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Deficiency Records for Ivy Creek Wellness and Rehabilitation

View the most recent health deficiencies and inspection results for Ivy Creek Wellness and Rehabilitation. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Ivy Creek Wellness and Rehabilitation. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Protect each resident from the wrongful use of the resident's belongings or money. Health 2026-02-06 2026-02-09 Y
Have policies on smoking. Health 2025-07-23 2025-08-15 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 2025-07-23 2025-08-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-07-23 2025-08-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-07-23 2025-08-15 N
Provide and implement an infection prevention and control program. Health 2025-07-23 2025-08-15 N
Meet other general requirements. Fire Safety 2024-06-13 2025-06-12 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-06-13 2025-05-31 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2024-06-13 2025-05-31 N
Have proper medical gas storage and administration areas. Fire Safety 2024-06-13 2025-05-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-13 2025-05-31 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2024-06-13 2025-05-31 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-06-13 2025-05-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-06-13 2025-05-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-06-13 2025-05-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-06-13 2025-05-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-13 2025-05-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-13 2025-05-31 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-06-13 2025-05-31 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-06-13 2025-05-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-13 2025-05-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-13 2025-05-31 N
Provide properly protected cooking facilities. Fire Safety 2024-06-13 2025-05-31 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 2024-06-13 2025-05-31 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-06-13 2025-05-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-06-13 2025-05-31 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2024-06-13 2025-05-31 N
Establish policies and procedures including evacuation. Fire Safety 2024-06-13 2025-05-14 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-06-13 2025-05-14 N
Conduct testing and exercise requirements. Fire Safety 2024-06-13 2025-05-05 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-06-13 2025-04-17 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2024-06-13 2024-07-08 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-06-13 2024-07-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-13 2024-07-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-13 2024-07-03 N
Provide and implement an infection prevention and control program. Health 2024-06-13 2024-07-03 N
Respond appropriately to all alleged violations. Health 2023-12-29 2024-01-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-29 2024-01-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-29 2024-01-17 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-05-10 2023-06-09 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-10 Not Fixed N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-10 Not Fixed N

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