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Creekside Rehab: Immediate Jeopardy Safety Violations - MD
The resident was discovered during a facility-wide search on the evening the incident occurred....
Latest reports, citations, and penalties from CMS data
The resident was discovered during a facility-wide search on the evening the incident occurred....
The facility had documented previous altercations involving the same three residents....
Comprehensive abuse prevention policies must address multiple critical areas....
Twenty times across twenty-eight days, spread across early mornings, middays, afternoons, and at least once past midnight....
The resident had developed the new wound on December 4....
Federal inspectors cited the facility following a complaint inspection completed December 31, 2025....
The survey team offered to delay their exit until the next day if administrators felt they had additional information to provide about the case....
The December 30 inspection found the facility failed to serve palatable, attractive food at safe temperatures to residents....
What he couldn't show was that the facility had ever done a formal risk assessment to reach those conclusions....
"They took the call light from me," the woman told federal inspectors on December 30....
The resident, admitted in 2025 with obesity and diabetes, was supposed to receive weekly semaglutide injections starting September 23....
Federal inspectors found the facility had no policy governing this arrangement....
The facility's own administrator acknowledged the gap....
But Adult Protective Services and the state Ombudsman weren't contacted until December 16 at 6:30 p.m....
The behaviors started after a provider discontinued the resident's medications in late November 2025....
By then, the damage was already showing....
observation, two CNAs prepared to move Resident #2 from bed to wheelchair using a Hoyer lift....
Federal inspectors documented both failures during a complaint inspection completed December 31, 2025....
The first elopement occurred July 26 when a resident left the facility around 7:30 p.m....
Inspectors found that drugs and biologicals used at the facility were not labeled according to currently accepted professional principles....