Creekside Transitional Care and Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 24, 2025

  Based on reviews of incident reports, medical records, hospital records, and staff interviews, it was determined the facility failed to ensure residents' safety during mechanical lift transfers. This was true for two of two residents (#1 and #2) reviewed for accidents. This failure harmed Resident #1 when she sustained a facial contusion and fractures to her lumbar vertebrae and left leg. Findings include: 1. Resident #1 was admitted to the facility on [DATE], and readmitted on [DATE], with multiple diagnoses including hemiplegia (paralysis that affect only one side of the body) and hemiparesis (one-sided weakness or inability to move) following a stroke. Resident #1's quarterly MDS, dated [DATE], documented she was severely cognitively impaired. […]

• No harm, potential for more than minimal, widespreadF812Sep 3, 2026

  Based on observation, interview, policy review, and U.S. Food and Drug Administration 2022 Food Code, the kitchen staff failed to appropriately store and label foods and properly wear beard and mustache nets when preparing or serving food. This deficient practice had the potential to affect all 131 residents who received meals prepared in the facility's kitchen. Findings include:The facility's Dietary Services Meals and Food policy dated 6/2017, documented food purchased, stored, and served in this facility is labeled and dated according to all applicable food service regulations.The FDA Food Code Section 3-501.17 Ready-to-Eat, TCS (time/temperature control for safety) food, date marking, states marking the date or day the original container is opened in a food establishment, with a… […]

• No harm, potential for more than minimal, widespreadF812Jun 13, 2025

  Based on observation, and staff interview, it was determined the facility failed to ensure food was stored in a safe and sanitary manner. This deficient practice had the potential to affect the 129 residents who consumed food prepared by the facility. This placed residents at risk for adverse health outcomes, including food-borne illnesses. Findings include: On 6/9/25 at 8:41 AM, during a kitchen inspection, a sack of potatoes and sack of onions were observed on a wire rack. The potatoes were observed to be mushy with bulging sprouts. The onions were observed to be green, soft, and mushy. On 6/9/25 at 8:42 AM, the CDM stated the potatoes and onions were not fresh and should have been disposed of.

• No harm, potential for more than minimal, widespreadF812Jun 27, 2024

  Based on observation, policy review and staff interview, it was determined the facility failed to use appropriate personal protective equipment (PPE) while working in food preparation areas. The facility failed to ensure chemical level testing supplies were available to test the quaternary (sometimes called quat - a group of chemicals used for sanitization) in the sanitation compartment of a three-compartment sink. The facility failed to ensure clean pans were air dried prior to storage. These failures increased the risk of food borne illness for the 118 residents that consumed food prepared by the facility. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF814Jun 27, 2024

  Based on observation,policy review, and staff interview, it was determined the facility failed to ensure garbage was contained and disposed of properly. This failure put all residents, staff, and guests in danger of illness or harm due to the increased the risk for pests and rodents to be present on the property. Findings include: A facility policy titled Garbage and Rubbish Disposal, dated 10/2023, documented garbage will be stored to be inaccessible to vermin and the dumpsters outside must be kept closed and free of litter around the dumpster area. On 6/24/24 at 8:37 AM, two dumpsters were observed outside the facility. Dumpsters #1 and #2 had two lids each, both lids on both dumpsters were open and exposed the garbage within. […]