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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.

Abuse Icon Special Focus Status 8 Immediate Jeopardy

Record summary

Federal record · Q1 2026
112
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
SurveyF-TagViolationSeveritySource
Dec 18, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 18, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 18, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 3, 2025F880Provide and implement an infection prevention and control program.DComplaint
Oct 3, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Oct 3, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Oct 3, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Oct 3, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Oct 3, 2025F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Oct 3, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 3, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Oct 3, 2025F881Implement a program that monitors antibiotic use.DStandard
Oct 3, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Oct 3, 2025F814Dispose of garbage and refuse properly.FStandard
Oct 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 3, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Oct 3, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 3, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 3, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Oct 3, 2025F578Honor 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
Oct 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Aug 21, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Jul 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 4, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 4, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 3, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Apr 3, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Apr 3, 2025F759Ensure medication error rates are not 5 percent or greater.EComplaint
Apr 3, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Apr 3, 2025F625Notify 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.DComplaint
Apr 3, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Dec 4, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 4, 2024F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Sep 11, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint
Sep 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Sep 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jul 15, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
Jul 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Jul 15, 2024F679Provide activities to meet all resident's needs.DComplaint
Jul 15, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 15, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
Jul 15, 2024F610Respond appropriately to all alleged violations.FComplaint
Jul 15, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 15, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Jul 15, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Jul 15, 2024F880Provide and implement an infection prevention and control program.EStandard
Jul 15, 2024F814Dispose of garbage and refuse properly.FStandard
Jul 15, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Jul 15, 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.EStandard
Jul 15, 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
Jul 15, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jul 15, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jul 15, 2024F625Notify 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.EStandard
Jul 15, 2024F585Honor 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.DStandard
Apr 17, 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.EComplaint
Apr 17, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Apr 17, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Apr 17, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 17, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Apr 17, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Apr 17, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 17, 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.KComplaint
Apr 17, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Sep 19, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Sep 19, 2023F692Provide enough food/fluids to maintain a resident's health.GComplaint
Sep 19, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Sep 19, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 27, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 27, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 27, 2023F610Respond appropriately to all alleged violations.DComplaint
Jul 27, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 27, 2023F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
Jul 27, 2023F946Provide training in compliance and ethics.EStandard
Jul 27, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Jul 27, 2023F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard
Jul 27, 2023F880Provide and implement an infection prevention and control program.EStandard
Jul 27, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Jul 27, 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.DStandard
Jul 27, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jul 27, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Jul 27, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 27, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Jul 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Jul 27, 2023F688Provide 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.DStandard
Jul 27, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 27, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jul 27, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Jul 27, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 10, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 23, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint
Mar 23, 2023F880Provide and implement an infection prevention and control program.DComplaint
Mar 23, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Mar 23, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Mar 23, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint

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.

DateTypeFinePayment denial
Jul 15, 2024Fine$64,527
Jul 15, 2024Payment DenialAug 13, 2024 · 49 days
Apr 17, 2024Fine$28,100
Jul 27, 2023Fine$94,437
Jul 27, 2023Payment DenialAug 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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