Deficiency Records for Creekside Post Acute
Updated as of May 01, 2019
This is not the most recent data for Creekside Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Creekside Post Acute. 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? |
|---|---|---|---|---|
| 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 | 2019-01-29 | 2019-04-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-18 | 2019-04-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-17 | 2018-11-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-10-17 | 2018-11-29 | N |
| Develop a communication plan. | Fire Safety | 2018-10-17 | 2018-11-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-17 | 2018-11-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-20 | 2018-10-01 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-09-20 | 2018-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-17 | 2018-09-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-13 | 2018-08-08 | 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 | 2018-07-13 | 2018-08-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-13 | 2018-08-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-13 | 2018-08-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-13 | 2018-08-08 | 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 | 2018-07-13 | 2018-08-08 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-07-13 | 2018-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-13 | 2018-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-24 | 2018-06-06 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-24 | 2018-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-17 | 2018-01-30 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-01 | 2017-11-09 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-19 | 2017-09-29 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-19 | 2017-09-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-07 | 2017-09-29 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-06 | 2017-09-29 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-06 | 2017-09-29 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-16 | 2017-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-16 | 2017-08-23 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-07-27 | 2017-08-23 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-07-27 | 2017-08-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-27 | 2017-08-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-27 | 2017-08-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-27 | 2017-08-23 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2017-07-27 | 2017-08-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-27 | 2017-08-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2017-07-27 | 2017-08-23 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-06-02 | 2017-07-05 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-06-02 | 2017-07-05 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-06-02 | 2017-07-05 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-24 | 2017-06-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-14 | 2017-04-03 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-07-22 | 2016-09-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-22 | 2016-09-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-22 | 2016-09-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-22 | 2016-09-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-22 | 2016-09-14 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2016-07-22 | 2016-09-14 | N |
| Provide housekeeping and maintenance services. | Health | 2016-07-22 | 2016-09-14 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2016-07-22 | 2016-09-14 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-07-22 | 2016-09-14 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-07-22 | 2016-09-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-07-22 | 2016-09-14 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2016-07-22 | 2016-09-14 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2016-07-22 | 2016-09-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-07-22 | 2016-09-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-10 | 2016-09-02 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-01 | 2016-09-02 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-04 | 2016-08-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-05 | 2016-06-14 | Y |
