CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Creekside Center For Rehabilitation and Nursing
View the most recent health deficiencies and inspection results for Creekside Center For Rehabilitation and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Creekside Center For Rehabilitation and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2026-02-06 | 2026-04-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-02-06 | 2026-04-02 | 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 | 2026-02-06 | 2026-03-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2026-02-06 | 2026-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-06 | 2026-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-06 | 2026-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-06 | 2026-03-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-02-06 | 2026-03-31 | 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 | 2026-02-06 | 2026-03-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-06 | 2026-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-06 | 2026-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-06 | 2026-03-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-02-06 | 2026-03-31 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-02-06 | 2026-03-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-06 | 2026-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-06 | 2026-03-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-06 | 2026-03-31 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-02-06 | 2026-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-06 | 2026-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-06 | 2026-03-31 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2026-02-06 | 2026-03-31 | N |
| Respond appropriately to all alleged violations. | Health | 2025-10-17 | 2025-12-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-17 | 2025-12-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-23 | 2025-11-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-21 | 2025-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-21 | 2025-03-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-02-21 | 2025-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-21 | 2025-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-17 | 2025-02-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-05 | 2024-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-05 | 2024-11-22 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-08-05 | 2024-11-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-05 | 2024-11-22 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-08-05 | 2024-11-22 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-05 | 2024-11-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-05 | 2024-11-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-05 | 2024-11-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-05 | 2024-11-22 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-08-05 | 2024-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-05 | 2024-11-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-05 | 2024-11-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-08-05 | 2024-11-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-08-05 | 2024-11-22 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-05 | 2024-11-22 | 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 | 2024-08-05 | 2024-11-22 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-05 | 2024-11-22 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-08-05 | 2024-11-22 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-05 | 2024-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-05 | 2024-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-05 | 2024-11-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-05 | 2024-10-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-05 | 2024-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-05 | 2024-10-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-05 | 2024-10-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-05 | 2024-10-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-05 | 2024-10-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-05 | 2024-10-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-05 | 2024-10-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-05 | 2024-10-08 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-08-05 | 2024-10-08 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-08-05 | 2024-10-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-05 | 2024-10-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-05 | 2024-10-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-05 | 2024-10-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-05 | 2024-10-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-05 | 2024-10-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-05 | 2024-10-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-05 | 2024-10-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-05 | 2024-10-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-05 | 2024-10-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-05 | 2024-10-08 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-08-05 | 2024-10-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-08-05 | 2024-10-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-05 | 2024-10-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-05 | 2024-10-08 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-08-05 | 2024-10-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-08-05 | 2024-10-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-05 | 2024-10-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-05 | 2024-10-08 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-08-05 | 2024-10-08 | N |
| Post nurse staffing information every day. | Health | 2024-08-05 | 2024-10-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-05 | 2024-10-08 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-08-05 | 2024-10-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-05 | 2024-10-08 | 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 | 2024-08-05 | 2024-10-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-05 | 2024-10-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-25 | 2019-11-19 | 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 | 2019-07-25 | 2019-11-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-25 | 2019-11-19 | 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 | 2019-07-25 | 2019-11-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-25 | 2019-11-19 | N |
| Post nurse staffing information every day. | Health | 2019-07-25 | 2019-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-25 | 2019-09-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-25 | 2019-09-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-25 | 2019-09-25 | 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 | 2019-07-25 | 2019-09-25 | 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 | 2019-07-25 | 2019-09-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-25 | 2019-09-25 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-07-25 | 2019-09-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-25 | 2019-09-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-25 | 2019-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-25 | 2019-09-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-25 | 2019-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-09-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-25 | 2019-09-25 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-07-25 | 2019-09-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-25 | 2019-09-25 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-25 | 2019-09-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-25 | 2019-09-25 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-07-25 | 2019-09-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-25 | 2019-09-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-25 | 2019-09-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-25 | 2019-09-25 | N |