Creekside at the Springs

In the surveyor’s words

From the most serious findings on record at Creekside at the Springs, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Feb 9, 2024

  Based on record review and interview, the facility failed to ensure necessary care and services were provided including the monitoring of lab orders to ensure results were obtained in a timely manner, the physician was notified of results and treatment provided accordingly which resulted in hospitalization and subsequent death for 1 (Resident #70), as evidenced by: failure to monitor for return lab results; failure to appropriately assess and diagnose the symptoms of a urinary tract infection; failure to provide adequate treatment and services to reduce symptoms including confusion, disorientation, delusions, weakness, poor gait/imbalance, irregular heart rhythm and nausea which resulted in hospitalization and subsequent diagnosis of Sepsis for 1 (Resident #70) of 1 sampled resident with… […]

• No harm, potential for more than minimal, widespreadF812Feb 9, 2024

  Based on observation and interview the facility failed to ensure kitchen employees washed their hands and changed gloves between clean and dirty tasks; utilized food items were used prior to their expiration date to prevent food borne illness; the kitchen was clean and free of excess trash, grease, grime, and dust. The findings are: On 02/05/24 at 10:11 AM, two trays of cookies for the lunch meal were on the counter uncovered. On 02/05/24 AM at 10:12 AM, a large hard plastic container containing 4 one-pound packets of sliced turkey was in the 3-door refrigerator. The use by date located on the package was 1/19/23. Located on the same shelf was a resealable plastic bag containing 3 chicken strips. […]

• No harm, potential for more than minimal, widespreadF801Nov 10, 2022

  Based on observation and interview the facility failed to ensure the Dietary Manager (DM) had the necessary education and qualifications to meet the Centers for Medicare and Medicaid Services (CMS) minimum requirements to ensure nutritional needs and food safety needs were met for the 74 residents who resided in the facility and received trays from the kitchen. The findings are: a. On 11/07/22 at 09:03 AM, Dietary Employee (DE) #2 walked into the kitchen and the Surveyor introduced herself and asked if the Dietary Manager (DM) would be in later. DE #2 stated the facility did not have a DM and the Administrator was currently filling in as the DM until they found one. b. […]

• No harm, potential for more than minimal, widespreadF802Nov 10, 2022

  Based on observation, interview, and record review, the facility failed to ensure a sufficient number of competent staff were employed to carry out the functions safely and effectively for 1 of 1 kitchen in the facility which fed 74 residents according to the Diet List provided by the Administrator on 11/7/22. The findings are: 1. On 11/07/22 at 08:58 AM, the Surveyor asked Dietary Employee (DE) #1 if the Dietary Manager (DM) was available. DE #1 stated DE #2 (the Cook), was available once she returned from taking out the trash. 2. On 11/07/22 at 09:03 AM, there was a sandwich in an open plastic bag with no date on the prep table. 3. On 11/07/22 at 09:03 AM, DE #2 walked into the kitchen, the Surveyor asked if the DM would be in later. […]

• No harm, potential for more than minimal, widespreadF804Nov 10, 2022

  Based on observation, interview, and record review, the facility failed to ensure meals were not prepared and held on the steam table losing nutritive value, flavor, and appearance; meals were held and served at acceptable temperatures, hot foods were maintained at or above a temperature of 135 degrees Fahrenheit (F.), and cold foods were maintained at or below 41 degrees (F.) while awaiting service to prevent potential food borne illness and to improve palatability and encourage good nutritional intake during 1 of 1 meal observed for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 74 residents who received a tray from the kitchen, as documented on a list provided by the Administrator on 11/7/22. The findings are: 1. […]