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 26 to 37 of 37 citations

  1. 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).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, 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).

  3. 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 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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, 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).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, 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).

  6. 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 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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, 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).

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

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

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

    Health citation F-0808, 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

    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 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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental 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

    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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  12. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 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.