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Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 28 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 shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
Oak Creek Rehabilitation Center receives polarized feedback, with some families praising the staff as warm and caring while others report serious concerns regarding neglect and poor management. While the facility is described as clean and well-located, multiple reviewers have raised alarms about high staff turnover, inadequate basic care, and a noisy, uncomfortable environment. Prospective families should be aware of the stark contrast between the glowing testimonials and the severe allegations of substandard care.
Quality Themes
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Concerns
Rating Trends
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Distribution · 32 analyzed
This facility rarely responds to reviews.
Personalized based on this facility's data
Key Review Excerpts
“The staff is warm and caring, they genuinely wanted the best for him. They treated both of us like we were part of their personal family.”
“The care has gone down immensely in the past year with the current administrator, which has caused dedicated CNAs and nurses to leave for work in environments that value their skills and the care they provide.”
“Unbelievably noisy! I feel like I’m in a cross between a Casino and a train station. Loud announcements, bings and alarms going off every few seconds, super loud televisions.”
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
12
measures
4
measures
1
measures
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families filed 16 complaints triggering significant deficiencies, including serious abuse and neglect violations that recurred across multiple surveys. The facility shows persistent problems with medication management, emergency preparedness, and fire safety systems, with issues appearing repeatedly from 2018 through 2024. While the facility reports corrections for past violations, the pattern of recurring problems and complaint-driven investigations suggests ongoing care quality concerns that families should carefully consider.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Meet other general requirements.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor 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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
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
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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 safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
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 that residents are free from significant medication errors.
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Federal Penalties
Fine
Jul 4, 2024
$13,627
Oak Creek Rehabilitation Center of Kimberly
for profit
Cascades Healthcare
19 facilities nationwide
Chain avg rating: 1.9/5 · Rank 14 of 20 (Lowest rating)
Owners
Charolais Care II, INC
Owner · Organization
Brp Health Management Systems INC
Owner (parent company) · Organization
Snake River Healthcare LLC
Owner (parent company) · Organization
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
28 reviews from families & visitors
Official Website
Visit oakcreekrehab.com
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These are the 3 closest facilities in our data within 10 miles. Proximity does not mean they provide the same care type or have stronger quality signals, so compare each profile and verify services directly.