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Facility profile · CCN 505246

Three Creeks Post Acute

39 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $60,385.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
39
Total citations
28
Last 3 years
5
Actual harm+
3
Federal penalties
$60,385
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

39 on record
SurveyF-TagViolationSeveritySource
Dec 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.LComplaint
Dec 22, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Dec 22, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.CComplaint
Nov 10, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Nov 10, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 10, 2025F880Provide and implement an infection prevention and control program.EComplaint
Nov 17, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 17, 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.DStandard
Nov 17, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 17, 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.DStandard
Nov 17, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Nov 17, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Nov 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.DStandard
May 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 24, 2024F610Respond appropriately to all alleged violations.DComplaint
May 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 24, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 1, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
May 1, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Dec 5, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 5, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 9, 2023F880Provide and implement an infection prevention and control program.FComplaint
Oct 2, 2023F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Aug 19, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Aug 19, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 19, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jul 24, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Jul 24, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Sep 10, 2021F886Perform COVID19 testing on residents and staff.LStandard
Sep 10, 2021F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Sep 10, 2021F880Provide and implement an infection prevention and control program.LStandard
Sep 10, 2021F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.BStandard
Sep 10, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Sep 10, 2021F692Provide enough food/fluids to maintain a resident's health.GStandard
Sep 10, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 10, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Sep 10, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 10, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Sep 10, 2021F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $60,385 and 1 payment-denial actions spanning 3 days.

DateTypeFinePayment denial
Nov 10, 2025Fine$28,210
Nov 10, 2025Payment DenialFeb 6, 2026 · 3 days
May 1, 2024Fine$32,175
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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