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Deficiency Records for Creekwood Nursing and Rehabilitation

A list of the most recent deficiencies for Creekwood Nursing and Rehabilitation. 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 Creekwood Nursing and Rehabilitation. 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?
Provide and implement an infection prevention and control program. Health 2019-09-25 2019-10-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-24 2019-10-01 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-07-03 2018-08-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-07-03 2018-08-01 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 2018-07-03 2018-08-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-07-03 2018-08-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-07-03 2018-08-01 N
Provide enough food/fluids to maintain a resident's health. Health 2018-07-03 2018-08-01 N
Post nurse staffing information every day. Health 2018-07-03 2018-08-01 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2018-07-03 2018-08-01 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 2018-07-03 2018-08-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-07-03 2018-08-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-07-03 2018-08-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2018-07-03 2018-08-01 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2018-07-03 2018-08-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2017-05-11 2017-06-22 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2017-05-11 2017-06-22 N
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Health 2017-05-11 2017-06-22 N
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Health 2017-05-11 2017-06-22 N
Have a program that investigates, controls and keeps infection from spreading. Health 2017-05-11 2017-06-22 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-05-11 2017-06-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2017-05-09 2017-06-11 N

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