Deficiency Records for Silver Creek Manor

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Updated as of March 01, 2024

A list of the most recent deficiencies for Silver Creek Manor. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-22 2023-11-23 Y
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 2023-11-22 2023-11-23 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-05-12 2023-05-13 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-05-12 2023-05-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-12 2023-05-13 N
Provide and implement an infection prevention and control program. Health 2023-05-12 2023-05-13 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-05-10 2023-05-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-10 2023-05-11 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 2022-03-25 2022-04-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-03-25 2022-04-01 N
Keep all essential equipment working safely. Health 2022-03-25 2022-04-01 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-03-25 2022-04-01 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-03-24 2022-03-25 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-03-24 2022-03-25 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-18 2022-03-19 Y
Provide and implement an infection prevention and control program. Health 2021-08-12 2021-09-07 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-08-12 2021-08-27 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 2021-05-21 2021-06-11 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-21 2021-06-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-05-21 2021-06-11 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-05-18 2021-05-21 N