Deficiency Records for Jacob's Creek Nursing and Rehabilitation Center
Updated as of January 01, 2020
This is not the most recent data for Jacob's Creek Nursing and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Be properly staffed | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-28 | 2019-04-25 | 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 | 2019-03-28 | 2019-04-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-28 | 2019-04-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-04-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-28 | 2019-04-25 | 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 | 2019-03-28 | 2019-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-04-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-28 | 2019-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-12-01 | 2018-12-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| 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 | 2018-03-28 | 2018-04-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-14 | 2018-04-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-14 | 2018-04-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-14 | 2018-04-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-22 | 2018-03-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-02-22 | 2018-03-22 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-01 | 2017-07-29 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-01 | 2017-07-29 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-03-22 | 2017-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-22 | 2017-04-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-22 | 2017-04-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-03-22 | 2017-04-07 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-02-23 | 2017-03-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-23 | 2017-03-19 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-23 | 2017-03-19 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-23 | 2017-03-19 | Y |
