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On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 116 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.
Medical Suites at Oak Creek presents a stark contrast between its modern, clean facility and significant, recurring failures in basic patient care. While many reviewers praise the physical therapy department and specific staff members, a large number of families report severe neglect, including patients left in soiled conditions for hours, medication errors, and a lack of responsiveness from administration. Families should be aware that while the environment is aesthetically pleasing, the quality of daily nursing and CNA support is frequently described as inconsistent or dangerously understaffed.
Quality Themes
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Concerns
Rating Trends
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Distribution · 119 analyzed
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Personalized based on this facility's data
Key Review Excerpts
“My dad just went back there after a hospitalization. It is horrendous. They never answer phones!! Neglect patients. I had to call oak police to do a welfare check of my dad because we couldn't get a hold of him for hours.”
“The therapy department were miracle workers. From how he looked and physically had difficulty to how he is able to independently walk with Minimàl assist.”
“They did not give her the blood pressure medication she required. Her blood pressure skyrocketed. She was left in dirty diapers, ignored when she tried to call the nurses.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
4
measures
9
measures
4
measures
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows significant concern with 145 deficiencies across 15 surveys, with half triggered by family complaints about serious issues. Recurring problems include accident prevention and safety, medication management, and pressure ulcer care, with some issues persisting across multiple inspections. The high number of complaint-driven investigations indicates families have repeatedly filed reports about care quality concerns.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
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.
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
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.
Administration Deficiencies
Provide training in compliance and ethics.
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.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
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.
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.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Federal Penalties
Fine
Jul 15, 2024
$64,527
Payment Denial
Jul 15, 2024
49-day denial
Fine
Apr 17, 2024
$28,100
Medical Suites at Oak Creek (the)
for profit
Champion Care
22 facilities nationwide
Chain avg rating: 2.7/5 · Rank 21 of 22 (Lowest rating)
Owners
Oak Creek Operations Holdings LLC
Owner · Organization
Ruvel, Menachem
Owner (parent company)
Weinberg, Yisroel
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
116 reviews from families & visitors
Official Website
Visit oakcreeksuites.com
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Original nursing home datasets
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