A list of the most recent deficiencies for Spring Creek Healthcare Center. 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? |
|---|---|---|---|---|
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-10-18 | 2023-11-10 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-06 | 2023-05-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-06 | 2023-05-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-06 | 2023-05-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-06 | 2023-05-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-06 | 2023-05-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-04-06 | 2023-05-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-06 | 2023-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-06 | 2023-05-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-06 | 2023-05-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-06 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-05-05 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-04-06 | 2023-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-16 | 2023-01-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-16 | 2023-01-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-04 | 2022-12-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-04 | 2022-12-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-06 | 2022-08-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-06 | 2022-08-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-06 | 2021-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-06 | 2021-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-06 | 2021-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-06 | 2021-05-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-04-06 | 2021-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-06 | 2021-05-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-23 | 2019-07-03 | 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 | 2019-05-23 | 2019-07-03 | 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 | 2019-05-23 | 2019-07-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-07-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-23 | 2019-07-03 | 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 | 2019-05-23 | 2019-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-07-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-23 | 2019-07-03 | N |
