Eagle Creek Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Aug 5, 2021

  THIS IS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed medical record review, staff interviews, review of the Emergency Medical Services (EMS) run report, review of the facility investigation, review of the facility policy for Cardio-Pulmonary Resuscitation (CPR), and review of the recommended technique for providing CPR, the facility failed to initiate CPR or contact EMS timely for Resident #59 who was found unresponsive, without a pulse or respirations, and who was identified as a Full Code status. This resulted in Immediate Jeopardy when Resident #59 did not receive CPR for six minutes after he was discovered with no vital signs. EMS was not contacted for assistance until six minutes after the resident was discovered. […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2026

  Based on observations, interviews, and review of facility policy, the facility failed to ensure the kitchen was maintained in a clean, sanitary manner. This had the potential to affect all residents residing in the facility as the facility identified no residents who did not receive food prepared in the kitchen. The facility census was 70. Findings include:Observation on 06/22/26 at 8:55 A.M. revealed a pipe located underneath the 3-sink compartment across from the steam table was leaking water into a metal pan placed underneath it. The tiles behind the metal pan were loose and a black mildew-like substance was located on the tiles and floor beneath them. Two ceiling tiles located above the steam table were covered with a black mildew-like substance and were saturated with water. […]

• No harm, potential for more than minimal, widespreadF812Dec 19, 2024

  Based on observations and staff interview, the facility failed to store foods and maintain kitchen equipment under sanitary conditions. This affected all 71 residents who received food from the kitchen. The facility census was 71. Findings include: During initial kitchen tour on 12/16/24 at 8:47 A.M., the was a large unlabeled and undated food bin containing a white substance under the food preparation counter. There was soy sauce, Worcestershire sauce, mayonnaise and opened bag of cheese with no expiration date or use by date in the walk-in refrigerator. Further observations of the stove ventilation revealed the hood had brown fuzzy debris of a quarter of inch in length hanging from the bottom rack. […]

• No harm, potential for more than minimal, widespreadF812Aug 25, 2022

  Based on observation, interview, and policy review, the facility failed to store foods, discard expired foods and maintain food equipment in sanitary condition. This had the potential to affect 54 residents who received food from the kitchen. The facility census was 54. Findings include: Observation on [DATE] at 9:37 A.M. revealed following sanitation violations in the main kitchen: 1. Two open orange juice containers in reach-in refrigerator with no open date. 2. One thickened water container in reach-in refrigerator with no open date. 3. Two cranberry juice containers in reach-in refrigerator with no open date. 4. One unlabeled and undated container of a white substance on storage shelf. 5. One bag of opened and unsealed shredded cheese in walk in refrigerator. 6. […]

• No harm, potential for more than minimal, widespreadF908Aug 25, 2022

  Based on observation ,interview, and policy review, the facility failed to maintain food equipment in good repair. This had the potential to affect 54 residents who received food from the kitchen. The facility census was 54. Findings include: Observation on 08/22/22 at 9:37 A.M. revealed the walk-in freezer had six inches by 24 inch area of ice buildup under the condenser at the back of the freezer. There was noted ice particles on top of and below food boxes stored below the condenser. Interview on 08/22/22 at 9:37 A.M. the Diet Manger, (DM) #181 verified the walk-in freezer had ice built up under the condenser and had not been working properly for several months. The DM #181 verified there was ice above and below boxes of frozen foods which did not permit proper air circulation. […]