Deficiency Records for Creekside Transitional Care and Rehabilitation
Updated as of October 01, 2018
This is not the most recent data for Creekside Transitional Care and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Creekside Transitional Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-06-16 | 2017-09-13 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-06-16 | 2017-08-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-16 | 2017-08-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-16 | 2017-08-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-16 | 2017-08-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-16 | 2017-08-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-16 | 2017-08-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-16 | 2017-08-10 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-06-16 | 2017-08-10 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-06-16 | 2017-08-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-16 | 2017-08-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-16 | 2017-08-10 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-06-16 | 2017-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-16 | 2017-01-11 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-12-16 | 2017-01-11 | Y |
| Approved construction type or materials. | Fire Safety | 2016-08-10 | 2016-09-22 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-10 | 2016-09-22 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-10 | 2016-09-22 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-10 | 2016-09-22 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-08-10 | 2016-09-22 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-08-10 | 2016-09-22 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-10 | 2016-09-22 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-04-29 | 2016-06-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-29 | 2016-06-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-04-29 | 2016-06-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-04-29 | 2016-06-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-29 | 2016-06-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-29 | 2016-06-17 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-04-29 | 2016-06-17 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-04-29 | 2016-06-17 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-17 | 2015-08-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-17 | 2015-08-06 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-07-17 | 2015-08-04 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-17 | 2015-07-22 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-07-17 | 2015-07-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-12-19 | 2015-02-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2014-12-19 | 2015-02-20 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2014-12-19 | 2015-02-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-12-19 | 2015-02-20 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2014-12-19 | 2015-02-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-12-19 | 2015-02-20 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-12-19 | 2015-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-12-19 | 2015-02-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-12-19 | 2015-02-20 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-12-19 | 2015-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-12-19 | 2015-02-20 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2014-12-19 | 2015-02-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-12-19 | 2015-02-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-12-19 | 2015-02-20 | N |
| Approved construction type or materials. | Fire Safety | 2014-07-25 | 2014-08-28 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-07-25 | 2014-08-28 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-07-25 | 2014-08-28 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-07-25 | 2014-08-28 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-07-25 | 2014-08-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-07-25 | 2014-08-28 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-07-25 | 2014-08-28 | N |
