All citations for Ivy Creek Wellness & Rehabilitation

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 Ivy Creek Wellness & Rehabilitation

Last standard health inspection on record

July 23, 2025

Showing 1 to 25 of 45 citations

  1. Immediate jeopardy to resident health or safety

    Meet other general requirements.

    Widespread (many residents). CMS level L.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  2. Immediate jeopardy to resident health or safety

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 29, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  3. 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 December 29, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  4. 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 December 29, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

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

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

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

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

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  11. 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 June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  13. 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 June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    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 E.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of July 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2026).

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

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

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

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 9, 2026).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  21. 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 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2024).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

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

  24. 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 June 13, 2024. Found during a standard inspection.

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

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 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.