All citations for Sundance Creek Post Acute

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 Sundance Creek Post Acute

Last standard health inspection on record

November 24, 2025

Showing 1 to 25 of 34 citations

  1. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

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

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Widespread (many residents). CMS level F.

    Health citation F-0850, Administration Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  6. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

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

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

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  10. 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 August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of August 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 11, 2025).

  12. 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 July 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 19, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

  14. 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 May 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  15. 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 March 11, 2025. Found during a complaint inspection.

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

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 11, 2025. Found during a complaint inspection.

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

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 11, 2025. Found during a complaint inspection.

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

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of January 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

  20. 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 October 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

  21. 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 October 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of September 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of September 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of September 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 16, 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.