Medical Suites at Oak Creek: Kitchen Safety Failures - WI
Federal inspectors visiting Medical Suites at Oak Creek on October 3, 2025 found glasses throughout the facility coated in hard water film along the inside. The cook explained the facility had recently switched to a soft water system for the dishwasher. He said he was unaware of how to remove the staining that had already built up. The glasses went back to residents anyway.
That conversation was one of several that day in which staff described knowing something was wrong and doing nothing about it.
The food temperature logs told a similar story. The facility kept records for three daily meals going back to September 17. Every entry showed a cook-end temperature, the heat of food coming off the stove. The columns for holding temperatures, the readings that track whether hot food stays above 140 degrees Fahrenheit from the start of the tray line through delivery, were blank. All of them. Two weeks of meals, three times a day, and not a single holding temperature recorded.
When inspectors asked the cook about it on October 2, he said he did take the tray line temperatures. He just didn't write them down. He said he checked to make sure food wasn't cold, wasn't below 140 degrees, but never put the numbers on paper. The logs existed. The columns existed. He filled in the cooking temperature and left the rest empty.
The registered dietitian, interviewed the same afternoon, said she completed monthly sanitation inspections and had noticed the kitchen was a problem. She said the lack of cleanliness in the kitchen and in the pantry on the 400 hall had been brought to the facility's attention before. The pantry used to have a keycode lock, she said, but at some point the code changed and access became unclear. The kitchen was supposed to be monitoring the refrigerator in that pantry. Milk gallons, she said, were supposed to be kept in ice.
None of that was happening.
The facility's own food safety policy, dated March 26, 2025, required staff to monitor food temperatures during holding to ensure proper hot and cold temperatures were maintained throughout delivery. The policy was less than seven months old when inspectors arrived. The cook had never followed the holding temperature portion of it.
What inspectors also found was the absence of something more basic: the facility had no written policy or schedule at all for cleaning the main kitchen. No floor cleaning schedule. No wall cleaning schedule. No schedule for the refrigeration units, the ice machines, or the equipment. A facility that serves meals to residents three times a day had never written down when or how any of it was supposed to be cleaned.
The dietitian said she had noticed. She said it had been an issue. She said it had been brought to the facility's attention.
The inspection report does not indicate that anything changed before inspectors left.
Food held below 135 degrees Fahrenheit becomes a vehicle for bacterial growth. The gap between cooking temperature and the temperature food reaches a resident's tray can be significant, particularly in a facility where no one is measuring or recording what happens in between. For two weeks, there was no documentation that anyone confirmed food served to residents at Medical Suites at Oak Creek was still safe to eat by the time it arrived.
The cook said he checked. He just never wrote it down.
CMS cited the facility for this deficiency at a level of harm described as minimal harm or potential for actual harm, affecting many residents. The citation carries the tag F0812, covering sanitation and infection control in food service.
The glasses with the hard water film were still in use. The cook said he didn't know how to get the stains off.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Medical Suites At Oak Creek (the) from 2025-10-03 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
Medical Suites at Oak Creek (The) in OAK CREEK, WI was cited for violations during a health inspection on October 3, 2025.
Federal inspectors visiting Medical Suites at Oak Creek on October 3, 2025 found glasses throughout the facility coated in hard water film along the inside.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.