Deficiency Records for Creekside Health and Rehab of Cascadia
Updated as of September 01, 2016
This is not the most recent data for Creekside Health and Rehab of Cascadia. For the most recent information, click here.
A list of the most recent deficiencies for Creekside Health and Rehab of Cascadia. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-04-13 | 2016-06-09 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-04-13 | 2016-06-09 | Y |
| A written emergency evacuation plan. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-04-13 | 2016-05-17 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-04-13 | 2016-05-17 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-04-13 | 2016-05-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-13 | 2016-05-17 | Y |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2016-04-13 | 2016-05-17 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-04-13 | 2016-05-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-06-04 | 2015-06-22 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-06-04 | 2015-06-22 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-06-04 | 2015-06-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-04 | 2015-06-22 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-06-04 | 2015-06-22 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Portable fire extinguishers. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2015-03-10 | 2015-03-30 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-03-05 | 2015-03-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-05 | 2015-03-30 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-02-20 | 2014-04-05 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-02-20 | 2014-04-05 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-02-20 | 2014-04-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-20 | 2014-04-05 | N |
| Provide housekeeping and maintenance services. | Health | 2014-02-14 | 2014-04-05 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-02-14 | 2014-04-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-02-14 | 2014-04-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-02-14 | 2014-04-05 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-02-14 | 2014-04-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-14 | 2014-04-05 | N |
