StoneCreek Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at StoneCreek Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 14, 2025

  Based on record review, and staff, Medical Director, and Orthopedic Surgeon interviews, the facility failed to complete and document assessments of a surgical site. Resident #63 had an unwitnessed fall on 11/28/24 and suffered a fracture in the epicondyle region (bony prominence on the humerus bone in the arm) of the elbow. Resident #63's on 12/13/24 the resident underwent an open reduction internal fixation (ORIF) surgical procedure (involves making an incision to realign the bone and then holding the pieces together with hardware like plates, screws, or rods). […]

• Immediate jeopardy, isolatedF825Apr 14, 2025

  Based on record review, and staff, Medical Director, and Orthopedic Surgeon interviews, the facility failed to communicate to the therapy department an Occupational Therapy (OT) referral ordered by Resident #63's Orthopedic Surgeon for evaluation and treatment of the resident's right olecranon (tip of the elbow). On 12/13/24 the resident underwent an open reduction internal fixation (ORIF) surgical procedure (involves making an incision to realign the bone and then holding the pieces together with hardware like plates, screws, or rods). […]

• No harm, potential for more than minimal, patternF812Jun 17, 2026

  Based on observation and staff interviews, the facility failed to ensure a Dietary Aide with facial hair wore a facial hair covering while handling and preparing food in the kitchen for 1 of 4 Dietary Aides observed (Dietary Aide #1). This practice had the potential to contaminate food served to residents. The findings included:On 6/16/26 at 11:19 AM, Dietary Aide #1 was observed removing a tray of rolls from the oven, placing the tray on a workstation, and applying butter to the rolls. Dietary Aide #1 had facial hair (beard and mustache) and was not wearing a facial hair covering. His facial hair was approximately a quarter of an inch in length. […]

• No harm, potential for more than minimal, patternF812Apr 14, 2025

  Based on observations and interviews with staff, the facility failed to remove expired food from 1 of 3 kitchen refrigerators (walk-in refrigerator) and remove food that was past the use by date on the packaging in the dry food storage area. The facility also failed to clean 3 of 3 food storage bin scoop holders and to label those bins with use by dates. These practices had the potential to affect food served to residents. Findings included: a. On [DATE] at 10:03 AM an observation in the walk-in refrigerator with the Dietary Manager (DM) found a sealed bag of pre-packaged chopped celery with a use by date of [DATE] located on the second shelf. The DM stated during the observation the celery should have been removed and had been overlooked by her. b. […]

• No harm, potential for more than minimal, patternF756Dec 22, 2023

  Based on record review and interviews with resident, staff, Consultant Pharmacist, and the Medical Director (MD), the Consultant Pharmacist the facility failed to ensure an approved gradual dose reduction (GDR) was implemented and provide a recommendation during subsequent medication regimen reviews (MRRs). The Consultant Pharmacist also failed to provide correct dosage information of an antianxiety medication when communicating with the physician for a lowest effective dose evaluation for 1 of 5 residents reviewed for unnecessary medications (Residents #22). The findings included: Resident #22 was admitted to the facility on [DATE] with diagnoses including anxiety disorder. […]