South Creek Post Acute

In the surveyor’s words

From the most serious findings on record at South Creek Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF770Dec 29, 2025

  Based on interview and record review, the facility failed to obtain ordered laboratory services for 1 of 4 sampled residents (Resident 1) reviewed for laboratory services. Resident 1 experienced harm when physician ordered CBC (complete blood count, a lab used in part to determine levels of red blood cells in blood) and BMP labs (basic metabolic panel, a blood test that checks the levels of different substances in your blood including sodium) were not obtained timely for physician evaluation and the resident required transport to the hospital and admission to the intensive care unit where they were diagnosed with profound anemia (low red blood cells) and hyponatremia (low levels of sodium in the blood). […]

• Actual harm, isolatedF600Feb 8, 2021

  Based on interview and record review, the facility failed to ensure staff followed and implemented the abuse and neglect policy and procedures for protecting residents by not identifying and reporting unwanted touching for two of four sampled residents (#1 & 2) reviewed for abuse and neglect. This failure placed residents at risk for abuse and neglect, psychological distress and a diminished quality of life. This caused harm to Resident #1 when she was touched without her consent. […]

• No harm, potential for more than minimal, widespreadF812May 24, 2024

  Based on observation and interview, the facility failed to maintain the cleanliness of the kitchen ice machine and vent fan covers; and failed to ensure stored food and reusable items in the refrigerator, freezers and dry storage were labeled and dated when opened. These failures placed residents at risk for foodborne illness and a diminished quality of life. Findings included . <Initial Brief Tour> On 05/20/2024 at 9:23 AM, the ice machine dispenser snout was observed to have dark residue on its lower rim. […]

• No harm, potential for more than minimal, widespreadF801Jun 9, 2022

  Based on interviews and record reviews, the facility failed to have a qualified Dietary Manager. The facility's Dietary Manager did not currently possess the required certification. This had the potential to affect all residents of the facility. Findings included . During an interview on 06/06/2022 at 9:00 AM, Staff F (Food and Nutrition Services Manager) stated he did not have credentials for food service management. He stated, I have been at this facility for five months and I am working on my certification. Our dietician works part-time and is here one day a week. During a telephone interview with Staff E, Registered Dietician stated that she was responsible for three facilities and was present at this facility once a week which made her part-time at the facility. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2022

  Based on observation, interview, and review of facility policy, the facility failed to ensure foods stored in the freezer, refrigerator, and dry storage, were labeled, and dated when opened. The facility also failed to keep food service equipment clean, separate clean work areas from soiled work areas and keep the kitchen floor clean from food debris and garbage. These failures had the potential to affect all 91 residents in the facility who consumed food from the kitchen. Findings included . […]