Spring Creek Post-acute Rehabilitation Center
Spring Creek Post-Acute Rehabilitation Center in Murray, KY — inspection on May 10, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the facility's Elopement Binder titled, Code [NAME] revealed the facility had assessed 16 residents to be at risk for elopement.
The residents were listed in the binder.
Review of the closed record Face Sheet for R529 revealed the facility admitted the resident on 04/03/2025, with diagnoses which included mild cognition and alcohol abuse.
Review of R529's Admission Minimum Data Set (MDS) assessment dated [DATE], revealed the facility assessed the resident to have a Brief Interview for Mental Status (BIMS) score of 14 out of 15, which indicated intact cognition.
Review of the facility's Elopement Risk assessment dated [DATE] for R529 revealed the resident scored a 3 which indicated on the Score Key a score of 0-5 was low risk for elopement.
Review of the facility's Elopement Risk assessment dated [DATE] for R529 revealed the resident scored 13 which indicated on the Score Key a score of 12 or greater was high risk for elopement.
Per review, elopement precautions put in place by the facility included: monitoring placement of wander guard every shift; and reporting to the nurse if unable to locate the resident.
Continued review revealed an Elopement Risk Care Plan was initiated on 04/16/2025, with interventions to check exit door alarms daily; check wander alert bracelet daily; and to distract the resident from wandering by offering pleasant diversions, structured activities, food, conversation, television, book.
Further review revealed the interventions also included to observe for exit seeking behaviors and patterns; and to redirect the resident from doors and exit as indicated.
Review of R529's Elopement Risk assessment dated [DATE] revealed a score of 14 which the Score Key indicated if 12 or greater indicated the resident was a high risk for elopement.
However, further review revealed no additional interventions were added to the Elopement Risk Care Plan.
185005
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 185005 B.
Wing 05/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Spring Creek Post-Acute Rehabilitation Center 1401 South 16th Street Murray, KY 42071