A list of the most recent deficiencies for Jackson Creek Post Acute. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-06-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-26 | 2023-03-01 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-10 | 2022-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-10 | 2022-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-09-23 | 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 | 2022-08-10 | 2022-09-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-10 | 2022-09-23 | 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 | 2022-08-10 | 2022-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-09-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-10 | 2022-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-10 | 2022-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-05 | 2019-12-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-05 | 2019-12-17 | 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 | 2019-11-05 | 2019-12-17 | 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 | 2019-11-05 | 2019-12-17 | 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 | 2019-11-05 | 2019-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-05 | 2019-12-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-23 | 2018-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-23 | 2018-12-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-23 | 2018-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-23 | 2018-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-23 | 2018-12-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-23 | 2018-12-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-23 | 2018-12-07 | N |
