All citations for Three Creeks 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 Three Creeks Post Acute

Last standard health inspection on record

March 3, 2026

Showing 1 to 16 of 16 citations

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

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

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

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

  3. 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 November 17, 2024. Found during a standard inspection.

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

  4. 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 November 17, 2024. Found during a standard inspection.

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

  5. 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 January 10, 2025. Found during a complaint inspection.

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

  6. 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 November 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2024).

  7. 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 November 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2024).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2024).

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2024).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2024).

  11. 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 November 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2024).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

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

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

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

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 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.