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Deficiency Records for Creswell Post Acute
View the most recent health deficiencies and inspection results for Creswell Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Creswell Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-30 | 2026-03-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-30 | 2026-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-30 | 2026-03-06 | N |
| 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 | 2026-01-30 | 2026-03-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-30 | 2026-03-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-01-30 | 2026-03-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-01-30 | 2026-03-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-30 | 2026-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-30 | 2026-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-30 | 2026-03-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-30 | 2026-03-06 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-01-30 | 2026-03-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-11-19 | 2026-01-16 | Y |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2025-11-19 | 2026-01-16 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2025-11-19 | 2026-01-16 | 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 | 2025-12-11 | 2026-01-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-12-11 | 2026-01-12 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-12-11 | 2026-01-12 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-12-11 | 2026-01-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-11 | 2025-12-04 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-30 | 2024-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-30 | 2024-10-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-30 | 2024-10-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-30 | 2024-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-10-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-30 | 2024-10-17 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-08-30 | 2024-10-17 | 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 | 2024-08-30 | 2024-10-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-30 | 2024-10-17 | 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 | 2024-08-30 | 2024-10-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-30 | 2024-10-17 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-30 | 2024-10-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-30 | 2024-10-17 | 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 | 2024-08-30 | 2024-10-17 | 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 | 2024-08-30 | 2024-10-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-30 | 2024-10-17 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-10-09 | 2024-10-17 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-30 | 2024-10-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-30 | 2024-10-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-30 | 2024-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-30 | 2024-10-17 | 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 | 2023-09-15 | 2023-10-25 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-15 | 2023-10-25 | 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 | 2023-09-15 | 2023-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-15 | 2023-10-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-15 | 2023-10-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-15 | 2023-10-25 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-05 | 2023-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-05 | 2023-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-05 | 2023-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-05 | 2023-06-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-05 | 2023-06-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-05-05 | 2023-06-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-05 | 2023-06-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-05-05 | 2023-06-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-15 | 2023-01-11 | Y |