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🔎 Creekside Center For Rehabilitation And Healing

Inspection Results


Inspection Overview

Creekside Center For Rehabilitation And Healing has been cited for a total of 18 deficiencies since we began saving each survey.

In Tennessee, the average facility has **18.90 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey Date: 2023-07-12
Correction Date: 2023-08-17
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

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.

Survey Date: 2023-07-12
Correction Date: 2023-08-17
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2023-07-12
Correction Date: 2023-08-17
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure staff are vaccinated for COVID-19

Survey Date: 2022-03-15
Correction Date: 2022-03-30
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2021-06-15
Correction Date: 2021-07-01
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: G

Ensure that residents are free from significant medication errors.

Survey Date: 2021-02-01
Correction Date: 2021-02-04
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2020-06-22
Correction Date: 2020-08-29
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2019-05-01
Correction Date: 2019-05-23
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2018-05-16
Correction Date: 2018-05-16
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2018-05-16
Correction Date: 2018-05-25
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2018-05-16
Correction Date: 2018-05-25
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2018-05-16
Correction Date: 2018-05-25
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2017-10-31
Correction Date: 2017-11-16
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Survey Date: 2017-10-31
Correction Date: 2017-11-16
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that residents are safe from serious medication errors.

Survey Date: 2017-10-31
Correction Date: 2017-11-16
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Post nurse staffing information/data on a daily basis.

Survey Date: 2017-10-31
Correction Date: 2017-11-16
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2017-10-31
Correction Date: 2017-11-16
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Put firmly secured handrails on each side of hallways.

Survey Date: 2017-10-31
Correction Date: 2017-11-16
Category: Environmental Deficiencies
From Complaint: N

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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**