Inspections
The most recent comprehensive inspection of Village Creek Nursing & Rehabilitation occurred on July 11, 2024, 29 violations of state standards were cited.
Findings
(May include findings from previous inspections)
Health Code
| Date | Corrected | State Violation Cited |
|---|---|---|
| 7/11/2024 | 5/8/2024 | The facility did not protect each resident from all abuse, physical punishment, and being separated from others. |
| 7/11/2024 | 7/15/2024 | The facility did not give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
| 7/11/2024 | 7/12/2024 | The facility failed to make sure that residents have privacy curtains in their bedrooms. |
| 7/11/2024 | 8/16/2024 | The facility did not keep accurate and appropriate records. |
| 7/11/2024 | 7/12/2024 | The facility did not make sure that residents receive adequate dialysis care. |
| 7/11/2024 | 8/31/2024 | The facility admitted an individual without a PL1 being conducted. |
| 7/11/2024 | 7/12/2024 | The facility did not keep safe, clean and homelike surroundings. |
Life Safety Code
| Date | Corrected | State Violation Cited |
|---|---|---|
| 7/11/2024 | 8/23/2024 | The facility failed to the meet Life Safety Code requirements for an existing Health Care Occupancy. |
| 7/11/2024 | 8/23/2024 | The facility failed to provide emergency power for lighting in the specified areas when the power goes off. |
| 7/11/2024 | 8/23/2024 | The facility failed to provide emergency power for exit signs when the power goes off. |
| 7/11/2024 | 8/23/2024 | The facility failed to make sure the fire alarm system was installed by qualified people. |
| 7/11/2024 | 8/23/2024 | The facility failed to make sure the kitchen exhaust system was installed correctly. |
| 7/11/2024 | 8/23/2024 | The facility failed to make sure that air from areas where trash, soiled laundry, and medical waste are stored and other areas that can produce unpleasant odors is exhausted to the outside. |
| 7/11/2024 | 8/23/2024 | The facility failed to maintain the sprinkler system components in compliance with the requirements of the NFPA code. |
| 7/11/2024 | 8/23/2024 | The facility failed to make sure generator components are inspected, tested and maintain according to NFPA standards. |
| 7/11/2024 | 8/23/2024 | The facility failed to make sure generators are operated under load at least 30 minutes each week. |
| 7/11/2024 | 8/23/2024 | The facility failed to failed to make sure the person executing the generator program signed and dated records of inspections, tests and maintenance performed. |
| 7/11/2024 | 8/23/2024 | The facility failed to make sure the emergency lighting was inspected and tested every week. |
| 7/11/2024 | 8/23/2024 | The facility failed to have a person licensed by the State Fire Marshal's office inspect and service automatic fixed fire extinguishment systems mounted in kitchen range hoods at least once every six months in accordance with NFPA 96; failed to maintain, onsite, a written and signed report of the inspection and service performed; or failed to keep the hood, exhaust ducts, and filters clean and free of accumulated grease. |
| 7/11/2024 | 8/23/2024 | The facility failed to include procedures for conducting a fire drill on each work shift at least once per quarter with at least one fire drill conducted each month; or the facility failed to fill out the form titled "FIRE DRILL REPORT" for a fire drill conducted. |
| 7/11/2024 | 8/23/2024 | The facility failed to ensure all gas heating equipment is checked annually for proper operation and safety. |
| 7/11/2024 | 8/23/2024 | The facility failed to ensure the fire marshal inspects the facility annually. |
| 7/11/2024 | 8/23/2024 | The facility failed to keep all important equipment working safely. |
| 7/11/2024 | 8/23/2024 | The facility failed to include a risk assessment, a description of the resident population including services and assistance they require, a section for each core function of emergency management, a fire safety plan in their emergency preparedness and response plan, or a section for self reporting incidents. |
| 7/11/2024 | 8/23/2024 | The facility failed to include a section addressing direction and control in the emergency preparedness and response plan. |
| 7/11/2024 | 8/23/2024 | The facility failed to include a section for warning in the emergency preparedness and response plan. |
| 7/11/2024 | 8/23/2024 | The facility failed to include a section for communication in the emergency preparedness and response plan. |
| 7/11/2024 | 8/23/2024 | The facility failed to include a section for transportation in the emergency preparedness and response plan. |
| 7/11/2024 | 8/23/2024 | The facility failed to include a section for health and medical needs in the emergency preparedness and response plan. |
Enforcement Actions
No enforcement actions found.