Medical Suites At Oak Creek (the)
Nursing home · 2700 HONADEL BOULEVARD, Oak Creek, WI 53154 · Milwaukee County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 144
- State license
- 5054
- Medicare CCN
- 525730
- Licensed entity
- OAK CREEK HEALTH AND REHABILITATION CENTER LLC
- Chain
- CHAMPION CARE
- Ownership
- For profit - Corporation
- Phone
- (414) 435-2005
- Nurse staffing
- 3.63 hours per resident per day; 64.8% nursing staff turnover
- CMS status
- SFF
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Jul 15, 2024 — Fine ($64,527)
- Jul 15, 2024 — Payment Denial · payment denial 49 days
- Apr 17, 2024 — Fine ($28,100)
Inspection findings
-
May 19, 2026 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 7, 2026 Health · 28 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0585 Resident Rights Deficiencies
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.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0636 Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jun 5, 2026 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jun 5, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jun 5, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0745 Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 Pharmacy Service Deficiencies
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.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0808 Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0941 Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0942 Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0944 Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0945 Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0946 Administration Deficiencies
Provide training in compliance and ethics.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0947 Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0949 Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 18, 2025 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jan 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jan 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 3, 2025 Health · 19 findings
-
Not serious
Scope/severity E
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
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.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Nov 10, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0773 Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0849 Administration Deficiencies
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.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0865 Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Nov 10, 2025 · CMS health inspection
-
Not serious
Scope/severity E
-
Aug 21, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Sep 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 8, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 4, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 4, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 4, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Jul 1, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jul 1, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 3, 2025 Health · 6 findings
-
Not serious
Scope/severity D
Complaint
F0623 Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Apr 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0625 Resident Rights Deficiencies
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.
Corrected Apr 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Apr 28, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Apr 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0770 Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected Apr 28, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Apr 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 4, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0559 Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected Dec 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Dec 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 11, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Oct 1, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0940 Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected Oct 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 15, 2024 Fire Safety · 34 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Aug 8, 2024 · CMS fire safety
-
Not serious
Scope/severity D
F0585 Resident Rights Deficiencies
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.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0623 Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0625 Resident Rights Deficiencies
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.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0679 Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Corrected Aug 12, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 12, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Oct 1, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0882 Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0947 Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Aug 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Sep 11, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0711 Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0781 Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Aug 12, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Apr 17, 2024 Health · 11 findings
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 2, 2024 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0578 Resident Rights Deficiencies
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.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0661 Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected May 2, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0678 Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0761 Pharmacy Service Deficiencies
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.
Corrected May 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 19, 2023 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Sep 9, 2023 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Sep 9, 2023 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Sep 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Sep 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 27, 2023 Fire Safety · 30 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected Aug 22, 2023 · CMS fire safety
-
Not serious
Scope/severity D
F0582 Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0688 Quality of Life and Care Deficiencies
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.
Corrected Aug 22, 2023 · CMS health inspection
-
Serious
Scope/severity J
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0726 Nursing and Physician Services Deficiencies
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.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0941 Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0944 Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0946 Administration Deficiencies
Provide training in compliance and ethics.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0949 Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Aug 22, 2023 · CMS health inspection
-
Not serious
Scope/severity C
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Aug 22, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Aug 22, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Aug 29, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Aug 22, 2023 · CMS fire safety
-
Not serious
Scope/severity C
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Aug 22, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Aug 22, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Oct 13, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Aug 22, 2023 · CMS fire safety
-
Not serious
Scope/severity F
-
Mar 30, 2022 Fire Safety · 10 findings
-
Not serious
Scope/severity F
E0036 Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0927 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected Apr 25, 2022 · CMS fire safety
-
Not serious
Scope/severity F
Owners and managers (as published by CMS)
- AMDRASTEK, NATALIE — adp of the snf, NOT APPLICABLE, since 03/07/2026
- AMDRASTEK, NATALIE — operational/managerial control, NOT APPLICABLE, since 01/14/2026
- MARKWARDT, ANNE — adp of the snf, NOT APPLICABLE, since 06/01/2024
- MARKWARDT, ANNE — operational/managerial control, NOT APPLICABLE, since 06/01/2024
- RAMANUJAM, SANDEEP — adp of the snf, NOT APPLICABLE, since 06/01/2024
- RAMANUJAM, SANDEEP — operational/managerial control, NOT APPLICABLE, since 06/01/2024
- RUVEL, MENACHEM — adp of the snf, NOT APPLICABLE, since 06/01/2024
- RUVEL, MENACHEM — indirect ownership interest, NOT APPLICABLE, since 06/01/2024
- RUVEL, MENACHEM — corporate officer, NOT APPLICABLE, since 04/10/2025
- WEINBERG, YISROEL — adp of the snf, NOT APPLICABLE, since 06/01/2024
- WEINBERG, YISROEL — indirect ownership interest, NOT APPLICABLE, since 06/01/2024
- CHAMPION CARE LLC — adp of the snf, NOT APPLICABLE, since 06/01/2024
- NATIONAL HEALTH INVESTORS, INC. — adp of the snf, NOT APPLICABLE, since 08/01/2024
- NHI-REIT OF WISCONSIN LLC — adp of the snf, NOT APPLICABLE, since 06/01/2024
- OAK CREEK OPERATIONS HOLDINGS LLC — 5% or greater direct ownership interest, 100%, since 06/01/2024
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.