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Deficiency Records for The Creston Health and Rehabilitation

View the most recent health deficiencies and inspection results for The Creston Health and Rehabilitation. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Creston Health and Rehabilitation. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Establish policies and procedures for volunteers. Fire Safety 2026-02-27 2026-03-31 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2026-02-27 2026-03-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-02-27 2026-03-31 Y
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 2026-02-27 2026-03-31 N
Post nurse staffing information every day. Health 2026-02-27 2026-03-31 N
Observe each nurse aide's job performance and give regular training. Health 2026-02-27 2026-03-31 N
Assist a resident in gaining access to vision and hearing services. Health 2026-02-27 2026-03-31 N
Provide activities to meet all resident's needs. Health 2026-02-27 2026-03-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-02-27 2026-03-31 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2026-02-27 2026-03-31 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2026-02-27 2026-03-31 N
Reasonably accommodate the needs and preferences of each resident. Health 2026-02-27 2026-03-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-02-27 2026-03-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-02-28 2025-03-31 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2024-10-15 2024-12-13 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-10-30 2024-12-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-10-15 2024-11-30 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-10-15 2024-11-30 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 2024-10-15 2024-11-30 N
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 2024-10-15 2024-11-30 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 2024-10-15 2024-11-30 N
Ensure each resident receives an accurate assessment. Health 2024-10-15 2024-11-30 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 2024-10-15 2024-11-30 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-10-15 2024-11-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-10-15 2024-11-30 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 2024-10-15 2024-11-30 N
Provide and implement an infection prevention and control program. Health 2024-10-15 2024-11-30 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-10-15 2024-11-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-15 2024-11-30 N
Provide or obtain dental services for each resident. Health 2024-10-15 2024-11-30 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 2024-10-15 2024-11-30 N
Ensure medication error rates are not 5 percent or greater. Health 2024-10-15 2024-11-30 N
Provide activities to meet all resident's needs. Health 2024-10-15 2024-11-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-15 2024-11-30 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 2024-10-15 2024-11-30 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2024-10-15 2024-11-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-10-15 2024-11-30 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 2024-10-15 2024-11-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-10-15 2024-11-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-15 2024-11-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-10-15 2024-11-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-10-15 2024-11-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-15 2024-11-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-10-15 2024-11-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-10-15 2024-11-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-10-15 2024-11-30 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-10-15 2024-11-30 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-10-15 2024-11-30 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-07-30 2024-09-17 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-30 2024-09-17 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-07-30 2024-09-17 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-07-30 2024-09-17 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-09-18 2023-10-24 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-09-18 2023-10-24 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-09-18 2023-10-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-18 2023-10-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-18 2023-10-24 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-09-18 2023-10-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-18 2023-10-24 Y
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 2023-06-30 2023-07-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-30 2023-07-24 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-06-30 2023-07-24 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-06-30 2023-07-24 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-30 2023-07-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-30 2023-07-24 Y
Provide activities to meet all resident's needs. Health 2023-06-30 2023-07-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-30 2023-07-24 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-30 2023-07-24 Y
Ensure each resident receives an accurate assessment. Health 2023-06-30 2023-07-24 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-30 2023-07-24 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-06-30 2023-07-24 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-06-30 2023-07-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-06-30 2023-07-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-06-30 2023-07-24 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-06-30 2023-07-18 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-06-30 2023-07-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-06-30 2023-07-18 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-06-30 2023-07-18 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 2023-06-30 2023-07-18 N

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