Creekside Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 20, 2025

  Based on observation, staff interviews, and record reviews, the facility failed to follow proper sanitation and cleaning practices in the kitchen to prevent the outbreak of foodborne illness. The findings included: On 2/17/25 at 9:20 a.m., an initial tour of the kitchen was completed with the Certified Dietary Manager (CDM). The ice machine was observed first. It had a monthly maintenance check sheet attached to the front. The last month signed on the maintenance log for the ice machine was checked by maintenance was August of 2024. Photographic evidence obtained In an interview the CDM said to her knowledge no one had checked it since she had been she had been employed at the facility, approximately three months. Dietary Aide Staff E was observed using the 3-compartment sink. […]

• No harm, potential for more than minimal, widespreadF812Aug 11, 2022

  Based on observation, and staff interview, the facility failed to provide a clean, and sanitary environment in the kitchen by not having clean walls, air conditioning vents, food appliances, food preparation, and storage areas. The facility also failed to properly store food, clean, and make necessary repairs in 2 (nourishment rooms 1B and 2B) of 2 nourishment rooms observed. This failure had the potential to cause food borne illness in residents receiving an oral diet. The findings included: On 8/8/2022 at 9:20 a.m., during the initial kitchen tour with the Food Service Director and the Regional Dietary Consultant, the following was observed: The oven, stove top, flat top cooker, and steam and hold table had caked on grease and grime. […]

• No harm, potential for more than minimal, patternF677Aug 19, 2025

  Based on observation, record review, review of facility policy, resident and staff interviews, the facility failed to provide the necessary care and services for personal hygiene and incontinent care for 2 (Resident #100 and #2) of 3 residents reviewed for activities of daily living.The findings included:Review of the facility's policy, Standards and Guidelines: ADL Care and Services, initiated 4/2020 (revised 1/24) revealed, Residents who are unable to carry out activities of daily living (ADL's) independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene . […]

• No harm, potential for more than minimal, patternF584Feb 20, 2025

  Based on observation, record review, residents and staff interviews, the facility failed to ensure a safe, clean, comfortable and homelike environment for 9 (Rooms #238, #240, #243, Residents #75's room, #103's room, #109's room, and #81's room)of 22 residents' rooms observed, and 2 (Unit 2A and 2B) of 2 shower rooms observed. The findings included: On 2/17/25 at 9:46 a.m., during the initial tour the following observations were made: 1. room [ROOM NUMBER]: A shampoo bottle, and a spray bottle were stored on the floor next to bed B. 15 unrefrigerated yogurts and a carton of milk were stored on the air-conditioning unit and the windowsill. The shared bathroom had a pile of soiled towels on the floor. Unlabeled dishes and washbasins were stored on a shelf above the toilet. […]

• No harm, potential for more than minimal, patternF677Feb 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure 8 (Residents #109, #346, #196, #108, #138, #103, #9, and #65) of 9 residents dependent upon staff for care received the necessary care and assistance for activities of daily living. The findings included: 1. Review of the Clinical Record Review for Resident #109 revealed an Annual Minimum Data Set (MDS) assessment with a target date of 3/14/24. The assessment noted the resident felt it was very important to choose a shower, bed bath, tub bath or sponge bath. The Quarterly MDS with a target date of 1/2/25 revealed Resident #109's cognitive skills for daily decision making was intact with a Brief Interview for Mental Status (BIMS) score of 15. […]