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.

Back to Triple Creek Retirement Community

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 and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

  3. 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 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

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

    Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0928, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

  5. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2019).

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.