Deficiency Records for Creekwood Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Creekwood Nursing 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-16 | 2021-10-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-16 | 2021-10-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-16 | 2021-10-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-09-25 | 2019-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-24 | 2019-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-03 | 2018-08-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-03 | 2018-08-01 | 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 | 2018-07-03 | 2018-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-03 | 2018-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-03 | 2018-08-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-03 | 2018-08-01 | N |
| Post nurse staffing information every day. | Health | 2018-07-03 | 2018-08-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-07-03 | 2018-08-01 | 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 | 2018-07-03 | 2018-08-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-03 | 2018-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-03 | 2018-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-03 | 2018-08-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-03 | 2018-08-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-11 | 2017-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-11 | 2017-06-22 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-11 | 2017-06-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-11 | 2017-06-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-11 | 2017-06-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-11 | 2017-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-09 | 2017-06-11 | N |
