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Deficiency Records for Canyon Creek Post-Acute
View the most recent health deficiencies and inspection results for Canyon Creek Post-Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Canyon Creek Post-Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-12 | 2026-02-12 | 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 | 2026-01-12 | 2026-02-12 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-11-01 | 2024-12-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-01 | 2024-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-01 | 2024-12-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-11-01 | 2024-12-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-01 | 2024-12-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-11-01 | 2024-12-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Use approved construction type or materials. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-11-01 | 2024-11-19 | 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 | 2024-11-01 | 2024-11-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-11-01 | 2024-11-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-27 | 2024-04-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-20 | 2023-10-13 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-23 | 2021-08-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-23 | 2021-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-23 | 2021-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-23 | 2021-08-25 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-23 | 2021-08-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-07-23 | 2021-08-25 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-07-23 | 2021-08-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-23 | 2021-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-23 | 2021-08-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-23 | 2021-08-16 | 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 | 2021-07-23 | 2021-08-16 | 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 | 2021-07-23 | 2021-08-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-07-23 | 2021-07-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-27 | 2020-08-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-27 | 2020-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-04-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-27 | 2020-04-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-27 | 2020-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-04-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-27 | 2020-04-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-27 | 2020-04-08 | 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 | 2020-02-27 | 2020-04-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-02-27 | 2020-04-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-27 | 2020-04-08 | N |