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Deficiency Records for Spring Creek
A list of the most recent deficiencies for Spring Creek. 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 Spring Creek. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-10 | 2024-09-12 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-05-29 | 2024-05-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-02 | 2024-05-03 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-01-05 | 2024-01-08 | 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 | 2024-01-05 | 2024-01-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-05 | 2024-01-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-05 | 2024-01-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-01-05 | 2024-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-05 | 2024-01-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-05 | 2024-01-08 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-01-05 | 2024-01-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-05 | 2024-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-18 | 2023-12-21 | 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 | 2023-12-18 | 2023-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | 2023-12-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-12-18 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-18 | 2023-12-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-18 | 2023-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-09-18 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-09-14 | 2023-09-18 | Y |
| Help the resident make transportation arrangements to and from radiology services. | Health | 2023-09-14 | 2023-09-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-06 | 2023-07-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-23 | 2023-05-25 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-23 | 2023-05-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-24 | 2023-03-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-25 | 2023-01-26 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-25 | 2023-01-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-13 | 2023-01-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-13 | 2023-01-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-13 | 2023-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-01-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-01-13 | 2023-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-01-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-22 | 2022-11-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-22 | 2022-11-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-08 | 2022-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-08 | 2022-08-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-11 | 2022-03-24 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-01-05 | 2022-02-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-05 | 2022-02-08 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-15 | 2022-01-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-17 | 2021-12-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-17 | 2021-12-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-17 | 2021-12-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-17 | 2021-12-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-17 | 2021-12-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-17 | 2021-12-28 | 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 | 2021-12-17 | 2021-12-28 | 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 | 2021-12-17 | 2021-12-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-17 | 2021-12-28 | N |
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