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Deficiency Records for South Creek Post Acute
View the most recent health deficiencies and inspection results for South Creek Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for South Creek Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-30 | 2026-05-11 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2026-04-30 | 2026-05-11 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-02-11 | 2026-03-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2026-02-11 | 2026-03-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-11 | 2026-03-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-02-11 | 2026-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-11 | 2026-03-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-02-11 | 2026-03-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-02-11 | 2026-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-11 | 2026-03-09 | N |
| 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 | 2026-02-11 | 2026-03-09 | N |
| Post nurse staffing information every day. | Health | 2026-02-11 | 2026-03-09 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2026-02-11 | 2026-03-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-02-11 | 2026-03-09 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2026-02-11 | 2026-03-09 | N |
| Respond appropriately to all alleged violations. | Health | 2026-02-20 | 2026-03-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-20 | 2026-03-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-11 | 2026-03-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-12-29 | 2026-01-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-02 | 2025-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-09 | 2025-09-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-24 | 2025-08-15 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2025-07-01 | 2025-07-14 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-04-11 | 2025-05-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-04-11 | 2025-05-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-04-11 | 2025-05-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-04-11 | 2025-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-11 | 2025-05-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-11 | 2025-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-11 | 2025-05-17 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-04-17 | 2025-05-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-11 | 2025-05-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-11 | 2025-05-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-11 | 2025-05-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-04-11 | 2025-05-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-04-11 | 2025-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-11 | 2025-05-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-11 | 2025-05-15 | N |
| Provide activities to meet all resident's needs. | Health | 2025-04-11 | 2025-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-11 | 2025-05-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-11 | 2025-05-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-04-11 | 2025-05-15 | N |
| 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 | 2025-04-11 | 2025-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-11 | 2025-05-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-04-11 | 2025-05-15 | 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 | 2025-04-11 | 2025-04-28 | 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 | 2025-03-11 | 2025-03-21 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2025-02-19 | 2025-03-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-07 | 2025-02-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-07 | 2025-02-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-17 | 2025-02-06 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-24 | 2024-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-24 | 2024-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-24 | 2024-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-24 | 2024-06-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-24 | 2024-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-24 | 2024-06-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-24 | 2024-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-24 | 2024-06-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-24 | 2024-06-17 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-05-13 | Y |