All citations for Villages of Jackson Creek

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 Villages of Jackson Creek

Last standard health inspection on record

December 5, 2025

Showing 1 to 15 of 15 citations

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2022).

  4. 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 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Meet Health Care Facilities Code mechanical requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0900, Miscellaneous Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

  7. 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 August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 14, 2022).

  11. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    A waiver was granted (December 31, 2022).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 10, 2022).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 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.