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Deficiency Records for Creekside Post-Acute
View the most recent health deficiencies and inspection results for Creekside Post-Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Creekside Post-Acute. Stay informed about quality of care issues.
| 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 | 2025-09-23 | 2025-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-23 | 2025-10-19 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-06-10 | 2025-06-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-15 | 2025-04-30 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-05 | 2024-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-05 | 2024-12-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-12-05 | 2024-12-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-05 | 2024-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-05 | 2024-12-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-05 | 2024-12-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-12-05 | 2024-12-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-05 | 2024-12-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-12-05 | 2024-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-05 | 2024-12-18 | N |
| Use approved construction type or materials. | Fire Safety | 2024-12-05 | 2024-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-12-05 | 2024-12-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-11-08 | 2024-12-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-08 | 2024-12-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-11-08 | 2024-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-06 | 2024-09-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-30 | 2024-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-09 | 2024-09-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-09 | 2024-09-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-18 | 2024-08-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-23 | 2024-03-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-22 | 2024-03-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-22 | 2024-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-03-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-08 | 2023-09-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-15 | 2023-06-10 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-10 | 2022-01-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-10 | 2022-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-10 | 2022-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-10 | 2022-01-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-10 | 2022-01-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-10 | 2022-01-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-10 | 2022-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-10 | 2022-01-24 | 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 | 2022-01-10 | 2022-01-24 | 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 | 2022-01-10 | 2022-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-10 | 2022-01-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-10 | 2022-01-24 | 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 | 2022-01-10 | 2022-01-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-10 | 2022-01-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-10 | 2022-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-06 | 2019-08-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-06 | 2019-08-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-06 | 2019-08-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-06 | 2019-08-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-06 | 2019-07-01 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2019-06-06 | 2019-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-06 | 2019-07-01 | 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 | 2019-06-06 | 2019-07-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-06 | 2019-07-01 | 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 | 2019-06-06 | 2019-07-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-06 | 2019-07-01 | 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 | 2019-06-06 | 2019-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-06 | 2019-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-07-01 | 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 | 2019-07-01 | N |