Spring Creek Rehabilitation & Nursing Care Center

In the surveyor’s words

From the most serious findings on record at Spring Creek Rehabilitation & Nursing Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Feb 12, 2025

  Based on record review and interviews during the Recertification Survey conducted from 02/05/2025 to 02/12/2025, the facility did not ensure sufficient nursing staff were available to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Specifically, the facility reported short staffing on weekends confirmed by a review of the weekend staffing and the Payroll Based Journal Staffing Data Report. […]

• No harm, potential for more than minimal, patternF812Jan 26, 2023

  Based on observations, record review, and interviews conducted during the Recertification survey from [DATE] to [DATE], the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards of food service safety. This was evident during the Kitchen observation. Specifically, expired cottage cheese and tofu were stored in the Kitchen refrigerator. The findings are: The facility policy titled Food Safety last reviewed ,d+[DATE] documented food is monitored to ensure quality and freshness. […]

• No harm, potential for more than minimal, patternF880Jan 26, 2023

  Based on observation, record review, and interviews conducted during the Recertification survey from 1/19/23 to 1/26/23, the facility did not ensure infection control practices and procedures were maintained. This was evident for 1 of 5 resident floors (2nd Floor) and 1 (Resident #86) of 37 total sampled residents. Specifically, 1.) unmasked facility clergy was observed providing religious services to residents, and 2.) Resident #86 was placed on indefinite contact isolation in their room for colonized Candida Auris (CA) in the urine. The findings are: The facility policy titled Transmission-Based Precautions last revised 09/2022 documented transmission-based precautions are to be instituted in accordance with Centers for Disease Control (CDC) recommendations with some modifications. […]

• No harm, potential for more than minimal, isolatedF684Apr 30, 2026

  Based on observation, record review, and interviews during a survey, the facility failed to ensure that each resident received treatment and care in accordance with professional standards of practice. This was evident for one (1) out of three (3) sample residents (Resident #1) reviewed for nutrition and hydration. Specifically, Resident #1 with history of poor oral intake had no documented oral intake from 03/14/2026 at 8:00 AM through 03/16/2026 at 1:00 PM was not assessed by Registered Nurse to prevent complication. Additionally, the medical doctor was not notified until 03/16/2026 at 3:44 PM after Registered Nurse Supervisor #2's assessment due to Resident #1 change in mental status and was rapidly declining. […]

• No harm, potential for more than minimal, isolatedF626Mar 11, 2025

  Based on record review and interviews conducted during an abbreviated survey (NY00351563), the facility did not permit a resident to return to the facility following hospitalization . This was evident for one (1) of six (6) residents (Resident #1). Specifically, on 09/10/2024 Resident #1 was transferred to the hospital for an evaluation of severe dysphagia. During an interview with Resident #1's Representative on 02/07/2025 at 11:50 AM, they stated that the facility refused to readmit Resident #1 to the facility. Additionally, the facility did not notify Resident #1, or their representative, and the Long-term Care Ombudsman in writing of the discharge, including notification of appeal rights. […]