Deficiency Records for Mill Creek Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Mill Creek Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-01 | 2023-08-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-01 | 2023-08-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-28 | 2020-01-14 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-28 | 2020-01-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-28 | 2020-01-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-28 | 2020-01-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-28 | 2020-01-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-25 | 2018-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-25 | 2018-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-25 | 2018-11-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-25 | 2018-11-20 | 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 | 2018-10-25 | 2018-11-20 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-10-25 | 2018-11-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-25 | 2018-11-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-25 | 2018-11-19 | N |
