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 34 citations

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

  3. 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 March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

  5. 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 March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

  8. 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 March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2026).

  10. 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 December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2026).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.