Spring Creek Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF684Apr 6, 2021

  Based on observations, staff interviews, physician interview, medical record review and review of other pertinent documents, it was determined that the facility failed to a.) recognize and assess the risk factors that placed a resident at risk for serious harm from drug overdose. b.) evaluate a resident's repeated symptoms of opioid intoxication that often occurred after the resident's return from treatment at a [MEDICATION NAME] clinic from [DATE] to [DATE]. c.) Evaluate the resident's non-compliance and how it may impact other residents. […]

• Immediate jeopardy, patternF880Apr 6, 2021

  Based on observation, interview, medical record review, and review of other facility documentation during a Recertification survey ending on [DATE], it was determined that the facility failed to: a.) follow isolation precaution protocols for residents on Transmission-Based Precautions (TBP) on the unit for Persons under observation (PUI) and b.) properly isolate PUI residents from well, non Covid-19 exposed residents as a preventative measure to prevent the transmission of COVID-19. Residents and Health Care Personnel who have been exposed to Covid-19 have the potential to be Covid-19 positive and show no symptoms, thereby spreading this deadly virus. […]

• Actual harm, isolatedF689Apr 6, 2021

  Based on observation, interview, review of medical record and other pertinent documents, it was determined that the facility did not have a Policy and Procedure to ensure a safe temperature for serving hot beverages to residents. A resident spilled coffee on his/her lap sustaining a second degree burn to both upper thighs. The facility failed to thoroughly investigate and institute in a timely manner staff training and procedures for serving hot beverages in order to mitigate further instances of harm to residents. This deficient practice was identified for Resident #85, 1 of 2 residents reviewed for accidents and hazards and was evidenced by the following. […]

• No harm, potential for more than minimal, widespreadF812Apr 15, 2025

  Based on observation, interview, and document review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe consistent manner. This deficient practice was evidenced by the following: On 04/09/2025 from 9:59 AM until 10:37 AM the surveyor, who was accompanied by the Director of the Kitchen (DOK), observed the following in the kitchen: 1. In the first refrigerator, there was baked ziti in a metal container covered with clear plastic wrap. It was dated 3/8/25. The DOK said the baked ziti was probably misdated, however she will throw it away. 2. In the first refrigerator there was a loaf of rye bread dated 3/13/25 and a loaf of raisin bread dated 3/24/25. […]

• No harm, potential for more than minimal, widespreadF812Apr 6, 2023

  Based on observation, interview and review of facility documentation, it was determined that the facility failed to a.) properly handle and store potentially hazardous foods in a manner that is intended to prevent the spread of food borne illnesses, b.) properly wash hands and c.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination. This deficient practice was evidenced by the following: On 03/27/2023 at 9:40 AM, the surveyor toured the kitchen, in the presence of the Regional Food Service Director (RFSD) and the Food Service Director (FSD) and observed the following: The surveyor observed an unlabeled box filled with seven logs of frozen ground beef in the freezer. […]