Deficiency Records for The Suites at Holly Creek Care Center
Updated as of August 01, 2020
This is not the most recent data for The Suites at Holly Creek Care Center. For the most recent information, click here.
A list of the most recent deficiencies for The Suites at Holly Creek Care 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-01 | 2019-12-10 | N |
| Keep all essential equipment working safely. | Health | 2019-11-01 | 2019-11-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-04 | 2018-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-12-13 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-04 | 2018-12-10 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-04 | 2018-12-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-04 | 2018-11-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-04 | 2018-11-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-04 | 2018-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-04 | 2018-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-11-15 | 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 | 2018-10-04 | 2018-11-15 | 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 | 2018-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-04 | 2018-11-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-10-04 | 2018-11-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-10-04 | 2018-11-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-05-25 | 2017-06-26 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-05-25 | 2017-06-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-25 | 2017-06-26 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-25 | 2017-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-25 | 2017-06-26 | 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 | 2017-05-25 | 2017-06-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-25 | 2017-06-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2017-05-25 | 2017-06-26 | N |
