Deficiency Records for Creekside Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Creekside 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? |
|---|---|---|---|---|
| Provide activities to meet all resident's needs. | Health | 2022-08-11 | 2022-09-11 | 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 | 2022-08-11 | 2022-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-09-11 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-11 | 2022-09-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-09 | 2022-09-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-09 | 2022-09-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-09 | 2022-09-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-09 | 2022-09-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-09 | 2022-09-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-09 | 2022-09-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-10 | 2021-05-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-10 | 2021-03-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-02-10 | 2021-03-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-02-10 | 2021-03-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-10 | 2021-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-10 | 2021-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-10 | 2021-03-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-10 | 2021-03-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-06-28 | 2019-07-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-28 | 2019-07-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-28 | 2019-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-28 | 2019-07-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-28 | 2019-07-28 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-06-28 | 2019-07-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-06-28 | 2019-07-28 | 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 | 2019-06-28 | 2019-07-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-24 | 2019-07-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-24 | 2019-07-28 | N |
