Medical Suites at Oak Creek (the)

2700 Honadel Boulevard, Oak Creek, WI 53154 (opens Google Maps) · Milwaukee County · (414) 435-2005· 144 certified beds · avg 120 residents/day · certified since Apr 8, 2020 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

SFF

What Special Focus status means →

Part of chain: CHAMPION CARE (22 facilities, chain avg rating 2.2★)

—/5

Health inspection rating (on-site)

inspected Oct 3, 2025

Serious findings on record

most recent May 7, 2026

$92,627

Fines, last 3 years

3.51

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: —/5 · CMS overall rating: —/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy) — showing 10 of 12

▲ Immediate jeopardy, pattern · May 7, 2026 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 5, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · May 7, 2026 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 5, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · May 7, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Jun 5, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Jul 15, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Corrected: Aug 12, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Jul 15, 2024 · F-0686 · triggered by a complaint

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Corrected: Oct 1, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Jul 15, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Aug 12, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Apr 17, 2024 · F-0578 · triggered by a complaint

The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.

Corrected: May 2, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Apr 17, 2024 · F-0678 · triggered by a complaint

The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.

Corrected: May 2, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Sep 19, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Sep 9, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Jul 27, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Aug 22, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 125 inspection findings. Open the full record below to read every finding.

May 19, 2026D · Potential for more than minimal harm, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint F-0656
May 19, 2026D · Potential for more than minimal harm, isolated
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint F-0677
May 19, 2026D · Potential for more than minimal harm, isolated
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint F-0692

View all 125 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
May 19, 2026	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
May 19, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
May 19, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
May 7, 2026	▲ K · Immediate jeopardy, pattern	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 7, 2026	▲ J · Immediate jeopardy, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
May 7, 2026	▲ J · Immediate jeopardy, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. · from a complaint · F-0941
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about. · from a complaint · F-0942
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint · F-0943
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. · from a complaint · F-0944
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program. · from a complaint · F-0945
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · from a complaint · F-0946
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint · F-0947
May 7, 2026	F · Potential for more than minimal harm, widespread	The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · from a complaint · F-0949
May 7, 2026	E · Potential for more than minimal harm, pattern	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
May 7, 2026	E · Potential for more than minimal harm, pattern	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint · F-0636
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint · F-0745
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint · F-0808
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint · F-0883
Dec 18, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Dec 18, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Dec 18, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Oct 3, 2025	▲ G · Actual harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Oct 3, 2025	F · Potential for more than minimal harm, widespread	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Oct 3, 2025	F · Potential for more than minimal harm, widespread	The facility did not dispose of garbage and refuse properly. · F-0814
Oct 3, 2025	F · Potential for more than minimal harm, widespread	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · F-0865
Oct 3, 2025	E · Potential for more than minimal harm, pattern	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Oct 3, 2025	E · Potential for more than minimal harm, pattern	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint · F-0554
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint · F-0773
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint · F-0849
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Oct 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Aug 21, 2025	D · Potential for more than minimal harm, isolated	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint · F-0554
Jul 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jul 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 4, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Jun 4, 2025	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Apr 3, 2025	E · Potential for more than minimal harm, pattern	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759
Apr 3, 2025	E · Potential for more than minimal harm, pattern	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Apr 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623
Apr 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint · F-0625
Apr 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Apr 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770
Dec 4, 2024	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint · F-0559
Dec 4, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Sep 11, 2024	F · Potential for more than minimal harm, widespread	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint · F-0940
Sep 11, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Sep 11, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jul 15, 2024	▲ J · Immediate jeopardy, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jul 15, 2024	▲ J · Immediate jeopardy, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jul 15, 2024	▲ J · Immediate jeopardy, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jul 15, 2024	F · Potential for more than minimal harm, widespread	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Jul 15, 2024	F · Potential for more than minimal harm, widespread	The facility did not dispose of garbage and refuse properly. · F-0814
Jul 15, 2024	F · Potential for more than minimal harm, widespread	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Jul 15, 2024	F · Potential for more than minimal harm, widespread	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947
Jul 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623
Jul 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Jul 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Jul 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Jul 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Apr 17, 2024	▲ K · Immediate jeopardy, pattern	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint · F-0578
Apr 17, 2024	▲ J · Immediate jeopardy, isolated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint · F-0678
Apr 17, 2024	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Apr 17, 2024	D · Potential for more than minimal harm, isolated	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint · F-0554
Apr 17, 2024	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Apr 17, 2024	D · Potential for more than minimal harm, isolated	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint · F-0661
Apr 17, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Apr 17, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 17, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Apr 17, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Apr 17, 2024	D · Potential for more than minimal harm, isolated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759
Sep 19, 2023	▲ J · Immediate jeopardy, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 19, 2023	▲ G · Actual harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Sep 19, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Sep 19, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Jul 27, 2023	▲ J · Immediate jeopardy, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jul 27, 2023	E · Potential for more than minimal harm, pattern	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Jul 27, 2023	E · Potential for more than minimal harm, pattern	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Jul 27, 2023	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 27, 2023	E · Potential for more than minimal harm, pattern	The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. · F-0941
Jul 27, 2023	E · Potential for more than minimal harm, pattern	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. · F-0944
Jul 27, 2023	E · Potential for more than minimal harm, pattern	The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · F-0946
Jul 27, 2023	E · Potential for more than minimal harm, pattern	The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · F-0949
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Jul 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (20 → 19).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2023	25	3	J ▲
2024	36	5	K ▲
2025	33	1	G ▲
2026	31	3	K ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $92,627, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Jul 15, 2024	Fine	$64,527
Jul 15, 2024	Payment Denial	49 days from Aug 13, 2024
Apr 17, 2024	Fine	$28,100

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityWisconsin averageU.S. average

Total nurse staffing (hours per resident per day)

3.51

4.29

3.95

Registered Nurse hours

0.60

1.01

0.69

Weekend total nurse staffing

3.18

3.84

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Wisconsin avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.51	4.29	3.95	bottom 25% in Wisconsin; bottom 37% in the U.S.
Registered Nurse hours	0.60	1.01	0.69	bottom 12% in Wisconsin; top 48% in the U.S.
Weekend total nurse staffing	3.18	3.84	3.50	bottom 27% in Wisconsin; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.68	0.48	bottom 23% in Wisconsin; top 42% in the U.S.
Total nursing staff turnover (%)	64.8	46.9	45.8	bottom 11% in Wisconsin; bottom 10% in the U.S.
RN turnover (%)	52.9	39.7	42.9	bottom 30% in Wisconsin; bottom 31% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.63, RN 0.62, weekend 3.29.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.63 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: —/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Medical Suites at Oak Creek (the). CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Oak Creek Operations Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2024
Ruvel, Menachem	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/01/2024
Weinberg, Yisroel	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/01/2024
Amdrastek, Natalie	Individual	Operational/Managerial Control	NOT APPLICABLE	01/14/2026
Amdrastek, Natalie	Individual	ADP of the SNF	NOT APPLICABLE	03/07/2026
Champion Care LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2024
Markwardt, Anne	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2024
Markwardt, Anne	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2024
National Health Investors, INC.	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2024
Nhi-Reit of Wisconsin LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2024
Ramanujam, Sandeep	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2024
Ramanujam, Sandeep	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2024
Ruvel, Menachem	Individual	Corporate Officer	NOT APPLICABLE	04/10/2025
Ruvel, Menachem	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2024
Weinberg, Yisroel	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2024

All 15 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Champion Care — 22 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Muskego Health and Rehabilitation Center — Muskego, WI · overall 2/5
North Ridge Health and Rehabilitation Center — Manitowoc, WI · overall 2/5
Nu Roc Health and Rehabilitation Ctr — Laona, WI · overall 4/5
Oconto Health and Rehab Center — Oconto, WI · overall 2/5
Sheridan Health and Rehabilitation Center — Kenosha, WI · overall 2/5
St Ann Health and Rehabilitation Center — Milwaukee, WI · overall 4/5
Suring Health and Rehab Center — Suring, WI · overall 1/5
Waters Edge Health and Rehabilitation Center — Kenosha, WI · overall 1/5abuseSFF

Listed by state, then facility name — not a ranking. Showing 8 of the 21 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Can you show me an example care plan, and how are families included when it's created and updated?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Wisconsin midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 65% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
"CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 48 within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Maple Ridge Health Services	3.2 mi	Milwaukee, WI	★★☆☆☆	3/5
Autumn Lake Healthcare at Greenfield	3.3 mi	Milwaukee, WI	★☆☆☆☆	1/5	abuse
Greendale Park Nursing and Rehab	4.3 mi	Greendale, WI	★☆☆☆☆	1/5
Chi Franciscan Villa	4.4 mi	South Milwaukee, WI	★☆☆☆☆	1/5
Willowcrest Health Services	4.4 mi	South Milwaukee, WI	★★☆☆☆	2/5
Complete Care at Southpointe	4.8 mi	Greenfield, WI	★★★☆☆	2/5
Complete Care at Hales Corners	5.7 mi	Hales Corners, WI	★★★☆☆	3/5
Sunrise Health Services	6.2 mi	Milwaukee, WI	★★☆☆☆	2/5
Wheaton Franciscan HC - Terrace at St Francis	6.7 mi	Milwaukee, WI	★☆☆☆☆	1/5
St Francis Health Services	6.7 mi	Saint Francis, WI	★★★☆☆	3/5
Clement Manor Health Care Center	6.9 mi	Greenfield, WI	★☆☆☆☆	1/5
Maplewood Center	7.7 mi	West Allis, WI	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Milwaukee, WI — 32 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Mercy Health Services — Milwaukee, WI · overall 3/5
Milwaukee Catholic Home — Milwaukee, WI · overall 4/5
Milwaukee Health and Rehab — Milwaukee, WI · overall 4/5
Resolve at West Allis Respiratory and Rehab — West Allis, WI · overall 1/5
Saint Johns on the Lake — Milwaukee, WI · overall 4/5
St Ann Health and Rehabilitation Center — Milwaukee, WI · overall 4/5
St Camillus Health Center — Wauwatosa, WI · overall 2/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Oak Creek →

Facility data as of CMS processing date 2026-08-01. CCN 525730.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Medical Suites at Oak Creek (the)

2700 Honadel Boulevard, Oak Creek, WI 53154 · (414) 435-2005

Health inspection rating —/5 · CMS overall —/5 · SFF· Fines (3y): $92,627

Most serious findings on record:

▲ May 7, 2026 (F-0684, Immediate jeopardy, pattern): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ May 7, 2026 (F-0686, Immediate jeopardy, isolated): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ May 7, 2026 (F-0689, Immediate jeopardy, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Your weekend nurse staffing is reported below the Wisconsin midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 65% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
☐ "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525730 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)

Medical Suites at Oak Creek (the)

What health inspectors found (on-site government inspections — the most independent evidence available)

Most serious findings (actual harm or immediate jeopardy) — showing 10 of 12

Inspection findings in the public record

Inspection trend by year

Fines and enforcement (last 3 years)

Nurse staffing (from payroll records, adjusted for how much care residents need)

Quality measures: assessments & claims

Costs & payment

Before you compare prices

Who owns this facility

Other facilities in the same chain

Questions to ask on your visit

Also worth asking anywhere

Nearby facilities (12 closest of 48 within 20 miles)

Other facilities in the same county

Visit checklist — Medical Suites at Oak Creek (the)

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