Resident Complaints » Creekside Rehabilitation and Nursing

  1. Health Inspection on February 8, 2019 [1]

    1. Isolated: Immediate jeopardy to the resident health or safety
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-27)
      • Provide and implement an infection prevention and control program. (Corrected 2019-03-27)
    2. Isolated: Actual harm that is not immediate jeopardy
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-27)
      • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (Corrected 2019-03-27)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-27)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-03-27)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-03-27)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-03-27)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-03-27)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-03-27)
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-03-27)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-03-27)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-03-27)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-03-27)
      • 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 ne (Corrected 2019-03-27)
      • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-03-27)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-03-27)

  2. Health Inspection on February 5, 2019 [1]

    1. Pattern: Immediate jeopardy to the resident health or safety
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-03-27)
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-03-27)
      • Respond appropriately to all alleged violations. (Corrected 2019-03-27)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2019-03-27)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2019-03-27)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2019-03-27)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-03-27)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-03-27)

You may file a complaint with your state if you have a concern about the quality of care you or your family member gets from a nursing home and do not get a satisfactory resolution from your nursing home.

About Complaint Initiated Inspections How to File a Complaint


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html