Deficiency Records for Creekside Center For Rehabilitation and Healing
Updated as of March 01, 2024
A list of the most recent deficiencies for Creekside Center For Rehabilitation and Healing. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-07-12 | 2023-08-17 | 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 | 2023-07-12 | 2023-08-17 | 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 | 2023-07-12 | 2023-08-17 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-09 | 2023-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-09 | 2023-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-09 | 2023-08-07 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-15 | 2022-03-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-15 | 2021-07-01 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-05-01 | 2019-07-03 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-05-01 | 2019-07-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-01 | 2019-07-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-01 | 2019-05-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-01 | 2019-05-22 | 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 | 2018-05-14 | 2018-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-14 | 2018-05-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-05-14 | 2018-05-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-16 | 2018-05-25 | 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 | 2018-05-16 | 2018-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-16 | 2018-05-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-16 | 2018-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-14 | 2018-05-14 | N |
