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? |
|---|---|---|---|---|
| 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 |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-22 | 2024-03-22 | 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 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-17 | 2023-03-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-11 | 2022-01-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-11 | 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 | 2022-01-11 | 2022-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-11 | 2022-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-11 | 2022-01-25 | 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 |
| Reasonably accommodate the needs and preferences of each resident. | 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 |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-10 | 2022-01-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
| 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 |
| 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 |
| 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 |
| Provide and implement an infection prevention and control program. | 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-18 | 2019-08-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-18 | 2019-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-18 | 2019-08-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-18 | 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 |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-11 | 2018-06-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-05-11 | 2018-06-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-05-11 | 2018-06-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-11 | 2018-06-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-11 | 2018-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-11 | 2018-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-11 | 2018-06-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-05-11 | 2018-06-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-12 | Not Fixed | Y |
