MRC Creekside

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 21, 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 in one of one kitchen. *An uncovered and unlabeled personal use cup was stored in refrigerator #1. *Food items were not properly labeled with product and expiration date in refrigerator #2. *Food items were uncovered and exposed to air in the walk-in freezer. These failures could place residents who consumed food prepared by staff in the kitchen at risk of cross contamination and food-borne illnesses. […]

• No harm, potential for more than minimal, widespreadF943Feb 21, 2024

  Based on interview and record review, the facility failed to ensure that each employee received the required training that at a minimum educated staff on dementia management for 2 of 13 employees (Maintenance Director and Housekeeping Supervisor) reviewed for required annual trainings. The facility did not ensure dementia management training was completed by the Maintenance Director and Housekeeping Supervisor. This failure could place residents with dementia at risk of a poor quality of care by staff with inadequate training when caring for dementia residents. Findings included: Record review of employee file for the Maintenance Director indicated a hire date of 02/21/16. […]

• No harm, potential for more than minimal, widespreadF812Jan 11, 2023

  Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, and distributed under sanitary conditions in 1of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure the dish machine tested at the required 50-100 PPM and the water temperature reached the required 120 degrees Fahrenheit required for proper sanitation in a low temperature, chemical sanitizer dish machine. These failures could place the residents at risk of foodborne illnesses. Findings include: During an observation and interview on 01/09/23 at 10:13 A.M., the DA, ran the dish machine to get the water temperature to the required 120 degrees F for proper sanitation in a low temperature, chemical sanitizer dish machine. The water temperature was 114 degrees F. […]

• No harm, potential for more than minimal, patternF812Mar 5, 2025

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for 1 of 1 kitchen reviewed for food service safety. The facility failed to close food product bags in the walk-in freezer, to prevent exposure to air. This failure placed residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings include: During initial observation and interview on 03/03/25 at 08:00 a.m., the walk-in freezer in the kitchen contained the following: *an open original cardboard box dated 02/27/25 containing a clear plastic bag of frozen beef patties that was not properly sealed and exposed to the elements. The Dietitian said it was beef patties. […]

• No harm, potential for more than minimal, patternF842Feb 21, 2024

  Based on observation, interview, and record review, the facility failed to maintain clinical records on each resident in accordance with accepted professional standards and practices that were complete and accurately documented for 2 of 17 residents (Residents #7 and #28) reviewed for accuracy of clinical records. The facility did not ensure the wound assessments for Residents #7 and #28 were completely and accurately documented. This failure could place residents at risk of not receiving care and services to meet their needs. Findings included: 1. Record review of physician orders dated February 2024 indicated Resident #7 was a [AGE] year-old female admitted on [DATE]. […]