Federal Nursing-Home Survey Record
Deep Creek Health & Rehabilitation
Does Deep Creek Health & Rehabilitation have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Deep Creek Health & Rehabilitation (CCN 495330), in CHESAPEAKE, VA, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 23 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2021-07-22. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 2 · CMS state average: 3.0
Deficiency timeline — full federal history
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Assure that each resident’s assessment is updated at least once every 3 months.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Assess the resident when there is a significant change in condition
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Dispose of garbage and refuse properly.
34 citations from earlier inspection cycles — historical, not current (expand)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
PASARR screening for Mental disorders or Intellectual Disabilities
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Provide appropriate foot care.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide safe, appropriate pain management for a resident who requires such services.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Ensure each resident receives an accurate assessment.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide and implement an infection prevention and control program.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Provide necessary care and services to maintain or improve the highest well being of each resident .
Ensure each resident receives an accurate assessment by a qualified health professional.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Allow residents the right to participate in the planning or revision of care and treatment.
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Document what happened
Have a concern about care at Deep Creek Health & Rehabilitation?
Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.
Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.