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Deficiency Records for Creekside Health and Rehabilitation Center

A list of the most recent deficiencies for Creekside Health and Rehabilitation 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 Health and Rehabilitation 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-05 2023-12-29 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-12-05 2023-12-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-05 2023-12-29 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 2023-12-05 2023-12-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-05 2023-12-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-05 2023-12-29 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-12-05 2023-12-29 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 2023-12-05 2023-12-29 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2023-12-15 2023-12-22 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-03-14 2023-04-05 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 2022-09-19 2022-09-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-19 2022-09-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-19 2022-09-28 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-08-09 2022-09-07 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-08-09 2022-09-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-09 2022-09-07 N
Respond appropriately to all alleged violations. Health 2022-08-09 2022-09-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-08-09 2022-09-07 N
Ensure each resident receives an accurate assessment. Health 2022-08-09 2022-09-07 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-08-09 2022-09-07 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 2022-08-09 2022-09-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-09 2022-09-07 N
Provide activities to meet all resident's needs. Health 2022-08-09 2022-09-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-09 2022-09-07 N
Assist a resident in gaining access to vision and hearing services. Health 2022-08-09 2022-09-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-08-09 2022-09-07 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 2022-08-09 2022-09-07 N
Provide enough food/fluids to maintain a resident's health. Health 2022-08-09 2022-09-07 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-08-09 2022-09-07 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-08-09 2022-09-07 N
Keep complete, dated laboratory records in the resident's record. Health 2022-08-09 2022-09-07 N
Provide or obtain dental services for each resident. Health 2022-08-09 2022-09-07 N
Perform COVID19 testing on residents and staff. Health 2022-08-09 2022-09-07 N
Ensure the activities program is directed by a qualified professional. Health 2022-08-09 2022-09-07 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-29 2022-07-14 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-29 2022-07-14 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-06-29 2022-07-14 Y
Provide appropriate foot care. Health 2022-05-10 2022-05-25 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-05-10 2022-05-25 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-05-10 2022-05-25 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-04-27 2022-05-12 Y
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 2022-04-27 2022-05-12 Y
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 2022-01-13 2022-01-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-11 2022-01-28 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-01-11 2022-01-28 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 2022-01-11 2022-01-28 Y
Provide and implement an infection prevention and control program. Health 2021-12-06 2021-12-28 N
Perform COVID19 testing on residents and staff. Health 2021-12-06 2021-12-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-05 2021-10-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-05 2021-10-15 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-19 2021-07-28 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-05-19 2021-07-28 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-05-19 2021-07-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-05-19 2021-07-28 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-05-19 2021-07-28 N
Respond appropriately to all alleged violations. Health 2021-05-19 2021-07-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-19 2021-07-28 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 2021-05-19 2021-07-28 N
Honor each resident's preferences, choices, values and beliefs. Health 2021-05-19 2021-07-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-19 2021-07-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-19 2021-07-28 N
Assist a resident in gaining access to vision and hearing services. Health 2021-05-19 2021-07-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-19 2021-07-28 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-05-19 2021-07-28 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-05-19 2021-07-28 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-05-19 2021-07-28 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-05-19 2021-07-28 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-05-19 2021-07-28 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2021-05-19 2021-07-28 N
Provide and implement an infection prevention and control program. Health 2021-05-19 2021-07-28 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-06-08 2021-06-18 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-06-08 2021-06-18 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-06-08 2021-06-18 N
Install an approved automatic sprinkler system. Fire Safety 2021-06-08 2021-06-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-06-08 2021-06-18 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-06-08 2021-06-18 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2021-06-08 2021-06-18 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2021-06-08 2021-06-18 N

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