A list of the most recent deficiencies for Rock Creek Care 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? |
|---|---|---|---|---|
| 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 | 2023-04-25 | 2023-05-02 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-23 | 2023-04-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-23 | 2023-04-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-21 | 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 | 2023-03-23 | 2023-04-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-23 | 2023-04-21 | 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 | 2023-03-23 | 2023-04-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-23 | 2023-04-21 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-03-23 | 2023-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-21 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-23 | 2023-04-21 | N |
| Keep all essential equipment working safely. | Health | 2023-03-23 | 2023-04-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-03-23 | 2023-04-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-23 | 2023-04-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-23 | 2023-04-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-04-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-10-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-21 | 2022-10-04 | Y |
| Post nurse staffing information every day. | Health | 2022-09-21 | 2022-10-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-27 | 2022-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-27 | 2022-04-26 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-07 | 2022-04-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-27 | 2021-08-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-27 | 2021-08-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-06 | 2019-08-15 | N |
| 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 | 2019-06-06 | 2019-08-15 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-06-06 | 2019-08-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-06 | 2019-08-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-06 | 2019-08-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-08-06 | 2019-08-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-06 | 2019-08-15 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-06 | 2019-08-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-08-06 | 2019-08-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Use approved construction type or materials. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-05-25 | 2018-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-25 | 2018-06-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-05-25 | 2018-06-15 | N |
