Deficiency Records for Millcreek Rehabilitation and Nursing LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Millcreek Rehabilitation and Nursing LLC. 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? |
|---|---|---|---|---|
| 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 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-08-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-13 | 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 | 2023-06-13 | 2023-07-03 | 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 |
| Assure that each resident?s assessment is updated at least once every 3 months. | 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 |
| Ensure medication error rates are not 5 percent or greater. | 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 | 2021-09-29 | 2021-09-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-29 | 2021-09-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-29 | 2021-09-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-09-29 | 2021-09-29 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
