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 13 of 13 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

    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 August 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2022).

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

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of August 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2022).

  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 August 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2022).

  5. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of August 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2022).

  6. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of August 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2022).

  7. 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 August 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2022).

  8. 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 August 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2022).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2022).

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.