A list of the most recent deficiencies for Jordan Creek Nursing and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-03 | 2021-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-03 | 2021-10-18 | N |
| Provide activities to meet all resident's needs. | Health | 2021-09-03 | 2021-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-03 | 2021-10-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-03 | 2021-10-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-03 | 2021-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-03 | 2021-10-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-09-03 | 2021-10-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-03 | 2021-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-03 | 2021-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-03 | 2021-10-18 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-22 | 2021-05-06 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-03-22 | 2021-05-06 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-04-23 | 2019-06-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-23 | 2019-06-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide appropriate foot care. | Health | 2019-04-23 | 2019-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-04-23 | 2019-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-23 | 2019-06-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-23 | 2019-06-05 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-23 | 2019-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-23 | 2019-06-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-23 | 2019-06-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-04-23 | 2019-05-24 | 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 | 2019-04-23 | 2019-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-23 | 2019-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-13 | 2018-05-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-13 | 2018-05-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-13 | 2018-05-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-13 | 2018-05-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-13 | 2018-05-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-04-13 | 2018-05-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-13 | 2018-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-13 | 2018-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-13 | 2018-05-27 | N |
| Use approved construction type or materials. | Fire Safety | 2018-04-13 | 2018-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-13 | 2018-05-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-13 | 2018-05-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-13 | 2018-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-13 | 2018-05-27 | N |
