Avera Creighton Care Centre

In the surveyor’s words

From the most serious findings on record at Avera Creighton Care Centre, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Sep 24, 2024

  Licensure Reference Number 175 NAC 12-006.17 Based on observation, record review, and interview; the facility failed to perform hand hygiene (hand washing using soap and water or an alcohol based hand rub (ABHR) at the required intervals and to utilize the required personal protective equipment (PPE-can include items such as gowns, gloves, masks, goggles and/or face shields) during the provision of room tray meal service to prevent the potential spread of COVID-19. This practice had the potential to affect all facility residents. The total sample size was 17 and the facility census was 34. Findings are: A. […]

• No harm, potential for more than minimal, widespreadF812Sep 5, 2023

  Licensure Reference Number 175 NAC 12-006.11E Based on observation, interview, and record review, the facility failed to ensure hair was restrained with a hair net, proper hand hygiene was followed and that utensils were handled to prevent potential food contamination during the food service. These practices had the potential to affect all residents. The sample size was 13 and the facility census was 41. Findings are: Review of the facility policy Infection Prevention in Food Safety/Sanitation Program for Nutrition Services with a revision date of 7/23 revealed the following: -hair restraints would be worn by all personnel preparing or serving food, -personnel must wash hands with soap and water before handling food and dishes, or after touching face, touching hair or combing… […]

• No harm, potential for more than minimal, widespreadF838Jun 7, 2022

  Based on interview and record review; the facility failed to review and revise the Facility Assessment as needed to assure the facility had the resources to meet the needs of the residents. The sample size was 18 and the facility census was 36. Findings are: Review of the Facility Assessment received from the facility on 06/02/22 revealed a revision date of 7/10/19. During an interview on 06/02/22 at 1:54 PM, the Interim Director of Nursing (DON) confirmed there was no policy available regarding the Facility Assessment and further confirmed the Facility Assessment should have been updated and/or revised as needed or at least annually.

• No harm, potential for more than minimal, widespreadF812Mar 30, 2021

  Licensure Reference Number 175 NAC 12-006.11E Based on observations and interviews, the facility failed to ensure cookware was maintained in a safe manner to prevent possible foodborne illness. This had the potential to impact all residents of the facility. The facility census was 41. Findings are: An observation on 3/29/21 at 10:50 AM during a follow up tour of the kitchen with the Dietary Manager (DM)-K, revealed frying pans that had a non-stick coating on the inside were peeling and had a rust color on them. During an interview with DM-K on 3/29/21 at 10:50 AM, DM-K confirmed the frying pans had been used to prepare food and the pans should have been removed from service and replaced.

• No harm, potential for more than minimal, patternF880Dec 3, 2025

  Licensure Reference Number 175 NAC 12-006.18(B)(D) Based on observation, record review and interview; the facility failed to complete hand hygiene at appropriate intervals to prevent potential infection/cross contamination during the provision of cares for Resident 1, 3, 12, 20, 28 and 36. The total sample size was 12 and the facility census was 37. Findings are:A. Review of the facility policy Hand Hygiene with a revision date of 11/20/25 revealed the facility considered Hand Hygiene to be the primary means of preventing the transmission of infection. […]