Deficiency Records for Jacob's Creek Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Jacob's Creek Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-14 | 2023-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-14 | 2023-07-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-14 | 2023-07-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-14 | 2023-07-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-27 | 2023-05-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-27 | 2023-05-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-27 | 2023-05-25 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-04-27 | 2023-05-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-08 | 2022-03-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-01-11 | 2022-02-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-01-11 | 2022-02-11 | 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 | 2022-01-11 | 2022-02-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-01-11 | 2022-02-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-01-11 | 2022-02-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-11 | 2022-02-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-11 | 2022-02-11 | Y |
| 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 | 2022-01-11 | 2022-02-11 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-11 | 2022-02-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-12 | 2020-04-09 | 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 | 2020-03-12 | 2020-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-04-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-12 | 2020-04-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-12 | 2020-04-09 | N |
| Provide appropriate foot care. | Health | 2020-03-12 | 2020-04-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-12 | 2020-04-09 | 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 | 2020-03-12 | 2020-04-09 | N |
