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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145275

Timbercreek Rehab And Health Care Center

73 federal citations on record , including 1 at the Immediate Jeopardy level, and 9 federal enforcement actions totaling $213,731.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
73
Total citations
66
Last 3 years
10
Actual harm+
9
Federal penalties
$213,731
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care29 Care Planning11 Infection Control8 Resident Rights7 Medication & Pharmacy7

Most common F-tags at this facility

F6899 F6865 F6904 F6564 F5803

Citation history

73 on record
SurveyF-TagViolationSeveritySource
Dec 6, 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
Dec 6, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 25, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Aug 25, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Aug 25, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Jul 16, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 11, 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.EComplaint
Apr 28, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 4, 2025F761Ensure 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.DComplaint
Apr 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 8, 2024F880Provide and implement an infection prevention and control program.DComplaint
Nov 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 8, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Oct 4, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Aug 7, 2024F881Implement a program that monitors antibiotic use.FStandard
Aug 7, 2024F880Provide and implement an infection prevention and control program.FStandard
Aug 7, 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
Aug 7, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Aug 7, 2024F693Ensure 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 7, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 7, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 7, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 7, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Aug 7, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Aug 7, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 7, 2024F641Ensure each resident receives an accurate assessment.DStandard
Aug 7, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Jul 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Jul 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 28, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Apr 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 7, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FComplaint
Mar 13, 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
Jan 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 29, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Nov 17, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 21, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Sep 21, 2023F881Implement a program that monitors antibiotic use.FStandard
Sep 21, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Sep 21, 2023F850Hire a qualified full-time social worker in a facility with more than 120 beds.FStandard
Sep 21, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 21, 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
Sep 21, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 21, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Sep 21, 2023F732Post nurse staffing information every day.CStandard
Sep 21, 2023F727Have 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
Sep 21, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Sep 21, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Sep 21, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Sep 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 21, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Sep 21, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Sep 21, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Aug 17, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Aug 17, 2023F881Implement a program that monitors antibiotic use.FComplaint
Aug 17, 2023F880Provide and implement an infection prevention and control program.FComplaint
Aug 17, 2023F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Aug 17, 2023F727Have 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.FComplaint
Aug 17, 2023F690Provide 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 17, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 17, 2023F625Notify 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.BComplaint
Aug 17, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FComplaint
Aug 17, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 28, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Mar 28, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 28, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 28, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 5, 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
Oct 5, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Oct 5, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard

Federal enforcement history

Federal regulators have imposed 9 enforcement actions against this facility, including 6 civil money penalties totaling $213,731 and 3 payment-denial actions spanning 66 days.

DateTypeFinePayment denial
Dec 12, 2024Fine$16,965—
Oct 4, 2024Fine$49,220—
Jul 25, 2024Payment Denial—Aug 29, 2024 · 25 days
Jul 25, 2024Fine$52,679—
Mar 13, 2024Payment Denial—May 7, 2024 · 9 days
Mar 13, 2024Fine$22,950—
Nov 17, 2023Payment Denial—Dec 15, 2023 · 32 days
Nov 17, 2023Fine$62,654—
Sep 21, 2023Fine$9,263—
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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