All citations for Village Creek Nursing & Rehabilitation

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 Village Creek Nursing & Rehabilitation

Last standard health inspection on record

August 14, 2025

Showing 1 to 24 of 24 citations

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

  2. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  3. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  4. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  6. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Provide primary/alternate means for communication.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  12. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  14. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2023).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  22. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

  23. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  24. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.