All citations for Oak Creek Terrace Inc

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 Oak Creek Terrace Inc

Last standard health inspection on record

May 15, 2025

Showing 1 to 25 of 40 citations

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.

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

  3. 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 May 15, 2025. Found during a standard inspection.

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

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    Have an alternate power supply for its alarm system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

  7. 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 April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

  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 April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of April 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  15. 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 September 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  16. 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 May 15, 2025. Found during a standard inspection.

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

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.

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

  18. 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 May 15, 2025. Found during a standard inspection.

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

  19. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2022).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 11, 2019. Found during a standard inspection.

    A waiver was granted (May 31, 2019).

  23. 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 April 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

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.