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 26 to 45 of 45 citations

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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 1, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 2, 2026).
No harm, with potential for more than minimal harm
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 D.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 1, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 2, 2026).
No harm, with potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Isolated (one or a few residents). CMS level D.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 15, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Isolated (one or a few residents). CMS level D.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 15, 2025).
No harm, with potential for more than minimal harm
Have policies on smoking.
Isolated (one or a few residents). CMS level D.
Health citation F-0926, Environmental Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 15, 2025).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 3, 2024).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Isolated (one or a few residents). CMS level D.
Health citation F-0919, Environmental Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2024).
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 more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Isolated (one or a few residents). CMS level D.
Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of May 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 9, 2023).
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).
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 May 10, 2023. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level C.
Fire safety citation K-0521, Services Deficiencies. Inspection of May 10, 2023. Found during a standard inspection.
No plan of correction on record.

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.