Deficiency Records for Creekside Village Health and Rehabilitation Center
Updated as of September 01, 2020
This is not the most recent data for Creekside Village Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Creekside Village Health and Rehabilitation 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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-08 | 2019-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-08 | 2019-11-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-08 | 2019-11-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-08 | 2019-11-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-08 | 2019-11-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-03 | 2019-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-03 | 2019-05-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-29 | 2019-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2018-12-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-29 | 2018-12-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-19 | 2018-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-19 | 2018-10-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-19 | 2018-10-26 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-19 | 2018-10-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-19 | 2018-10-23 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-09-19 | 2018-10-23 | Y |
| 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 | 2018-02-28 | 2018-03-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-12-21 | 2018-02-22 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-23 | 2018-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-21 | 2018-02-13 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2017-12-21 | 2018-01-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-21 | 2018-01-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-21 | 2018-01-23 | Y |
| Keep complete, dated laboratory records in the resident's record. | Health | 2017-12-21 | 2018-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2017-12-21 | 2018-01-23 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-09-26 | 2017-11-21 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-26 | 2017-11-21 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-26 | 2017-11-21 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-26 | 2017-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-26 | 2017-11-21 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-09-26 | 2017-11-21 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-09-26 | 2017-11-21 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-26 | 2017-11-21 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-26 | 2017-11-21 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-09-26 | 2017-11-21 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-09-26 | 2017-11-21 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-09-26 | 2017-11-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-26 | 2017-11-21 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-09 | 2017-05-17 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-03-09 | 2017-05-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-09 | 2017-05-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-03-09 | 2017-04-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-09 | 2017-04-11 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-03-09 | 2017-04-11 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-09 | 2017-04-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-09 | 2017-04-11 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-09 | 2017-04-11 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-09 | 2017-04-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-09 | 2017-04-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-09 | 2017-04-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-09 | 2017-04-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-11 | 2016-02-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-11 | 2016-02-18 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-01-11 | 2016-02-16 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-01-11 | 2016-02-16 | N |
| Give notice to the resident before a room or roommate change. | Health | 2016-01-11 | 2016-02-16 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-11 | 2016-02-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-11 | 2016-02-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-01-11 | 2016-02-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-11 | 2016-02-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-11 | 2016-02-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-01-11 | 2016-02-16 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-01-11 | 2016-02-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-01-11 | 2016-02-16 | N |
