All citations for Saint Therese at Oxbow Lake

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 Saint Therese at Oxbow Lake

Last standard health inspection on record

February 26, 2026

Showing 1 to 13 of 13 citations

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

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

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2024).

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

    Install properly constructed and protected linen or trash chutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0541, Services Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

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

  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 March 7, 2024. Found during a standard inspection.

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

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    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 (May 3, 2024).

  6. 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 August 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

  7. 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 August 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

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

  9. 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 March 7, 2024. Found during a standard inspection.

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

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

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

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

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

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

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

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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.