A list of the most recent deficiencies for Creasy Springs Health Campus. 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? |
|---|---|---|---|---|
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-09 | 2024-01-26 | 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 | 2023-12-20 | 2024-01-15 | N |
| Provide activities to meet all resident's needs. | Health | 2023-12-20 | 2024-01-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-20 | 2024-01-15 | 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 | 2023-12-20 | 2024-01-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-20 | 2024-01-15 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-12-20 | 2024-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-20 | 2024-01-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-20 | 2024-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-20 | 2023-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-09 | 2022-11-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-09 | 2022-11-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-09 | 2022-11-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-06 | 2022-10-30 | 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 | 2022-10-06 | 2022-10-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-10-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-06 | 2022-10-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-06 | 2022-10-30 | 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 | 2022-10-06 | 2022-10-30 | 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 | 2022-10-06 | 2022-10-30 | 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 | 2022-10-06 | 2022-10-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-31 | 2022-02-16 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-25 | 2019-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-25 | 2019-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-25 | 2019-05-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-02-06 | 2019-03-09 | 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 | 2019-02-06 | 2019-03-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-06 | 2019-03-08 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-06 | 2019-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-06 | 2019-03-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-06 | 2019-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-06 | 2019-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-06 | 2019-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-06 | 2019-03-08 | N |
