Inspection Results » Creekside Health and Rehabilitation Center

Health Inspection on May 20, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-06-15)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2018-06-15)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-15)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-15)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-06-15)
   • 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. (Corrected 2018-06-15)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-06-15)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-06-15)
   • 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 2018-06-15)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-06-15)
   • 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 2018-06-15)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-06-15)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-15)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-06-15)
   • Respond appropriately to all alleged violations. (Corrected 2018-06-15)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-15)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-06-15)