Deficiency Records for Creekside Post-Acute
Updated as of May 01, 2020
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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-05 | 2019-12-04 | Y |
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 ne | 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 |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-05-28 | 2019-06-26 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-01-30 | 2019-02-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-06 | 2018-11-30 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-11-06 | 2018-11-30 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-02 | 2018-11-30 | Y |
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 |
Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2017-09-13 | 2017-10-06 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-07 | 2017-09-05 | Y |
Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2017-04-21 | 2017-05-19 | N |
Provide residents with private access to a telephone. | Health | 2017-04-21 | 2017-05-19 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2017-04-21 | 2017-05-19 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-04-21 | 2017-05-19 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-21 | 2017-05-19 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-21 | 2017-05-19 | N |
Ensure that residents are safe from serious medication errors. | Health | 2017-04-21 | 2017-05-19 | N |
Provide food in a way that meets a resident's needs. | Health | 2017-04-21 | 2017-05-19 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-04-21 | 2017-05-19 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-21 | 2017-05-19 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-04-21 | 2017-05-19 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-21 | 2017-05-19 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-21 | 2017-05-19 | Y |