Bear Creek Senior Living

In the surveyor’s words

From the most serious findings on record at Bear Creek Senior Living, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 26, 2023

  Based on interviews and record review, the facility failed to provide adequate supervision and assistance devices to prevent accidents for one (#82) of two residents reviewed for falls out of 14 sample residents. The facility failed to timely and appropriately implement interventions including assistance with all activities of daily living as documented in her 1/10/23 minimum data set (MDS) assessment. The facility failed to provide staff education and increase resident's supervision to prevent falls when she could not initiate staff assistance by using her call light due to severely impaired cognition. […]

• Actual harm, isolatedF689Nov 4, 2021

  Based on record review and interviews, the facility failed to provide adequate supervision and an environment as free from accident hazards as possible for two (#84 and #2) of six residents reviewed for accidents out of 21 sample residents. Resident #84 required two staff assistance with transfers and staff dependent for toileting. The facility failed to ensure Resident #84 had two staff assistance when she was provided incontinence care on 8/2/21 when she rolled off the bed. Due to the facility failures, the resident sustained a closed fracture of neck of left humerus (upper arm) and refracture of her rib (see hospital records). […]

• No harm, potential for more than minimal, widespreadF880Feb 11, 2026

  Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infections in two of two units.Specifically, the facility failed to:-Ensure hand hygiene was performed appropriately when providing care;-Ensure staff donned (put on) appropriate personal protective equipment (PPE) when providing direct care to residents who should be on enhanced barrier precautions (EBP), including Resident #7 and Resident #33;-Ensure resident rooms were cleaned in a hygienic manner; and,-Ensure chemical dwell times were followed.Findings include: I. Hand hygiene failures A. […]

• No harm, potential for more than minimal, widespreadF880May 6, 2024

  Based on record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases. Specifically, the facility failed to: -Ensure the facility monitored the water for the growth of Legionella; and, -Ensure Resident #12 was offered the COVID-19 vaccine. Findings include: I. Water management A. Professional reference According to the Centers for Disease Control and Prevention (CDC) Toolkit: Developing a Water Management Program to Reduce Legionella Growth and Spread in Buildings,(3/25/21), retrieved on 5/4/24 from… […]

• No harm, potential for more than minimal, widespreadF880Nov 4, 2021

  Based on observations, record review and interviews, the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary environment and to help prevent the development and transmission of communicable diseases and infections such as COVID-19. Specifically, the facility failed to -Ensure staff wore personal protective equipment (PPE) while providing care to a resident in isolation; -Ensure staff were performing hand hygiene between different resident cares; and, -Ensure visitors and staff were actively screened for the signs and symptoms of COVID-19. Findings include: I. Staff wearing PPE appropriately and performing hand hygiene A. […]