Facility profile · CCN 465049
Spring Creek Healthcare Center
99 federal citations on record , including 7 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $53,472.
Record summary
Federal record · Q1 202699
Total citations
27
Last 3 years
27
Actual harm+
2
Federal penalties
$53,472
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
99 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Feb 3, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 3, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Feb 3, 2025 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard |
| Feb 3, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Feb 3, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 3, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Feb 3, 2025 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Feb 3, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Feb 3, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Feb 3, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Feb 3, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Feb 3, 2025 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Jan 11, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 11, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Jan 11, 2024 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Jan 11, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jan 11, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Jan 11, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 11, 2024 | F811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | Standard |
| Jan 11, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Jan 11, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Jan 11, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jan 11, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard |
| Jan 11, 2024 | F779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | Standard |
| Jan 11, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Jan 11, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jan 11, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Mar 13, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Apr 13, 2022 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard |
| Apr 13, 2022 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Standard |
| Apr 13, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Apr 13, 2022 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Apr 13, 2022 | F908 | Keep all essential equipment working safely. | F | Standard |
| Apr 13, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | E | Standard |
| Apr 13, 2022 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard |
| Apr 13, 2022 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Apr 13, 2022 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Apr 13, 2022 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Apr 13, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Apr 13, 2022 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | H | Standard |
| Apr 13, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Standard |
| Apr 13, 2022 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | H | Standard |
| Apr 13, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Apr 13, 2022 | F841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | H | Standard |
| Apr 13, 2022 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Apr 13, 2022 | F837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | H | Standard |
| Apr 13, 2022 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | Standard |
| Apr 13, 2022 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Apr 13, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Apr 13, 2022 | F779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | Standard |
| Apr 13, 2022 | F775 | Keep complete, dated laboratory records in the resident's record. | D | Standard |
| Apr 13, 2022 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Apr 13, 2022 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | G | Standard |
| Apr 13, 2022 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Apr 13, 2022 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Apr 13, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Apr 13, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Apr 13, 2022 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | H | Standard |
| Apr 13, 2022 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | Standard |
| Apr 13, 2022 | F741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | H | Standard |
| Apr 13, 2022 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | Standard |
| Apr 13, 2022 | F732 | Post nurse staffing information every day. | D | Standard |
| Apr 13, 2022 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Apr 13, 2022 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | H | Standard |
| Apr 13, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | H | Standard |
| Apr 13, 2022 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | G | Standard |
| Apr 13, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Apr 13, 2022 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | H | Standard |
| Apr 13, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 13, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | H | Standard |
| Apr 13, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Apr 13, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard |
| Apr 13, 2022 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | G | Standard |
| Apr 13, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard |
| Apr 13, 2022 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Apr 13, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Standard |
| Apr 13, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Apr 13, 2022 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | E | Standard |
| Apr 13, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Apr 13, 2022 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Apr 13, 2022 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Apr 13, 2022 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | G | Standard |
| Apr 13, 2022 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Apr 13, 2022 | F610 | Respond appropriately to all alleged violations. | K | Standard |
| Apr 13, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | Standard |
| Apr 13, 2022 | F608 | Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | E | Standard |
| Apr 13, 2022 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | Standard |
| Apr 13, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Standard |
| Apr 13, 2022 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard |
| Apr 13, 2022 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Apr 13, 2022 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Apr 13, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard |
| Apr 13, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Apr 13, 2022 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard |
| Apr 13, 2022 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Standard |
| Apr 13, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Apr 13, 2022 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Apr 13, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Apr 13, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $53,472 and 1 payment-denial actions spanning 17 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 11, 2024 | Fine | $53,472 | — |
| Jan 11, 2024 | Payment Denial | — | Feb 16, 2024 · 17 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
Concerned about care at Spring Creek Healthcare Center?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys