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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
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.