Independent · Federal inspection records, searchable
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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.

7 Immediate Jeopardy

Record summary

Federal record · Q1 2026
99
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
SurveyF-TagViolationSeveritySource
Feb 3, 2025F880Provide and implement an infection prevention and control program.EStandard
Feb 3, 2025F761Ensure 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.DStandard
Feb 3, 2025F758Implement 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.EStandard
Feb 3, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Feb 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Feb 3, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Feb 3, 2025F693Ensure 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.DStandard
Feb 3, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Feb 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Feb 3, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Feb 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Feb 3, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Jan 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jan 11, 2024F881Implement a program that monitors antibiotic use.EStandard
Jan 11, 2024F880Provide and implement an infection prevention and control program.FStandard
Jan 11, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jan 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 11, 2024F811Ensure 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.DStandard
Jan 11, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jan 11, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Jan 11, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 11, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard
Jan 11, 2024F779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.DStandard
Jan 11, 2024F761Ensure 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.DStandard
Jan 11, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 11, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Mar 13, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Apr 13, 2022F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Apr 13, 2022F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard
Apr 13, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Apr 13, 2022F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Apr 13, 2022F908Keep all essential equipment working safely.FStandard
Apr 13, 2022F888Ensure staff are vaccinated for COVID-19EStandard
Apr 13, 2022F887Educate 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.EStandard
Apr 13, 2022F886Perform COVID19 testing on residents and staff.EStandard
Apr 13, 2022F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Apr 13, 2022F881Implement a program that monitors antibiotic use.DStandard
Apr 13, 2022F880Provide and implement an infection prevention and control program.FStandard
Apr 13, 2022F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyHStandard
Apr 13, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.HStandard
Apr 13, 2022F865Have a plan that describes the process for conducting QAPI and QAA activities.HStandard
Apr 13, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Apr 13, 2022F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.HStandard
Apr 13, 2022F838Conduct 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.FStandard
Apr 13, 2022F837Establish 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.HStandard
Apr 13, 2022F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.HStandard
Apr 13, 2022F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Apr 13, 2022F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Apr 13, 2022F779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.DStandard
Apr 13, 2022F775Keep complete, dated laboratory records in the resident's record.DStandard
Apr 13, 2022F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Apr 13, 2022F770Provide timely, quality laboratory services/tests to meet the needs of residents.GStandard
Apr 13, 2022F761Ensure 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.EStandard
Apr 13, 2022F760Ensure that residents are free from significant medication errors.DStandard
Apr 13, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 13, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 13, 2022F745Provide medically-related social services to help each resident achieve the highest possible quality of life.HStandard
Apr 13, 2022F742Provide 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.GStandard
Apr 13, 2022F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.HStandard
Apr 13, 2022F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.JStandard
Apr 13, 2022F732Post nurse staffing information every day.DStandard
Apr 13, 2022F727Have 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.FStandard
Apr 13, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.HStandard
Apr 13, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.HStandard
Apr 13, 2022F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.GStandard
Apr 13, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 13, 2022F697Provide safe, appropriate pain management for a resident who requires such services.HStandard
Apr 13, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 13, 2022F692Provide enough food/fluids to maintain a resident's health.HStandard
Apr 13, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 13, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard
Apr 13, 2022F688Provide 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.GStandard
Apr 13, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard
Apr 13, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
Apr 13, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KStandard
Apr 13, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Apr 13, 2022F660Plan the resident's discharge to meet the resident's goals and needs.EStandard
Apr 13, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 13, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Apr 13, 2022F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 13, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.GStandard
Apr 13, 2022F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 13, 2022F610Respond appropriately to all alleged violations.KStandard
Apr 13, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KStandard
Apr 13, 2022F608Develop 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.EStandard
Apr 13, 2022F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.EStandard
Apr 13, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KStandard
Apr 13, 2022F585Honor 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.EStandard
Apr 13, 2022F584Honor 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.EStandard
Apr 13, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 13, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GStandard
Apr 13, 2022F578Honor 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.DStandard
Apr 13, 2022F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard
Apr 13, 2022F567Honor the resident's right to manage his or her financial affairs.EStandard
Apr 13, 2022F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Apr 13, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Apr 13, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 13, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

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.

DateTypeFinePayment denial
Jan 11, 2024Fine$53,472
Jan 11, 2024Payment DenialFeb 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.

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