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 25 of 27 citations

  1. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  2. 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 November 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 7, 2023).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  8. 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 August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Meet the requirements of an integrated health system.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0042, Emergency Preparedness Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  10. 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 August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2023).

  17. 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 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2023).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  19. 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 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

    The home gave a date the problem would be corrected (June 19, 2024).

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

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

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  22. 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 December 5, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of December 5, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Prepare residents for a safe transfer or discharge from the nursing home.

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

    Health citation F-0624, Resident Rights Deficiencies. Inspection of October 2, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  25. 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 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2023).

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.