Deficiency Records for Junction Creek Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Junction Creek 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-07 | 2023-04-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-07 | 2023-04-13 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-03-10 | 2022-04-08 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-03 | 2021-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-03 | 2021-12-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-11 | 2021-12-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-11 | 2021-12-10 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-11 | 2021-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-11 | 2021-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-11 | 2021-12-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-11 | 2021-12-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-11 | 2021-12-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-03 | 2021-12-03 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-06-22 | 2021-06-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-03-10 | 2021-04-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-10 | 2021-04-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-10 | 2021-04-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-10 | 2021-04-09 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-03-10 | 2021-04-09 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-03-10 | 2021-04-09 | Y |
| 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 | 2021-03-10 | 2021-04-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-10 | 2021-04-09 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-18 | 2019-10-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-21 | 2019-10-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-18 | 2019-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-18 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-18 | 2019-10-08 | 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 | 2019-08-21 | 2019-09-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-21 | 2019-09-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-21 | 2019-09-24 | 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 | 2019-08-21 | 2019-09-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-21 | 2019-09-24 | 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 | 2019-08-21 | 2019-09-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-21 | 2019-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-21 | 2019-09-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-21 | 2019-09-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-21 | 2019-09-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-08-21 | 2019-09-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-21 | 2019-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-21 | 2019-09-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-21 | 2019-09-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-24 | 2018-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-24 | 2018-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-24 | 2018-12-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-24 | 2018-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-04 | 2018-11-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-04 | 2018-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-04 | 2018-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-11-07 | 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 | 2018-10-04 | 2018-11-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-04 | 2018-11-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-04 | 2018-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-24 | 2018-10-24 | N |
