Deficiency Records for Triple Creek Retirement Community
Updated as of January 01, 2019
This is not the most recent data for Triple Creek Retirement Community. For the most recent information, click here.
A list of the most recent deficiencies for Triple Creek Retirement Community. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2018-06-04 | 2018-07-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-06-04 | 2018-07-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-06-04 | 2018-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-04 | 2018-07-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-07 | 2018-07-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-07 | 2018-07-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-07 | 2018-07-13 | 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 | 2018-06-07 | 2018-07-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-07 | 2018-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-07 | 2018-07-13 | 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 ne | Health | 2018-06-07 | 2018-07-13 | 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 | 2018-06-07 | 2018-07-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-22 | 2018-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-27 | 2017-05-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-27 | 2017-05-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-08 | 2017-04-27 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-01 | 2016-03-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-01 | 2016-03-11 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-02-01 | 2016-03-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-04 | 2016-03-11 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-04 | 2016-03-11 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-04 | 2016-03-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-04 | 2016-03-11 | N |
