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Deficiency Records for The Broadmoor at Creekside Park

A list of the most recent deficiencies for The Broadmoor at Creekside Park. 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 The Broadmoor at Creekside Park. 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 appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-19 2024-05-09 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-02 2023-10-03 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-10-02 2023-10-03 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-02 2023-10-03 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-10-02 2023-10-03 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-02 2023-10-03 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-10-02 2023-10-03 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 2023-10-02 2023-10-03 Y
Provide and implement an infection prevention and control program. Health 2023-10-02 2023-10-03 Y
Provide properly protected cooking facilities. Fire Safety 2023-09-29 2023-10-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-29 2023-10-03 N
Give residents a notice of rights, rules, services and charges. Health 2023-06-21 2023-07-20 Y
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 2023-06-21 2023-07-20 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-24 2023-06-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-23 2022-08-24 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-08-05 2022-08-06 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-08-05 2022-08-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-05 2022-08-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-05 2022-08-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-05 2022-08-06 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-08-05 2022-08-06 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-05 2022-08-06 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-08-04 2022-08-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-04 2022-08-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-16 2022-08-01 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 2022-06-16 2022-08-01 Y
Provide and implement an infection prevention and control program. Health 2022-06-16 2022-08-01 Y
Respond appropriately to all alleged violations. Health 2022-06-16 2022-07-13 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-06-16 2022-06-17 Y
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2022-06-16 2022-06-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-16 2022-06-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-16 2022-06-17 Y
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Health 2022-06-16 2022-06-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-03 2021-12-01 Y
Post nurse staffing information every day. Health 2021-11-03 2021-12-01 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-11-03 2021-12-01 Y
Provide and implement an infection prevention and control program. Health 2021-11-03 2021-12-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-07 2021-06-28 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 2021-05-07 2021-06-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-07 2021-06-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-06 2021-05-24 N
Provide properly protected cooking facilities. Fire Safety 2021-05-06 2021-05-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-05-06 2021-05-20 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-05-07 2021-05-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-07 2021-05-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-05-06 2021-05-14 N

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