Creekside Center For Rehabilitation And Nursing
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and observed the laundry and mechanical rooms with Staff #3, the Maintenance Director on [DATE REDACTED] 9:32 AM. The two hallway doors to the laundry room (clean side and dirty side) automatically locked when shut and required a keypad code to unlock.A door to the mechanical/boiler room was located on the back wall inside the clean area of the laundry room. This door had a locking lever type handle. The door required a key to open it from the laundry room side. A push and turn button mechanism was located on the handle on
the boiler room side of the door. The door was found to be locked during the observation. Staff #3 confirmed that the door did not automatically lock. Within the mechanical/boiler room was an outside exit door. This door could be exited without a key by pushing on the crash bar and required a key to enter the boiler room from outside. Staff #3 indicated that he was contacted on the evening of [DATE REDACTED] and immediately came to
the facility when notified of the above incident. He inspected the laundry room door locks at that time and found them to be in good working order, and the mechanical room was locked. He indicated that due to lack of evidence of a mechanical malfunction he concluded that staff must have propped the doors open. He indicated that he immediately provided on the spot verbal education to all staff working on the evening of [DATE REDACTED], on not propping any doors open due to risk of residents wandering into unauthorized potentially dangerous areas.Staff #3 explained to the surveyor that the laundry room doors are weighted and will close if they are not held open. The locks engage automatically when the door closes. This was verified by the surveyor during the observation.Staff #3 added that after this incident he inspected the doors, the locks and hinges and could not find any malfunction but, as an additional precaution, new keypad locks were purchased and installed on the laundry room hallway doors. Additional staff education was completed on [DATE REDACTED].The maintenance department conducted audits of the mag lock doors, including the laundry room doors, weekly on [DATE REDACTED], [DATE REDACTED], and [DATE REDACTED]. The incident was referred to the Quality Assurance Performance Improvement Committee for further review.The laundry room doors were observed by the surveyor closed and securely locked on [DATE REDACTED] at 9:00 AM, 11:25 AM, 1:52 PM, 2:30 PM, on [DATE REDACTED] at 8:30 AM 9:35 AM, and on [DATE REDACTED] at 8:00 AM and 9:37 AM. During an interview on [DATE REDACTED] at 10:25 AM Staff #1 confirmed she was the GNA caring for Resident #1 on the evening of [DATE REDACTED]. She indicated that another GNA, #2 found Resident #1 in the boiler room during the facility search. When asked if either of the laundry room doors were ajar or propped open that evening, she stated No, the laundry room is always locked. When asked if she ever found the doors propped or unlocked she stated No, we always keep it locked. The facility corrected the deficient practice by [DATE REDACTED] prior to the start of the complaint survey. F 689 cited as past non-compliant S/S: J.
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CREEKSIDE CENTER FOR REHABILITATION AND NURSING in HAGERSTOWN, MD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HAGERSTOWN, MD, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CREEKSIDE CENTER FOR REHABILITATION AND NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.