Medical Suites at Oak Creek (The)

Special Focus Facility · Milwaukee · WI · For profit - Corporation · CHAMPION CARE chain · 144 certified beds · CCN 525730 · OAK CREEK HEALTH AND REHABILITATION CENTER LLC


Medical Suites at Oak Creek (The) operates 144 certified beds in OAK CREEK, Wisconsin. Its Medicare and Medicaid certification dates to 2020-04-08. It averages 120.3 residents a day.

What harm was found in the violations cited at Medical Suites at Oak Creek (The)?

CMS lists 125 health-inspection deficiencies for Medical Suites at Oak Creek (The) since 2023-07-27, 104 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-19.

Survey dateTagDeficiencySeverity
2026-05-19F0656, F0677, F0692Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health.D
2026-05-07F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K
2026-05-07F0686, F0689Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2026-05-07F0725, F0880, F0941, F0942, F0943, F0944, F0945, F0946, F0947, F0949Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.F
2026-05-07F0610, F0760Respond appropriately to all alleged violations. / Ensure that residents are free from significant medication errors.E
2026-05-07F0580, F0585, F0636, F0657, F0677, F0690, F0692, F0745, F0755, F0759, F0761, F0808, F0883Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2025-12-18F0684, F0686, F0755Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-10-03F0697Provide safe, appropriate pain management for a resident who requires such services.G
2025-10-03F0812, F0814, F0865Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Have a plan that describes the process for conducting QAPI and QAA activities.F
2025-10-03F0550, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-10-03F0554, F0578, F0628, F0656, F0677, F0692, F0695, F0698, F0755, F0773, F0849, F0880, F0881Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.D
2025-08-21F0554Allow residents to self-administer drugs if determined clinically appropriate.D
2025-07-08F0684, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-04F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-04-03F0759, F0921Ensure medication error rates are not 5 percent or greater. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-04-03F0623, F0625, F0757, F0770Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide timely, quality laboratory services/tests to meet the needs of residents.D
2024-12-04F0559, F0684Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-09-11F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.F
2024-09-11F0677, F0686Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2024-07-15F0684, F0686, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-07-15F0610, F0814, F0882, F0947Respond appropriately to all alleged violations. / Dispose of garbage and refuse properly. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2024-07-15F0623, F0625, F0761, F0880Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / 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. / Provide and implement an infection prevention and control program.E
2024-07-15F0585, F0600, F0609, F0677, F0679, F0755, F0756, F0758, F0804Honor 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2024-04-17F0578Honor 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.K
2024-04-17F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2024-04-17F0761Ensure 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.E
2024-04-17F0554, F0609, F0661, F0684, F0689, F0755, F0757, F0759Allow residents to self-administer drugs if determined clinically appropriate. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater.D
2023-09-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-09-19F0692Provide enough food/fluids to maintain a resident's health.G
2023-09-19F0677, F0755Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-07-27F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-07-27F0607, F0726, F0880, F0941, F0944, F0946, F0949Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.E
2023-07-27F0582, F0609, F0610, F0645, F0684, F0686, F0688, F0692, F0695, F0756, F0758, F0759, F0842Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was Medical Suites at Oak Creek (The) fined 2 times?

DateTypeAmount
2024-07-15Fine$64,527
2024-04-17Fine$28,100

Has Medical Suites at Oak Creek (The) had payment denied by Medicare?

Payment denial startLength in days
2024-08-1349

How is Medical Suites at Oak Creek (The) staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.625514.21234
Total nursing staff turnover (%)64.846.9
Average number of residents per day120.354.8

Who owns Medical Suites at Oak Creek (The), and what chain is it in?

Medical Suites at Oak Creek (The) is registered with CMS as For profit - Corporation, operates under the legal business name OAK CREEK HEALTH AND REHABILITATION CENTER LLC and belongs to the CHAMPION CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTOAK CREEK OPERATIONS HOLDINGS LLCsince 06/01/2024
INDIRECT OWNERSHIP INTERESTRUVEL, MENACHEM, WEINBERG, YISROELsince 06/01/2024
CORPORATE OFFICERRUVEL, MENACHEMsince 04/10/2025
OPERATIONAL/MANAGERIAL CONTROLAMDRASTEK, NATALIE, MARKWARDT, ANNE, RAMANUJAM, SANDEEPsince 01/14/2026
ADP OF THE SNFCHAMPION CARE LLC, NATIONAL HEALTH INVESTORS, INC., NHI-REIT OF WISCONSIN LLC, AMDRASTEK, NATALIE, MARKWARDT, ANNE, RAMANUJAM, SANDEEP, RUVEL, MENACHEM, WEINBERG, YISROELsince 03/07/2026

Were you or a family member harmed at Medical Suites at Oak Creek (The)?