All citations for Triple Creek Retirement Community
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.
Last standard health inspection on record
July 11, 2025
Showing 1 to 25 of 33 citations
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
The home gave a date the problem would be corrected (August 11, 2025).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
The home gave a date the problem would be corrected (September 25, 2022).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
The home gave a date the problem would be corrected (September 25, 2022).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (September 25, 2022).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
The home gave a date the problem would be corrected (September 25, 2022).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
The home gave a date the problem would be corrected (September 25, 2022).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
The home gave a date the problem would be corrected (September 25, 2022).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (September 25, 2022).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (August 15, 2019).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
The home gave a date the problem would be corrected (August 15, 2019).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
The home gave a date the problem would be corrected (August 15, 2019).
No harm, with potential for more than minimal harm
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
The home gave a date the problem would be corrected (August 15, 2019).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (August 11, 2025).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
The home gave a date the problem would be corrected (August 11, 2025).
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.
The home gave a date the problem would be corrected (September 25, 2022).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (July 3, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (April 10, 2026).
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.
The home gave a date the problem would be corrected (August 11, 2025).
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.
The home gave a date the problem would be corrected (August 11, 2025).
No harm, with potential for more than minimal harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
The home gave a date the problem would be corrected (August 11, 2025).
No harm, with potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
The home gave a date the problem would be corrected (August 11, 2025).
No harm, with potential for more than minimal harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
The home gave a date the problem would be corrected (August 11, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (August 11, 2025).
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.
The home gave a date the problem would be corrected (June 12, 2024).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
The home gave a date the problem would be corrected (March 7, 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.