Creekside Center

In the surveyor’s words

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

• Actual harm, isolatedF684Jun 12, 2026

  Based on interview and record review, the facility failed to ensure quality of care was provided according to professional standards of practice for one of three sampled residents (Resident 1) when, 1. Resident 1's Continuous Positive Airway Pressure (CPAP- a medical device attached to a facemask and then placed over the resident's mouth or nose and used to deliver pressurized air into the airway to keep it open) order was not transcribed from the [ACUTE CARE HOSPITAL NAME]'s discharge orders on 5/24/26 to Resident 1's active orders at the facility upon admission on [DATE]. 2. Resident 1 was given Resident 2's medications by mistake on 6/6/26. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2026

  Based on observation, interview, and record review the facility failed to provide food storage and preparation, as well as maintain kitchen equipment and food contact surfaces in accordance with professional standards for food safety for the 73 residents who ate facility prepared meals when: 1. Dishware not kept according to standard; 2. Food preparation equipment not kept clean per food safety standards; 3. Food items not properly labeled and/or stored and; 4. Staff unfamiliar with correct sanitizing process. These failures had the potential to put residents at risk for foodborne illnesses. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF880Aug 15, 2025

  These findings represent past non compliance with this regulatory requirement. There was significant evidence the facility corrected the non compliance as of 08/15/25 and there were no other occurrences of the same deficient practice at the time of the survey. The facility was in substantial compliance with this regulatory requirement and there for doesn't not require a plan of correction. Based on observation, interview, and record review, the facility failed to implement a comprehensive water safety management program based on nationally accepted standards to minimize the risk of Legionella Disease (a type of pneumonia (lung infection) caused by the bacteria Legionella pneumophila) and other opportunistic waterborne pathogens (a microorganism (bacteria) that exists in water sources or… […]

• No harm, potential for more than minimal, widespreadF812Dec 6, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety when: 1) Clean food service items were found put away wet (e.g. trays, steam table pans, scoops, and blender); 2) Can opener, food processor, and large saucepan were found dirty and/or rusted; 3) Raw chicken was prepared on a metal rack that had an uncovered container of dessert cups underneath; 4) Three bags in the freezer were open to the environment (sausage patties, biscuits, and mixed vegetables); 5) Staff were unable to demonstrate/explain the testing of sanitation concentration for the dish machine and red buckets/manual dish washing); and, 6) Resident refrigerator contained multiple food items with… […]

• No harm, potential for more than minimal, patternF656Mar 20, 2026

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive care plan (a dynamic, individualized, and multidisciplinary document outlining a resident's medical, functional, and psychosocial needs) for 2 out of 20 sampled residents when:1. A care plan for the use of psychotropic medication (mind altering medication) was not developed for Resident 8.2. The care plan interventions for an indwelling suprapubic catheter were not followed for Resident 47.These failures had the potential to place Resident 8 for not receiving effective and person-centered care, and Resident 47 at increased risk for infection. Overall, these could negatively impact the health, safety, and well-being of Residents 8 and 47. […]