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 25 citations

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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, 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).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0355, 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).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0362, 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).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, 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).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, 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).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0223, 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).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0293, 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).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0511, 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).
No harm, with potential for more than minimal harm
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0929, 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).
No harm, with potential for minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level C.
Fire safety citation K-0211, Egress Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.