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Creekwood Place Nursing & Rehab Center, Inc

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About Creekwood Place Nursing & Rehab Center, Inc

General Information

Legal Business NameCreekwood Place Nursing & Rehab Center, Inc.
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1992 (26 years)
Capacity104
Residents90
Percent Occupied87%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Creekwood Place Nursing & Rehab Center, Inc

Creekwood Place Nursing & Rehab Center, Inc
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kentucky Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

April 9, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$70,785 fine
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

January 28, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

October 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$138,353 fine
JFewImmediate JeopardyComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
JFewImmediate JeopardyComplaintAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
JFewImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.
JFewImmediate JeopardyComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaintKeep residents' personal and medical records private and confidential.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

February 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
ESomePotential for HarmComplaint+InspectionProvide clean bed and bath linens that are in good condition.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Creekwood Place Nursing & Rehab Center, Inc require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 55min
2hr 30min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
1hr 5min
60min
ReportedExpected
RN
4hr 30min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.2%
55.2%
55.8%
55.8%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
79.8%
77.3%
82.4%
87.3%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
45.0%
51.2%
50.0%
25.8%
48.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of low risk long-stay residents who lose control of their bowels or bladder
27.7%
30.7%
34.2%
32.9%
31.9%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
27.9%
9.6%
23.8%
19.3%
21.2%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents whose ability to move independently worsened
12.3%
11.1%
15.9%
17.6%
20.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who received an antipsychotic medication
15.9%
23.6%
15.9%
17.9%
16.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents whose need for help with daily activities has increased
11.4%
8.2%
2.7%
10.7%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who self-report moderate to severe pain
10.1%
12.3%
8.5%
4.7%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who lose too much weight
10.5%
5.7%
3.9%
2.3%
6.2%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of high risk long-stay residents with pressure ulcers
4.1%
3.1%
0.0%
1.5%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who have depressive symptoms
12.7%
6.8%
25.4%
12.5%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents with a urinary tract infection
1.2%
2.7%
2.7%
4.2%
3.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents experiencing one or more falls with major injury
6.0%
6.5%
5.6%
8.5%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.4%
2.7%
4.1%
2.8%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

34.6%
43.1%
61.9%
73.2%
84.7%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.5%
27.0%
27.0%
27.0%
82.9%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
71.1%
69.1%
72.2%
78.9%
57.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who made improvements in function
13.4%
14.1%
12.5%
8.6%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who self-report moderate to severe pain
5.3%
3.4%
2.2%
1.2%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who newly received an antipsychotic medication
0.9%
0.0%
0.0%
0.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents with pressure ulcers that are new or worsened