Deficiency Records for Accordius Health at Creekside Care
Updated as of July 01, 2020
This is not the most recent data for Accordius Health at Creekside Care. For the most recent information, click here.
A list of the most recent deficiencies for Accordius Health at Creekside Care. 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? |
|---|---|---|---|---|
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-18 | 2019-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-18 | 2019-10-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-22 | 2019-09-09 | 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 | 2019-08-22 | 2019-09-09 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-22 | 2019-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-11 | 2018-12-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-11 | 2018-12-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-11 | 2018-12-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-11 | 2018-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-11 | 2018-12-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-11 | 2018-12-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-24 | 2018-09-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-24 | 2018-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-24 | 2018-09-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-24 | 2018-09-14 | 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 | 2018-08-24 | 2018-09-14 | 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 | 2018-08-24 | 2018-09-14 | 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 | 2018-08-24 | 2018-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-12 | 2018-06-27 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2017-11-29 | 2018-01-08 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2017-10-25 | 2017-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-25 | 2017-11-07 | N |
