Medical Suites At Oak Creek (The)

Name: Medical Suites At Oak Creek (The): CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Oak Creek, Milwaukee County, Wisconsin · CCN 525730 · For-profit (Corporation) · part of Champion Care (22 facilities, chain average 2.2 stars)

CMS rates Medical Suites At Oak Creek (The) unrated overall as of August 2026. 144 certified beds, 120 residents a day on average. 125 citations on record from the current inspection cycles, 10 at immediate jeopardy; 2 fines totalling $92,627 and 1 payment denial.

On record

Special Focus Facility. CMS has placed this facility in the program for homes with a history of serious quality issues, which brings more frequent inspection.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	Did not submit staffing data, or submitted data that did not meet the criteria for a staffing rating (CMS footnote 18)
Health inspections	Did not submit staffing data, or submitted data that did not meet the criteria for a staffing rating (CMS footnote 18)
Staffing	Did not submit staffing data, or submitted data that did not meet the criteria for a staffing rating (CMS footnote 18)
Quality measures	Did not submit staffing data, or submitted data that did not meet the criteria for a staffing rating (CMS footnote 18)

Staffing

Total nurse staffing	3.62551 hours per resident per day
Registered nurses	0.62266 hours per resident per day
Weekend total	3.28799 hours per resident per day
Nursing staff turnover	64.8% (registered nurses 52.9%)
Administrators who left	1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-05-19 complaint survey	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 · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-19 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-19 complaint survey	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	K Immediate jeopardy to resident health or safety; pattern	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · tag F0941	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · tag F0942	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · tag F0944	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · tag F0945	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide training in compliance and ethics. Administration Deficiencies · tag F0946	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · tag F0949	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	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 · tag F0580	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	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 Rights Deficiencies · tag F0585	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	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 · tag F0636	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	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 · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	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. Nutrition and Dietary Deficiencies · tag F0808	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2026-05-07 complaint survey	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-05
2025-12-18 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-01-18
2025-12-18 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-01-18
2025-12-18 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-01-18
2025-10-03 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03 complaint survey	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-11-10
2025-10-03 complaint survey	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-11-10
2025-10-03 complaint survey	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03	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 · tag F0578	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03	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 · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03 complaint survey	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · tag F0773	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03 complaint survey	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. Administration Deficiencies · tag F0849	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-10-03	Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-10
2025-08-21 complaint survey	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-10
2025-07-08 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-04
2025-07-08 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-04
2025-06-04 complaint survey	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 · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-07-01
2025-06-04 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-07-01
2025-04-03 complaint survey	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-28
2025-04-03 complaint survey	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-28
2025-04-03 complaint survey	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-28
2025-04-03 complaint survey	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. Resident Rights Deficiencies · tag F0625	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-28
2025-04-03 complaint survey	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-28
2025-04-03 complaint survey	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-28
2024-12-04 complaint survey	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · tag F0559	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-19
2024-12-04 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-19
2024-09-11 complaint survey	Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · tag F0940	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-10-01
2024-09-11 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-01
2024-09-11 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-01
2024-07-15 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2024-10-01
2024-07-15 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-08-12
2024-07-15	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-08-12
2024-07-15	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · tag F0882	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-08-12
2024-07-15	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-08-12
2024-07-15 complaint survey	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-12
2024-07-15	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. Resident Rights Deficiencies · tag F0625	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-12
2024-07-15	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. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-12
2024-07-15	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-12
2024-07-15	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 Rights Deficiencies · tag F0585	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15 complaint survey	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 · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-01
2024-07-15 complaint survey	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15	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. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-12
2024-07-15	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-12
2024-04-17 complaint survey	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 · tag F0578	K Immediate jeopardy to resident health or safety; pattern	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	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. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · tag F0661	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-02
2024-04-17 complaint survey	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-02
2023-09-19 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2023-09-09
2023-09-19 complaint survey	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-09-09
2023-09-19 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-09
2023-09-19 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-09
2023-07-27	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-08-22
2023-07-27	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. Nursing and Physician Services Deficiencies · tag F0726	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · tag F0941	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · tag F0944	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Provide training in compliance and ethics. Administration Deficiencies · tag F0946	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · tag F0949	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	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. Quality of Life and Care Deficiencies · tag F0688	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	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. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22
2023-07-27	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-22

Fines and payment denials

Date	Penalty	Amount
2024-07-15	Payment denial for 49 days from 2024-08-13	—
2024-07-15	Fine	$64,527
2024-04-17	Fine	$28,100

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Oak Creek Operations Holdings LLC Organization	5% or greater direct ownership interest	100%	2024-06-01
Champion Care LLC Organization	adp of the snf	—	2024-06-01
National Health Investors, Inc. Organization	adp of the snf	—	2024-08-01
Nhi-Reit Of Wisconsin LLC Organization	adp of the snf	—	2024-06-01
Amdrastek, Natalie Individual	adp of the snf	—	2026-03-07
Markwardt, Anne Individual	adp of the snf	—	2024-06-01
Ramanujam, Sandeep Individual	adp of the snf	—	2024-06-01
Ruvel, Menachem Individual	adp of the snf	—	2024-06-01
Weinberg, Yisroel Individual	adp of the snf	—	2024-06-01
Ruvel, Menachem Individual	corporate officer	—	2025-04-10
Ruvel, Menachem Individual	indirect ownership interest	—	2024-06-01
Weinberg, Yisroel Individual	indirect ownership interest	—	2024-06-01
Amdrastek, Natalie Individual	operational/managerial control	—	2026-01-14
Markwardt, Anne Individual	operational/managerial control	—	2024-06-01
Ramanujam, Sandeep Individual	operational/managerial control	—	2024-06-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Medical Suites At Oak Creek (The).

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Milwaukee County.