KIMBERLY, ID - Oak Creek Rehabilitation Center of Kimberly received 14 deficiencies during a federal health inspection conducted on December 5, 2025, including a citation for failing to ensure residents were free from significant medication errors.
Medication Safety Failures Under Federal Tag F0760
Federal health inspectors identified that Oak Creek Rehabilitation Center did not meet requirements under regulatory tag F0760, which governs pharmacy services and mandates that nursing home residents remain free from significant medication errors. The citation falls under the broader category of Pharmacy Service Deficiencies, a classification that addresses how facilities manage, administer, and monitor prescription medications for residents in their care.
The deficiency was assigned a Scope/Severity Level D, meaning inspectors characterized the issue as an isolated incident where no actual harm was documented but where potential existed for more than minimal harm to residents. In the federal inspection framework, Level D indicates that while the situation did not result in a documented injury, the risk was serious enough to warrant formal citation.
Medication errors in nursing home settings encompass a range of failures, including administering the wrong drug, incorrect dosages, missed doses, improper timing of administration, or giving medication to the wrong resident. Even when an error does not produce an immediately observable adverse outcome, the physiological consequences can be significant. An incorrect dose of a blood thinner, for example, can increase bleeding risk, while a missed dose of blood pressure medication can trigger dangerous cardiovascular fluctuations. For elderly residents who often take multiple medications simultaneously, even a single error can disrupt carefully calibrated treatment regimens.
14 Total Deficiencies Signal Broader Compliance Concerns
The medication error citation was one of 14 deficiencies identified during the same inspection cycle, a number that suggests systemic compliance challenges at the facility rather than an isolated lapse. Federal nursing home inspections evaluate facilities across multiple domains, including resident rights, quality of care, infection control, nutrition services, and pharmacy management. When a facility accumulates a high number of citations in a single survey, it often points to underlying issues with staffing levels, training protocols, or administrative oversight.
According to national benchmarks, the average nursing home in the United States receives approximately 7 to 8 deficiencies per inspection cycle. Oak Creek's total of 14 places the facility well above the national average, raising questions about the consistency and quality of care being delivered to its residents.
What Federal Standards Require
Under federal regulations, nursing homes participating in Medicare and Medicaid programs must maintain pharmacy services that ensure each resident's drug regimen is free from unnecessary medications and that all medications are administered accurately and safely. This includes maintaining proper documentation, conducting regular medication regimen reviews by licensed pharmacists, and ensuring nursing staff follow the "five rights" of medication administration: the right patient, right drug, right dose, right route, and right time.
Facilities that fail to meet these standards face consequences ranging from mandatory corrective action plans to financial penalties and, in severe cases, loss of federal funding eligibility.
Facility Response and Corrective Action
Oak Creek Rehabilitation Center of Kimberly submitted a plan of correction following the inspection findings. According to inspection records, the facility reported that corrections were implemented as of January 9, 2026, approximately five weeks after the initial inspection date.
A plan of correction typically outlines the specific steps a facility will take to address each cited deficiency, including staff retraining, policy revisions, enhanced monitoring protocols, and systemic changes designed to prevent recurrence. Federal and state regulators may conduct follow-up inspections to verify that corrective measures have been effectively implemented.
Residents and family members who have concerns about care quality at Oak Creek Rehabilitation Center of Kimberly can file complaints with the Idaho Department of Health and Welfare or contact the state's long-term care ombudsman program. The full inspection report, including details on all 14 deficiencies, is available through the Centers for Medicare and Medicaid Services (CMS) Care Compare database at [medicare.gov](https://medicare.gov).
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Oak Creek Rehabilitation Center of Kimberly from 2025-12-05 including all violations, facility responses, and corrective action plans.
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