CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Pavilion at Creekwood
View the most recent health deficiencies and inspection results for The Pavilion at Creekwood. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Pavilion at Creekwood. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-06 | 2025-08-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-06 | 2025-08-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-26 | 2025-03-17 | 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 | 2025-02-26 | 2025-02-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-26 | 2025-02-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-26 | 2025-02-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-26 | 2025-02-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-26 | 2025-02-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-26 | 2025-02-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-05 | 2025-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-05 | 2025-01-06 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-01-05 | 2025-01-06 | Y |
| 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 | 2024-08-27 | 2024-08-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-20 | 2024-05-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-20 | 2024-05-21 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-21 | 2023-12-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-12 | 2023-12-13 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-21 | 2023-11-22 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-30 | 2023-01-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-11-30 | 2023-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2022-12-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-11-30 | 2022-12-19 | 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 | 2022-11-30 | 2022-12-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-30 | 2022-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-30 | 2022-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-30 | 2022-12-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-30 | 2022-12-01 | N |