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Deficiency Records for Millcreek Rehabilitation and Nursing
View the most recent health deficiencies and inspection results for Millcreek Rehabilitation and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Millcreek Rehabilitation and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-07 | 2026-04-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-21 | 2026-01-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-31 | 2025-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-31 | 2025-04-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-31 | 2025-04-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-31 | 2025-04-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-31 | 2025-04-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-03-31 | 2025-04-11 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2025-03-31 | 2025-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-31 | 2025-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-31 | 2025-04-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-03-31 | 2025-04-11 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2025-03-31 | 2025-04-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-03-31 | 2025-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-31 | 2025-04-11 | N |
| 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 | 2025-03-31 | 2025-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-31 | 2025-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-31 | 2025-04-11 | 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 | 2025-03-31 | 2025-04-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-03-31 | 2025-04-11 | N |
| Use approved construction type or materials. | Fire Safety | 2025-03-31 | 2025-04-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-31 | 2025-04-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-15 | 2023-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-08-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-15 | 2023-07-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-30 | 2021-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-12-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-09-30 | 2021-12-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-30 | 2021-12-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-30 | 2021-12-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-09-30 | 2021-12-10 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-09-30 | 2021-12-10 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-09-30 | 2021-12-10 | N |
| 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 | 2021-09-30 | 2021-11-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-30 | 2021-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-11-15 | 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 | 2021-09-30 | 2021-09-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-30 | 2021-09-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-30 | 2021-09-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-09-30 | 2021-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-07 | Not Fixed | Y |