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Deficiency Records for Eagle Creek Nursing Center
View the most recent health deficiencies and inspection results for Eagle Creek Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Eagle Creek Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-19 | 2025-01-24 | 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 | 2024-12-19 | 2025-01-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-12-19 | 2025-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-19 | 2025-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-19 | 2025-01-10 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-12-19 | 2025-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-19 | 2025-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Keep all essential equipment working safely. | Health | 2022-08-25 | 2022-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-10-13 | 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 | 2022-08-25 | 2022-10-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-25 | 2022-10-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-25 | 2022-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-25 | 2022-10-13 | N |
| Post nurse staffing information every day. | Health | 2022-08-25 | 2022-09-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-24 | 2019-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-24 | 2019-11-21 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-24 | 2019-11-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-10-24 | 2019-11-21 | 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 | 2019-10-24 | 2019-11-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-24 | 2019-11-21 | 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 | 2019-10-24 | 2019-11-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-24 | 2019-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-24 | 2019-11-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-24 | 2019-11-21 | 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 | 2019-10-24 | 2019-11-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-24 | 2019-11-21 | 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 | 2019-10-24 | 2019-11-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-24 | 2019-11-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-10-24 | 2019-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-24 | 2019-11-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-24 | 2019-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-24 | 2019-11-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-24 | 2019-11-21 | N |