Facility profile · CCN 525730
Medical Suites At Oak Creek (the)
112 federal citations on record , including 8 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $187,064.
Record summary
Federal record · Q1 2026112
Total citations
94
Last 3 years
11
Actual harm+
5
Federal penalties
$187,064
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
112 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 18, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 18, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Dec 18, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 3, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Oct 3, 2025 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint |
| Oct 3, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Oct 3, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Oct 3, 2025 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint |
| Oct 3, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Oct 3, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Oct 3, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Oct 3, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Oct 3, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Oct 3, 2025 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Oct 3, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Oct 3, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Oct 3, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 3, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 3, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 3, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Oct 3, 2025 | F578 | Honor 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. | D | Standard |
| Oct 3, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Aug 21, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Jul 8, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 8, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 4, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 4, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 3, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Apr 3, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Apr 3, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| Apr 3, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Apr 3, 2025 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint |
| Apr 3, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Dec 4, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 4, 2024 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint |
| Sep 11, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Complaint |
| Sep 11, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Sep 11, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jul 15, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint |
| Jul 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Jul 15, 2024 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Jul 15, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 15, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint |
| Jul 15, 2024 | F610 | Respond appropriately to all alleged violations. | F | Complaint |
| Jul 15, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 15, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 15, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard |
| Jul 15, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Jul 15, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 15, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Jul 15, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Jul 15, 2024 | F761 | 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. | E | Standard |
| Jul 15, 2024 | F758 | 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. | D | Standard |
| Jul 15, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jul 15, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jul 15, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard |
| Jul 15, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Apr 17, 2024 | F761 | 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. | E | Complaint |
| Apr 17, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Apr 17, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Apr 17, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Apr 17, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 17, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 17, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Apr 17, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint |
| Apr 17, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 17, 2024 | F578 | Honor 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. | K | Complaint |
| Apr 17, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Sep 19, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 19, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint |
| Sep 19, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 19, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 27, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jul 27, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jul 27, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jul 27, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 27, 2023 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard |
| Jul 27, 2023 | F946 | Provide training in compliance and ethics. | E | Standard |
| Jul 27, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard |
| Jul 27, 2023 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Standard |
| Jul 27, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 27, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 27, 2023 | F758 | 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. | D | Standard |
| Jul 27, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jul 27, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| Jul 27, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 27, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jul 27, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Jul 27, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Jul 27, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 27, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jul 27, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Jul 27, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Apr 10, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Mar 23, 2023 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint |
| Mar 23, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 23, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Mar 23, 2023 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Mar 23, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $187,064 and 2 payment-denial actions spanning 64 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 15, 2024 | Fine | $64,527 | — |
| Jul 15, 2024 | Payment Denial | — | Aug 13, 2024 · 49 days |
| Apr 17, 2024 | Fine | $28,100 | — |
| Jul 27, 2023 | Fine | $94,437 | — |
| Jul 27, 2023 | Payment Denial | — | Aug 25, 2023 · 15 days |
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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