Spring Creek Health & Rehab

In the surveyor’s words

From the most serious findings on record at Spring Creek Health & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 3, 2024

  Based on observation, record review and interview, the facility failed to ensure food items and serving utensils were properly covered or stored to prevent the potential contamination of residents' food and/or beverages; food items were sealed to prevent potential cross contamination or food borne illness, and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen and food items had opened dates, received dates and expiration dates. The findings are: 1. On [DATE] at 8:24 AM, 2 peach cobblers were on the back prep table uncovered and 35 biscuits on the serving line. A delivery person was going in and out the backdoor. […]

• No harm, potential for more than minimal, widespreadF812Oct 15, 2021

  Based on observation, record review and interview, the facility failed to ensure expired food items were promptly removed from stock / discarded by the expiration or 'use by' dates and dietary staff washed their hands before handling clean equipment to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 72 residents who received meals from the kitchen (total census: 72), as documented on a list provided by the Dietary Supervisor on [DATE]. The findings are: 1. On [DATE] at 8:55 A.M., a 64-ounce carton of vanilla soy milk was stored on a shelf in the refrigerator with an expiration date of [DATE]. 2. […]

• No harm, potential for more than minimal, patternF584May 3, 2024

  Based on observations and interviews, the facility failed to ensure the shower room was kept clean, and missing tiles were replaced; the 400 Hall did not have missing paint on the wall; and the furniture in the Front Lobby and in the Dayroom on the 400 Hall was not peeling and missing material. The findings are: On 04/30/2024 at 09:13 AM, the Surveyor observed several spots of dark matter on the shower room floor and missing floor tiles around the shower drain. On 04/30/2024 at 10:27 AM, the Surveyor observed a large oval area of missing paint at the entrance of the 400 Hall. […]

• No harm, potential for more than minimal, patternF689May 3, 2024

  Based on record review, observation and interview, the facility failed to ensure a planned fall prevention intervention was consistently implemented to decrease the potential for fall related injuries, and the environment was as free of hazards as possible, as evidenced by a fall mat with curled up, colorful items attached to it, creating a trip/fall hazard. The findings are: 1. The Care Plan completed on 03-12-2024 shows, .1/10/24 - unwitnessed fall. Fall mat effective Date Initiated: 01/11/2024 . Colorful tape to call light Date Initiated: 02/05/2024 . 1/30/24 - Unwitnessed fall. Fall mat effective Date Initiated: 01/31/2024 . 2/10/24 - fall mat effective Date Initiated: 02/12/2024 . 2/16/24- Unwitnessed fall. Fall mat effective Date Initiated: 02/19/2024 . 2/29/24 - unwitnessed fall. […]

• No harm, potential for more than minimal, patternF880May 3, 2024

  Based on observation, record review and interviews, the facility failed to ensure an ice chest located outside of the kitchen was insect free and an indwelling foley catheter bag was not touching the floor for 1 (Resident #1) of 1 sampled resident. The findings are: 1. On 05/02/2024 at 08:54 AM, the Surveyor observed a black oval object that had extended wings and legs lying on the ice cubes within an ice chest located outside the kitchen doors by the 300 Hall. 1a. On 05/02/2024 at 08:55 AM, the Surveyor asked Certified Nursing Assistant (CNA) #3 when was the last time the ice was passed and were all these ice chests used. CNA #3 stated the ice was passed this morning when I came in around seven twenty (7:20 AM). There is one ice chest for each hall, so they were all used. […]