Starfile / Wisconsin

MEDICAL SUITES AT OAK CREEK (THE)

2700 HONADEL BOULEVARD, OAK CREEK, WI 53154 · CCN 525730

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Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$187,064

Number of fines

3

Number of penalties

5

Payment denials

2

Chain

Chain

IGNITE MEDICAL RESORTS

Facilities in chain

22

Chain avg overall

2.70 / 5

Inspection citations (112)8 immediate jeopardy3 actual harm

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-18 · Health · corrected 2026-01-18

   Potential for more than minimal harm

2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-18 · Health · corrected 2026-01-18

   Potential for more than minimal harm

3. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-18 · Health · corrected 2026-01-18

   Potential for more than minimal harm

4. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-10-03 · Health · corrected 2025-11-10

   Potential for more than minimal harm

5. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-10-03 · Health · corrected 2025-11-10

   Potential for more than minimal harm

6. DF0578Honor 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.2025-10-03 · Health · corrected 2025-11-10

   Potential for more than minimal harm

7. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-10-03 · Health · corrected 2025-11-10

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-10-03 · Health · corrected 2025-11-10

   Potential for more than minimal harm

9. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-10-03 · Health · corrected 2025-11-10

   Potential for more than minimal harm

10. DF0692Provide enough food/fluids to maintain a resident's health.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

12. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-10-03 · Health · corrected 2025-11-10

    Actual harm

13. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

15. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

16. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

18. FF0814Dispose of garbage and refuse properly.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

19. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

20. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

21. DF0880Provide and implement an infection prevention and control program.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

22. DF0881Implement a program that monitors antibiotic use.2025-10-03 · Health · corrected 2025-11-10

    Potential for more than minimal harm

23. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-21 · Health · corrected 2025-09-10

    Potential for more than minimal harm

24. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-08 · Health · corrected 2025-08-04

    Potential for more than minimal harm

25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-08 · Health · corrected 2025-08-04

    Potential for more than minimal harm

26. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-04 · Health · corrected 2025-07-01

    Potential for more than minimal harm

27. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-04 · Health · corrected 2025-07-01

    Potential for more than minimal harm

28. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-03 · Health · corrected 2025-04-28

    Potential for more than minimal harm

29. DF0625Notify 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.2025-04-03 · Health · corrected 2025-04-28

    Potential for more than minimal harm

30. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-04-03 · Health · corrected 2025-04-28

    Potential for more than minimal harm

31. EF0759Ensure medication error rates are not 5 percent or greater.2025-04-03 · Health · corrected 2025-04-28

    Potential for more than minimal harm

32. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-04-03 · Health · corrected 2025-04-28

    Potential for more than minimal harm

33. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-04-03 · Health · corrected 2025-04-28

    Potential for more than minimal harm

34. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-12-04 · Health · corrected 2024-12-19

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-04 · Health · corrected 2024-12-19

    Potential for more than minimal harm

36. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-11 · Health · corrected 2024-10-01

    Potential for more than minimal harm

37. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-11 · Health · corrected 2024-10-01

    Potential for more than minimal harm

38. FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-09-11 · Health · corrected 2024-10-01

    Potential for more than minimal harm

39. DF0585Honor 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.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

40. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

42. FF0610Respond appropriately to all alleged violations.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

43. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

44. EF0625Notify 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.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

45. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-15 · Health · corrected 2024-10-01

    Potential for more than minimal harm

46. DF0679Provide activities to meet all resident's needs.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

47. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-15 · Health · corrected 2024-08-12

    Immediate jeopardy

48. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-15 · Health · corrected 2024-10-01

    Immediate jeopardy

49. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-15 · Health · corrected 2024-08-12

    Immediate jeopardy

50. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

51. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

52. DF0758Implement 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.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

53. EF0761Ensure 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.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

54. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

55. FF0814Dispose of garbage and refuse properly.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

56. EF0880Provide and implement an infection prevention and control program.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

57. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

58. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-07-15 · Health · corrected 2024-08-12

    Potential for more than minimal harm

59. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

60. KF0578Honor 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.2024-04-17 · Health · corrected 2024-05-02

    Immediate jeopardy

61. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

62. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

63. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-04-17 · Health · corrected 2024-05-02

    Immediate jeopardy

64. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

65. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

66. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

67. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

68. DF0759Ensure medication error rates are not 5 percent or greater.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

69. EF0761Ensure 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.2024-04-17 · Health · corrected 2024-05-02

    Potential for more than minimal harm

70. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-19 · Health · corrected 2023-09-09

    Potential for more than minimal harm

71. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-19 · Health · corrected 2023-09-09

    Immediate jeopardy

72. GF0692Provide enough food/fluids to maintain a resident's health.2023-09-19 · Health · corrected 2023-09-09

    Actual harm

73. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-19 · Health · corrected 2023-09-09

    Potential for more than minimal harm

74. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

75. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

76. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

77. DF0610Respond appropriately to all alleged violations.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

78. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

79. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

80. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

81. DF0688Provide 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.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

82. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-27 · Health · corrected 2023-08-22

    Immediate jeopardy

83. DF0692Provide enough food/fluids to maintain a resident's health.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

84. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

85. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

86. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

87. DF0758Implement 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.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

88. DF0759Ensure medication error rates are not 5 percent or greater.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

89. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

90. EF0880Provide and implement an infection prevention and control program.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

91. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

92. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

93. EF0946Provide training in compliance and ethics.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

94. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-07-27 · Health · corrected 2023-08-22

    Potential for more than minimal harm

95. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-10 · Health · corrected 2023-04-14

    Potential for more than minimal harm

96. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-23 · Health · corrected 2023-04-14

    Potential for more than minimal harm

97. DF0585Honor 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.2023-03-23 · Health · corrected 2023-04-14

    Potential for more than minimal harm

98. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-23 · Health · corrected 2023-04-14

    Potential for more than minimal harm

99. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-23 · Health · corrected 2023-04-14

    Potential for more than minimal harm

100. DF0610Respond appropriately to all alleged violations.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

101. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

102. EF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

103. EF0660Plan the resident's discharge to meet the resident's goals and needs.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

104. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

105. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-23 · Health · corrected 2023-04-14

     Immediate jeopardy

106. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

107. GF0692Provide enough food/fluids to maintain a resident's health.2023-03-23 · Health · corrected 2023-04-14

     Actual harm

108. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

109. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

110. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

111. DF0880Provide and implement an infection prevention and control program.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

112. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-03-23 · Health · corrected 2023-04-14

     Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in OAK CREEK

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.