Deficiency Records for Silver Creek Manor
Updated as of June 01, 2022
This is not the most recent data for Silver Creek Manor. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | N |
| 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 |
| 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 | 2021-02-05 | 2021-03-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-05 | 2021-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-05 | 2021-03-22 | Y |
| 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 | 2020-12-11 | 2021-01-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-12-11 | 2021-01-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-12-11 | 2021-01-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-11 | 2021-01-11 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2020-12-11 | 2021-01-11 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-10-15 | 2020-11-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-15 | 2020-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-15 | 2020-11-15 | Y |
| 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 | 2019-08-29 | 2019-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-30 | 2019-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-10-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-29 | 2019-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-30 | 2019-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-30 | 2019-09-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-08-30 | 2019-09-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-30 | 2019-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-30 | 2019-09-25 | Y |
| 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 | 2019-08-30 | 2019-09-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-30 | 2019-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-30 | 2019-09-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-05 | 2019-06-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-01 | 2018-09-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-01 | 2018-09-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-03 | 2018-08-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-08-03 | 2018-08-27 | 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 | 2018-08-03 | 2018-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-03 | 2018-08-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-01 | 2018-08-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-03 | 2018-08-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-08-03 | 2018-08-06 | 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 | 2018-08-03 | 2018-08-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-08-01 | 2018-08-02 | N |
