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.

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Last standard health inspection on record

July 11, 2025

Showing 1 to 11 of 11 citations

  1. 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 July 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 3, 2026).

  5. 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 March 25, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

  6. 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 July 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

  7. 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 July 11, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

  8. 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.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of July 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of July 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

  10. 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.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of July 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

  11. 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 July 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

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.