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Deficiency Records for Creasy Springs Health Campus

A list of the most recent deficiencies for Creasy Springs Health Campus. 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 Creasy Springs Health Campus. 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?
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-01-09 2024-01-26 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 2023-12-20 2024-01-15 N
Provide activities to meet all resident's needs. Health 2023-12-20 2024-01-15 N
Provide enough food/fluids to maintain a resident's health. Health 2023-12-20 2024-01-15 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 2023-12-20 2024-01-15 N
Ensure that residents are free from significant medication errors. Health 2023-12-20 2024-01-15 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-12-20 2024-01-15 N
Provide and implement an infection prevention and control program. Health 2023-12-20 2024-01-15 N
Implement a program that monitors antibiotic use. Health 2023-12-20 2024-01-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-20 2023-12-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-11-09 2022-11-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-11-09 2022-11-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-11-09 2022-11-23 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-10-06 2022-10-30 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 2022-10-06 2022-10-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-06 2022-10-30 N
Provide enough food/fluids to maintain a resident's health. Health 2022-10-06 2022-10-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-10-06 2022-10-30 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 2022-10-06 2022-10-30 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 2022-10-06 2022-10-30 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-10-06 2022-10-30 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-01-31 2022-02-16 Y
Conduct testing and exercise requirements. Fire Safety 2019-02-25 2019-05-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-02-25 2019-05-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-02-25 2019-05-01 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 2019-02-06 2019-03-09 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 2019-02-06 2019-03-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-02-06 2019-03-08 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-02-06 2019-03-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-02-06 2019-03-08 N
Ensure each resident receives an accurate assessment. Health 2019-02-06 2019-03-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-02-06 2019-03-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-02-06 2019-03-08 N
Provide and implement an infection prevention and control program. Health 2019-02-06 2019-03-08 N

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