Deficiency Records for Marine Creek Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Marine Creek Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-11-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-11-17 | Y |
| 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 | 2023-11-16 | 2023-11-17 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-11-16 | 2023-11-17 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-12 | 2023-08-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | 2023-07-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-13 | 2023-07-17 | N |
| 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 | 2023-07-12 | 2023-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-12 | 2023-07-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-12 | 2023-07-12 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-19 | 2023-06-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-19 | 2023-06-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-09 | 2023-05-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-21 | 2022-12-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-21 | 2022-12-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-13 | 2022-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-06-29 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-06-02 | 2022-06-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-02 | 2022-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-02 | 2022-06-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-12 | 2022-01-13 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-06 | 2021-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-05 | 2021-05-21 | 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 | 2021-05-05 | 2021-05-21 | 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 | 2021-05-05 | 2021-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-05 | 2021-05-10 | N |
| 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 | 2021-05-06 | 2021-05-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-06 | 2021-05-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-06 | 2021-05-07 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-05-06 | 2021-05-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-18 | 2021-03-19 | Y |
