | 2019-12-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-01 | 2019-12-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-01 | 2019-12-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-01 | 2019-12-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-11-06 | 2019-12-02 | 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 | 2019-11-06 | 2019-12-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-06 | 2019-12-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-06 | 2019-12-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-11-06 | 2019-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-06 | 2019-12-02 | N |
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