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Deficiency Records for Spring Creek Post-Acute Rehabilitation Center
A list of the most recent deficiencies for Spring Creek Post-Acute 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 Spring Creek Post-Acute 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2024-03-07 | 2024-03-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-08 | 2024-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-08 | 2024-03-27 | 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 | 2024-03-08 | 2024-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-08 | 2024-03-27 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2024-03-07 | 2024-03-26 | 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 | 2024-03-07 | 2024-03-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-07 | 2024-03-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-07 | 2024-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-07 | 2024-03-07 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-10-27 | 2023-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-27 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-27 | 2023-11-10 | Y |
| 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 | 2023-10-27 | 2023-11-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-08 | 2022-10-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-08 | 2022-10-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-08 | 2022-10-16 | Y |
| 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 | 2022-09-08 | 2022-10-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-08 | 2022-10-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-07 | 2019-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-07 | 2019-03-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-06 | 2019-03-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-02-06 | 2019-03-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-02-06 | 2019-03-01 | N |
| Develop a communication plan. | Fire Safety | 2019-02-06 | 2019-03-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-02-06 | 2019-03-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-02-06 | 2019-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-06 | 2019-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-26 | 2018-03-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-01-26 | 2018-03-01 | 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 | 2018-01-26 | 2018-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-01-26 | 2018-03-01 | 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 | 2018-01-26 | 2018-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-25 | 2018-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-25 | 2018-03-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-25 | 2018-03-01 | N |
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