CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Triple Creek Retirement Community
View the most recent health deficiencies and inspection results for Triple Creek Retirement Community. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Triple Creek Retirement Community. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-03-25 | 2026-04-10 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-11 | 2025-08-11 | 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 | 2025-07-11 | 2025-08-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-11 | 2025-08-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-11 | 2025-08-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-07-11 | 2025-08-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-07-11 | 2025-08-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-07-11 | 2025-08-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-11 | 2025-08-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-07-11 | 2025-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-28 | 2024-06-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-15 | 2024-03-07 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-18 | 2022-09-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-18 | 2022-09-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-08-18 | 2022-09-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-08-18 | 2022-09-25 | 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 | 2022-08-18 | 2022-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-18 | 2022-09-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-08-18 | 2022-09-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-18 | 2022-09-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-18 | 2022-09-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-18 | 2022-09-12 | 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 | 2022-08-18 | 2022-09-12 | 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 | 2019-07-03 | 2019-08-15 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-03 | 2019-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-03 | 2019-08-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-07-03 | 2019-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-03 | 2019-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-03 | 2019-08-15 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2019-07-03 | 2019-08-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-03 | 2019-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-03 | 2019-08-15 | N |