Table of Contents
Spring Creek Rehabilitation & Nursing Care Center
Inspection Report, Updated April 2013
PFI: 1400
Regional Office: MARO--New York City Area
This report displays citations for the three most recent Certification Surveys, and citations for Complaint Surveys during the past three years.
Summary
This table summarizes the citations in the details section of this report and compares them against the statewide average.
| Measure | This Facility | Statewide Average |
|---|---|---|
| Standard Health Deficiencies | 14 | 18 |
| Life Safety Code Deficiencies | 7 | 7 |
| Total Deficiencies | 21 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 0 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 0% | 4% |
Details of Certification and Complaint Surveys
Key to understanding citations and surveys:
Potential for no more than Minimal Harm
Potential for more than Minimal Harm
Actual Harm
Immediate Jeopardy
Isolated
Pattern
Widespread
- Certification surveys are on-site inspections required every 9-15 months by the federal government.
- Complaint surveys are on-site inspections held as the result of a complaint. They are only shown here if they resulted in a citation.
September 28, 2012 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity  | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
CLINICAL RECORDS MEET PROFESSIONAL STANDARDS  | | |  | December 11, 2012 |
| DISPOSE GARBAGE AND REFUSE PROPERLY | | | | November 20, 2012 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | December 11, 2012 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | | | | December 11, 2012 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | December 11, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| STANDARDS OF CONSTRUCTION FOR NEW NURSING HOME | | | | September 29, 2012 |
| ENCLOSURE DOORS | | | | September 29, 2012 |
| EXIT ACCESS | | | | November 20, 2012 |
September 23, 2011 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | November 22, 2011 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | November 22, 2011 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | | | | November 22, 2011 |
| COMPREHENSIVE ASSESSMENTS | | | | November 22, 2011 |
| PERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS | | | | November 22, 2011 |
| NURSE STAFFING | | | | November 22, 2011 |
| SURETY BOND OR OTHER ASSURANCE | | | | November 22, 2011 |
| SURVEY RESULTS READILY ACCESSIBLE TO RESIDENTS | | | | November 22, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| CORRIDOR DOORS | | | | November 22, 2011 |
| DOORS IN FIRE AND SMOKE PARTITIONS | | | | November 22, 2011 |
| MEDICAL GAS SYSTEM | | | | November 22, 2011 |
| STANDARDS OF CONSTRUCTION FOR NEW NURSING HOME | | | | November 22, 2011 |
August 23, 2010 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| CRIMINAL HISTORY RECORD CHECK REQUIRED NOTIFICATION TO DOH PER CESSATION OF EMPLOYMENT | | | | September 30, 2010 |
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
Note: If the latest survey included in this report is more than 12 months old, the Department of Health may have recently surveyed this nursing home or is currently inspecting this home.
If you have questions about the current quality of service delivery at the nursing home, you should contact the facility and request a copy of the latest survey inspection report. The facility is required to post the report in a public area of the nursing home. If you request the report and the nursing home refuses to provide it, please call the New York State Nursing Home Complaint hotline at 1-888-201-4563.