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Deficiency Records for Creekside Village
View the most recent health deficiencies and inspection results for Creekside Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Creekside Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2026-03-31 | 2026-05-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-31 | 2026-04-30 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2026-03-31 | 2026-04-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-03-31 | 2026-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-31 | 2026-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-31 | 2026-04-30 | 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 | 2025-03-21 | 2025-04-10 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-13 | 2025-02-13 | N |
| Provide activities to meet all resident's needs. | Health | 2025-01-13 | 2025-02-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-13 | 2025-02-13 | 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 | 2025-01-13 | 2025-02-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-13 | 2025-02-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-13 | 2025-02-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2024-06-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-09 | 2024-03-10 | 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 | 2024-02-09 | 2024-03-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-02-09 | 2024-03-10 | 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 | 2024-02-09 | 2024-03-10 | 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 | 2024-02-09 | 2024-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-10 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-06 | 2023-10-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-06 | 2023-10-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-18 | 2023-09-09 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-18 | 2023-09-09 | Y |