Silver Creek Retirement & Assisted Living Community

Facility lacked up-to-date pet records. Pet 1 rabies vaccination expired 08/12/2025. No records found for Pet 2 and Pet 3.

Deficiency previously found and corrected.

Deficiency previously found and corrected.

Facility failed to ensure 5 of 6 sampled staff met training requirements, including CPR/First Aid and continuing education, placing 57 residents at risk.

Deficiency previously found and corrected.

One staff member failed to complete a name and date of birth background check every two years; this was an uncorrected deficiency from Jan 7, 2026.

One pet (cat) did not receive regular examinations and certification by a veterinarian; this was an uncorrected deficiency from Jan 7, 2026.

One staff member failed to meet all training requirements for long-term care workers; this was an uncorrected deficiency from Jan 7, 2026.

Kitchen walk-in fridge contained uncovered cooked foods, undated items, personal employee food, and raw meat stored on the same cart as cooked items with a noticeable odor.

Kitchen lacked sanitary maintenance; observed unsecured carbonation tanks, a clogged sink, dirty/greasy floors with food particles, and staff were unsure who was responsible for cleaning.

Physical facilities (kitchen) were not cleaned as often as necessary; floors were filthy/greasy and sink was clogged.

The facility failed to report a kitchen fire that occurred on 12/25/2024, despite being informed by the Fire Marshall that it was a reportable incident.

Department found that deficiencies were corrected.

Department found that deficiencies were corrected.

Facility failed to complete assessments within 14 days of admission and following changes of condition for 2 of 3 sampled residents.

Department found that deficiencies were corrected.

Facility failed to coordinate timely with a provider regarding a resident's pressure injuries, resulting in delayed care and worsening of wounds.

Department found that deficiencies were corrected.

Facility failed to provide sufficient, trained staff to ensure resident care needs were met, leading to unaddressed pressure injuries and multiple falls.

The licensee failed to ensure that food kept in one walk-in fridge was dated and properly stored to be free from spoilage and cross contamination.

The facility failed to maintain one kitchen in a clean and sanitary condition, placing all 73 residents at risk for foodborne illnesses.

Fire extinguisher by room 128 is due for 6-year maintenance.

Facility failed to conduct/document Noc shift fire drills in the past 12 months.

Stairwells have large, artificial trees and plants stored within required areas of refuge.

Storage blocking access to electrical panels throughout the facility's storage room and mechanical/electrical closets.

Unable to provide reports showing that two semi-annual kitchen hood cleanings were performed in the past 12 months.

Excessive grease build-up and burnt grease observed on cooking equipment and inside ovens; grease traps excessively full.

Several fire doors modified, propped open, missing latching hardware, or damaged seals.

Unable to provide documentation showing that the inaccessible fire damper that failed testing has been corrected.

Loaded fire sprinkler head observed in the walk-in cooler and freezer.

Unable to provide semi-annual kitchen hood suppression system report for 8/28/24; missing required signage.

Fire alarm system found in silence mode due to trouble/supervisory conditions.

Unchained carbon dioxide tanks observed in dry storage pantry and by beverage station.

The facility failed to notify residents or their representatives of changes and increases in service costs for 3 of 5 sample residents (R1, R2, & R3).