All citations for Fall Creek Rehabilitation and Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Fall Creek Rehabilitation and Healthcare Center

Last standard health inspection on record

May 30, 2025

Showing 1 to 25 of 29 citations

  1. Immediate jeopardy to resident health or safety

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2025).

  2. Immediate jeopardy to resident health or safety

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0691, Quality of Life and Care Deficiencies. Inspection of April 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2025).

  3. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 13, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (February 15, 2024).

  4. Immediate jeopardy to resident health or safety

    Protect each resident from the wrongful use of the resident's belongings or money.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 13, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 21, 2023).

  5. Immediate jeopardy to resident health or safety

    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.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 13, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 21, 2023).

  6. Immediate jeopardy to resident health or safety

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  7. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2024).

  9. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2024).

  10. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 26, 2026. Found during a complaint inspection.

    No plan of correction on record.

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0929, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

  13. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2025).

  14. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 7, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2024).

  15. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2022).

  16. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  17. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 17, 2026. Found during a complaint inspection.

    No plan of correction on record.

  18. No harm, with potential for more than minimal harm

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0559, Resident Rights Deficiencies. Inspection of June 16, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 16, 2026).

  19. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

  20. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

  21. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

  22. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

  23. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

  24. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

  25. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.