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Deficiency Records for Clear Creek Nursing and Rehabilitation Center

A list of the most recent deficiencies for Clear Creek Nursing 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 Clear Creek Nursing 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?
Develop Emergency Preparedness policies and procedures. Fire Safety 2024-04-23 2024-04-23 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-12-14 2024-03-08 N
Have an externally vented heating system. Fire Safety 2023-12-14 2024-03-08 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-11-17 2023-12-27 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-11-17 2023-12-27 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-11-17 2023-12-27 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 2023-11-17 2023-12-27 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-17 2023-12-27 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-17 2023-12-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-17 2023-12-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-17 2023-12-27 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-17 2023-12-27 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 2023-11-17 2023-12-27 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-11-17 2023-12-27 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2023-11-17 2023-12-27 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-11-17 2023-12-27 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-11-17 2023-12-27 N
Provide and implement an infection prevention and control program. Health 2023-11-17 2023-12-27 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-11-17 2023-12-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-17 2023-12-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-11 2023-09-20 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-08-11 2023-09-20 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 2023-08-11 2023-09-20 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-07-13 2023-09-20 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-07-13 2023-09-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-13 2023-09-20 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-06-29 2022-08-11 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-06-29 2022-08-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-29 2022-08-11 N
Ensure each resident receives an accurate assessment. Health 2022-05-26 2022-07-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-26 2022-07-01 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 2022-05-26 2022-07-01 N
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 2022-05-26 2022-07-01 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-05-26 2022-07-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-26 2022-07-01 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-05-26 2022-07-01 N
Provide and implement an infection prevention and control program. Health 2022-05-26 2022-07-01 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 2022-05-26 2022-07-01 Y
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 2022-05-26 2022-06-15 Y
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 2020-02-11 2020-10-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-02-11 2020-10-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-11 2020-10-16 N
Reasonably accommodate the needs and preferences of each resident. Health 2020-01-24 2020-02-21 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2020-01-24 2020-02-21 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 2020-01-24 2020-02-21 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2020-01-24 2020-02-21 N
Ensure a qualified health professional conducts resident assessments. Health 2020-01-24 2020-02-21 N
Provide activities to meet all resident's needs. Health 2020-01-24 2020-02-21 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2020-01-24 2020-02-21 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 2020-01-24 2020-02-21 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2020-01-24 2020-02-21 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2020-01-24 2020-02-21 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2020-01-24 2020-02-21 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2020-01-24 2020-02-21 N

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