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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145945

Imboden Creek Senior Living

96 federal citations on record , including 2 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $261,699.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
96
Total citations
68
Last 3 years
7
Actual harm+
6
Federal penalties
$261,699
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care32 Abuse & Neglect12 Nutrition & Dietary10 Care Planning9 Resident Rights8

Most common F-tags at this facility

F6867 F6896 F8804 F8013 F5803

Citation history

96 on record
SurveyF-TagViolationSeveritySource
Nov 28, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Nov 13, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Nov 6, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Nov 6, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Nov 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Nov 6, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Nov 6, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 6, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Sep 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 5, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 5, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 1, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 1, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Aug 1, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Aug 1, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jan 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 20, 2024F881Implement a program that monitors antibiotic use.DStandard
Nov 20, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.FStandard
Nov 20, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Nov 20, 2024F761Ensure 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.DStandard
Nov 20, 2024F758Implement 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.DStandard
Nov 20, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Nov 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Nov 13, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint
Oct 15, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DComplaint
Oct 15, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 16, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 2, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Mar 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 26, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 5, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Dec 5, 2023F908Keep all essential equipment working safely.EComplaint
Dec 5, 2023F610Respond appropriately to all alleged violations.DComplaint
Dec 5, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 5, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 31, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FComplaint
Oct 31, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 13, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 13, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Aug 23, 2023F917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.DStandard
Aug 23, 2023F908Keep all essential equipment working safely.FStandard
Aug 23, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Aug 23, 2023F880Provide and implement an infection prevention and control program.FStandard
Aug 23, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 23, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Aug 23, 2023F761Ensure 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.DStandard
Aug 23, 2023F760Ensure that residents are free from significant medication errors.DStandard
Aug 23, 2023F758Implement 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.EStandard
Aug 23, 2023F730Observe each nurse aide's job performance and give regular training.FStandard
Aug 23, 2023F693Ensure 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.DStandard
Aug 23, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard
Aug 23, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 23, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 23, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Aug 23, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Aug 23, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Aug 23, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jul 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 20, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 20, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jun 20, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 18, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.KComplaint
Apr 27, 2023F610Respond appropriately to all alleged violations.DComplaint
Apr 27, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 12, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint
Apr 12, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Apr 12, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Apr 12, 2023F610Respond appropriately to all alleged violations.DComplaint
Apr 12, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 12, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Mar 22, 2023F880Provide and implement an infection prevention and control program.DComplaint
Mar 22, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Mar 22, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Mar 22, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 22, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 22, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Mar 7, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Mar 7, 2023F880Provide and implement an infection prevention and control program.FComplaint
Mar 7, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Mar 7, 2023F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Jun 3, 2022F880Provide and implement an infection prevention and control program.DStandard
Jun 3, 2022F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Jun 3, 2022F758Implement 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.DStandard
Jun 3, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.FStandard
Jun 3, 2022F727Have 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.FStandard
Jun 3, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 3, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 3, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 3, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 3, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
Jun 3, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 3, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 4 civil money penalties totaling $261,699 and 2 payment-denial actions spanning 50 days.

DateTypeFinePayment denial
Nov 6, 2025Payment Denial—Nov 28, 2025 · 3 days
Aug 28, 2024Fine$13,097—
Mar 26, 2024Fine$12,048—
Aug 23, 2023Fine$111,508—
Aug 23, 2023Payment Denial—Sep 15, 2023 · 47 days
Apr 12, 2023Fine$125,046—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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