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Nursing home report

Medical Suites at Oak Creek (The)

OAK CREEK, WI · Medicare-certified · 144 beds

Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall

Medical Suites at Oak Creek has a 1-out-of-5 overall rating, with a 1-star health inspection rating, SFF Candidate special-focus status, and $64,527 in fines over the last 24 months. Staffing is 3.78 hours per resident per day, below the federal benchmark of 4.1, and recent citations included care, advance directive, and pressure ulcer issues.

Facility ratings

Health inspections

Staffing

3.7842 hrs/resident/day

Quality measures

Last inspection: December 18, 2025Penalties, last 24 months: $64,527special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7842.

Staffing detail

Registered nurses
0.65
Licensed practical nurses
1.20
Nurse aides
1.94
Weekend nursing
3.46

Hours per resident per day.

Total staff turnover: 67%
Registered nurse turnover: 67%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

2.1%9.4%Worsening

Residents with a fall causing major injury

6.7%3.5%Improving

Residents with pressure ulcers (bedsores)

2.2%5.8%Worsening

Residents with a urinary tract infection

2.8%2.5%No change

Residents who lost too much weight

14.5%11.9%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15.9%25%Worsening

Residents whose ability to walk got worse

27.1%37%Worsening

Long-stay residents on antianxiety or sleep medication

12.3%11.1%Improving

Short-stay residents newly given an antipsychotic

1.4%2.1%Worsening

Residents with a long-term catheter

2.1%1%Improving

Residents with new or worsening incontinence

33.1%46.5%Worsening

Residents with depressive symptoms

11.6%2.6%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

51.7%

Long-stay residents given the pneumonia vaccine

88%94.2%Improving

Short-stay residents given the seasonal flu vaccine

64.8%

Short-stay residents given the pneumonia vaccine

79.5%86.6%Improving

What the inspectors found

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited April 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: K

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited April 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 19 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $64,527 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $187,064 in total fines · 2 payment denials.

  • Medicare/Medicaid payment denial

    Jul 15, 2024

    49 days
  • Federal fine

    Jul 15, 2024

    $64,527
  • Federal fine

    Apr 17, 2024

    $28,100
  • Medicare/Medicaid payment denial

    Jul 27, 2023

    15 days
  • Federal fine

    Jul 27, 2023

    $94,437

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of IGNITE MEDICAL RESORTS · 25 homes · 2.5 stars avg
Occupancy
122.6 residents on an average day (85% of 144 beds)
Resident voice
Resident council
Medicare history
Certified for 6 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.