Oak Creek Terrace INC
Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy. Still worth an in-person visit.
based on 74 Google reviews
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What this means for your family
This facility is highly regarded for its physical therapy and rehab programs, which many families find effective for recovery. However, the recurring reports of understaffing and slow response times are significant; we strongly advise families to visit during off-hours and weekends to observe staffing levels firsthand before making a decision.
Google Reviews
Google Reviews
74 reviews on Google“OAK CREEK TERRACE INC receives highly polarized reviews, with many families praising the rehabilitation services and specific staff members, while others report severe neglect and systemic understaffing. While some families describe a warm, family-like environment, multiple reviewers have documented serious concerns regarding hygiene, medication errors, and slow response times to call lights. Prospective families should be aware that experiences appear to vary significantly based on the specific unit and staffing levels at the time of stay.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Warm and attentive individual staff members
- Clean and spacious room layouts
- Strong social services and communication for some families
Concerns
- Chronic understaffing leading to long call-light response times (mentioned by 10 reviewers)
- Poor hygiene and lack of assistance with basic personal care (mentioned by 7 reviewers)
- Medication management errors and delays (mentioned by 5 reviewers)
- Poor communication and unprofessional behavior from nursing staff (mentioned by 4 reviewers)
- Inadequate dietary management for diabetic or restricted diets (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 75 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the importance of timely assistance, could you walk me through your current process for responding to call lights and how you ensure residents receive help promptly?
- 2I understand that medication management is a critical part of care; what specific protocols do you have in place to ensure medications are administered accurately and on time?
- 3Since therapy is a known strength here, how do you integrate those physical and occupational therapy goals into the resident's daily routine?
- 4How does your team coordinate with the dietary staff to ensure that residents with specific medical restrictions, such as diabetic diets, receive the correct meals consistently?
- 5What steps are being taken to ensure that personal care and hygiene needs are met thoroughly for every resident throughout the day and night?
- 6Could you describe how your nursing team communicates updates to families, and what the best way is for us to stay in the loop regarding our loved one’s care?
Personalized based on this facility's data
Key Review Excerpts
“The rehab section is where my father was. It was clean, spacious, and had everything needed for recovery. The staff was all very nice and was always willing to help when needed. Therapy was top notch.”
“My Marmee’s stay there was pretty good however her discharge was a mess! It was like the insurance stopped paying and they shut down! They called in meds the dr discontinued for her to the pharmacy.”
“My loved one was in the memory care unit at Oakcreek for seven months before passing. Please look at other facilities before thinking about placing a family member there. She was neglected, not fed properly, had several falls and several unexplained bruises.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
4
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for the flu
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Oak Creek Terrace shows a concerning pattern of recurring deficiencies across multiple surveys, with families filing at least one complaint that triggered an infection control investigation. The facility has persistent issues with fire safety systems, electrical safety, and care planning that appear repeatedly from 2019 through 2025, suggesting ongoing operational challenges. While all deficiencies show correction dates, the pattern of repeated violations in critical safety areas warrants careful consideration during your visit.
Sep 29, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 15, 2025Routine11
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 smoke barriers are constructed to a 1 hour fire resistance rating.
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.
Quality of Life and Care Deficiencies
Ensure 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.
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.
Apr 29, 2022Routine16
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Apr 11, 2019Routine10
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
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 appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operations
Who Operates This Facility
Oak Creek Terrace INC
for profit
Chain Affiliation
Caring Place Healthcare Group
5 facilities nationwide
Chain avg rating: 4.2/5 · Rank 5 of 5 (Worst)
Ownership & Management
Owners
Chase M Kohn Qsst Tr
Owner · Organization
Irrevocable Trust Agreement of Barry a. Kohn
Owner · Organization
Kohn, Chase
Owner (parent company)
Kohn, Patsy
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
74 reviews from families & visitors
Official Website
Visit caringplacehcg.com
Medicare data downloads
Original nursing home datasets
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