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Deficiency Records for Eaton Creek Post Acute
View the most recent health deficiencies and inspection results for Eaton Creek Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Eaton Creek Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-06 | 2025-03-11 | 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 | 2024-11-07 | 2024-12-09 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-11-07 | 2024-12-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-11-07 | 2024-12-09 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-11-07 | 2024-12-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-11-07 | 2024-12-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-07 | 2024-12-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-07 | 2024-12-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-07 | 2024-12-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-07 | 2024-12-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-11-07 | 2024-12-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-07 | 2024-12-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-07 | 2024-12-09 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-11-07 | 2024-12-09 | Y |
| 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 | 2024-11-07 | 2024-12-09 | 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 | 2024-11-07 | 2024-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-07 | 2024-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-07 | 2024-06-27 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-08-30 | 2023-10-12 | 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 | 2023-08-30 | 2023-10-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-30 | 2023-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-30 | 2023-09-29 | Y |
| 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 | 2023-08-30 | 2023-09-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-30 | 2023-09-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-30 | 2023-09-29 | 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 | 2023-08-30 | 2023-09-29 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-30 | 2023-09-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-30 | 2022-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2022-09-26 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-21 | 2019-08-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-21 | 2019-06-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-21 | 2019-06-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-21 | 2019-06-30 | 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 | 2019-05-21 | 2019-06-30 | 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 | 2019-05-21 | 2019-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-21 | 2019-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-21 | 2019-06-28 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-05-21 | 2019-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-21 | 2019-06-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-05-21 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-21 | 2019-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-21 | 2019-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-25 | 2018-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-25 | 2018-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-05-18 | N |