Creekview Health and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 17, 2025

  Based on facility policy review, observations, and interviews, the facility failed to ensure two dietary aides had a protective facial hair covering while working in the kitchen, failed to ensure food items were properly labeled (name, date opened, or expiration date), failed to ensure frozen food items were stored at a temperature for frozen food items to remain frozen solid which had the potential to affect 71 of 72 residents, and failed to ensure an expired nutritional supplement was discarded and unavailable for resident use on 1 of 2 medication carts observed.The findings include:Review of the facility's policy titled, Sanitary Standards-Dietary Personnel, revised 7/2016, revealed .It is the policy of this facility .dietary personnel will be required to follow additional sanitary… […]

• No harm, potential for more than minimal, widespreadF725Jun 28, 2022

  Based on review of the Facility Assessment, review of facility's daily staffing sheets, review of facility shower schedules, medical record review, and interview, the facility failed to provide adequate staffing on the weekends to meet the needs of residents in the facility for 2 months (May and June 2022), which had the potential to affect all residents in the facility. The findings include: Review of the Facility Assessment updated 4/25/2022, showed the average daily census was 60. Licensed nurses and Certified Nurse aides (CNA) providing direct care total number needed or average range correlates to census number; staff will be assigned to meet needs of all residents. […]

• No harm, potential for more than minimal, widespreadF812Jun 28, 2022

  Based on facility policy review, observation, and interview, the facility failed to properly store frozen foods in 1 of 1 freezer, failed to date 3 containers of dried foods in the kitchen area, and failed to maintain proper temperatures in 2 of 2 nourishment refrigerators, potentially affecting 58 of 60 residents in the facility. The findings include: Review of the facility policy titled, Food Storage-Dry Goods, dated 10/2019, showed .The Dining Services Director or designee ensures .the storage .date marked as appropriate . Review of the facility policy titled, Food Storage .Cold, dated 10/2019, showed .all food items are stored properly .arranged in a manner to prevent cross contamination . […]

• No harm, potential for more than minimal, patternF656Jun 28, 2022

  Based on review of the facility policy, medical record review, observation, and interview, the facility failed to develop a comprehensive care plan to include a urinary catheter for 1 resident (Resident #12), to include Activities of Daily Living (ADL) for bathing for 4 residents (Residents #14, #29, #52, and #210), and to include use of [CONDITION(S)] medications for 1 resident (Resident #35) of 20 residents reviewed for care plans. The findings include: Review of the facility policy titled, Comprehensive Care Plans, dated 1/2/2020, revealed .It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and… […]

• No harm, potential for more than minimal, patternF677Jun 28, 2022

  Based on facility policy review, medical record review, facility shower schedule review, and interview, the facility failed to provide scheduled showers for 4 residents (Residents #14, #29, #52, and #160) of 10 residents reviewed for showers. The findings include: Review of the facility policy titled, Bathing a Resident, dated 1/2/2020, showed .It is the practice of this facility to assist residents with bathing to maintain proper hygiene and help prevent skin issues . Resident #14 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]