Deficiency Records for Creekside Health and Rehabilitation Center
Updated as of December 01, 2018
This is not the most recent data for Creekside Health and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-11 | 2018-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-20 | 2018-09-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-07 | 2018-09-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-17 | 2018-09-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-17 | 2018-09-05 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-05-21 | 2018-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-21 | 2018-06-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-05-21 | 2018-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-21 | 2018-06-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-05-21 | 2018-06-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-05-21 | 2018-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-21 | 2018-06-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-05-21 | 2018-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-21 | 2018-06-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-21 | 2018-06-15 | 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 ne | Health | 2018-05-21 | 2018-06-15 | 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 | 2018-05-21 | 2018-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-21 | 2018-06-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-21 | 2018-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-21 | 2018-06-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-05-21 | 2018-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-21 | 2018-06-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-11 | 2018-04-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-27 | 2018-03-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-24 | 2018-02-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-01-24 | 2018-02-12 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-17 | 2017-05-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-17 | 2017-05-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-17 | 2017-05-31 | N |
| Provide or obtain dental services for each resident. | Health | 2017-03-17 | 2017-05-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-17 | 2017-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-11 | 2017-05-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-17 | 2017-04-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-17 | 2017-04-16 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-03-17 | 2017-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-17 | 2017-04-16 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-11-04 | 2016-12-04 | Y |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-11-04 | 2016-12-04 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-04 | 2016-12-04 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-20 | 2016-07-20 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-20 | 2016-07-20 | Y |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-11 | 2016-04-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-11 | 2016-03-12 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-11 | 2016-03-12 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-02-11 | 2016-03-12 | 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 | 2016-02-11 | 2016-03-12 | N |
| Provide or obtain dental services for each resident. | Health | 2016-02-11 | 2016-03-12 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-11 | 2016-03-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-11 | 2016-03-12 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2016-02-11 | 2016-03-12 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-02-11 | 2016-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-11 | 2016-03-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-11 | 2016-03-12 | Y |
