Inspection Results » Creekside Rehabilitation and Nursing

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

   • 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)
   • 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)