Deficiency Records for Comfort Creek Nursing and Rehabilitation Center
Updated as of September 01, 2019
This is not the most recent data for Comfort Creek Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Comfort Creek Nursing 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-08-22 | 2018-10-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-22 | 2018-10-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-22 | 2018-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-23 | 2018-10-07 | 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 | 2018-08-23 | 2018-10-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-22 | 2017-10-06 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-08-22 | 2017-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-22 | 2017-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-22 | 2017-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-22 | 2017-10-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-22 | 2017-10-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-24 | 2017-10-06 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-09-30 | 2015-11-13 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-09-30 | 2015-11-13 | N |
| Provide housekeeping and maintenance services. | Health | 2015-09-30 | 2015-11-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-30 | 2015-11-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-09-30 | 2015-11-13 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2015-09-30 | 2015-11-13 | N |
