Medical Suites At Oak Creek (the)
Inspection Findings
F-Tag F0554
F 0554 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
are and what they're for.During an interview on 08/21/25 at 12:29 PM, the Director of Nursing (DON) stated, I wasn't aware that [Resident R1] requested to self-administer his own meds until today when the nurse saw you talking to him about the meds being on his bedside table. I agree that medicine cup containing all those meds shouldn't be left there. We must ensure the resident is assessed and safe enough to self-administer their own meds first. Then we'll get a physician order and have it care planned.[Resident R1] is capable of self-administration and we are going to address this immediately today.During an interview on 08/21/25 at 12:51 PM, the Administrator stated, I wasn't aware of any residents self-administering meds, but we're going to follow proper procedure and put everything in place.No additional information was provided.2.) Resident R2's was admitted to the facility on [DATE REDACTED] with diagnoses including paraplegia, dependence on renal dialysis, and unspecified cord compression. Resident R2's admission MDS with an ARD date of 05/14/25, revealed
the facility assessed the resident to have a BIMS score of 15 out of 15, which indicated the resident was cognitively intact.Review of Resident R2's EMR lacked documentation of physician's orders for self-administration, an assessment for self-administration, and or a care plan for self-administrationOn 08/21/25 at 10:29 AM, Surveyor observed a medicine cup with red liquid was sitting on his bedside table. Resident R2 stated, ''That's my Mucinex. The night nurse brings it to me between 6:00 AM to 7:00 AM and leaves it there for me because I'm usually still sleeping. I usually take it before now. I don't leave my room, so I always remember to take it because I see it right there in front of me.During an interview on 08/21/25 at 11:41 AM, Certified Nurse Aide (CNA) 1 stated, I see meds at the bedside on 200 and 300 halls maybe two to three times weekly. I know nurses are not supposed to leave them there. They only do it for the ones that know what they are taking.During an interview on 08/21/25 at 11:53 AM, LPN2 stated, I do have a couple of residents that want their meds left at bedside and are capable of self-administering their own. They know what they are and why they take them. We should get the proper paperwork for them to self-administer their own meds. We need to talk to the physician, assess them, get an order, and have them care planned for it. These two residents [Resident R1 and Resident R2] have always requested us to leave them their meds and then we check back in on them maybe 15 minutes later to make sure they did.''During an interview on 08/21/25 at 11:59 AM, CNA2 stated, I do see meds at the bedside maybe two to three times weekly for three residents. Sometimes I'll find them still on the meal trays and I'll let the nurse know.During an interview on 08/21/25 at 12:29 PM, the Director of Nursing (DON) stated, I didn't realize [Resident R2] has meds (medications) left at his bedside either until today. Resident R2 is capable of self-administration, and we are going to address this immediately today.During an
interview on 08/21/25 at 12:51 PM, the Administrator stated, I wasn't aware of any residents self-administering meds, but we're going to follow proper procedure and put everything in place.No additional information was provided.
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MEDICAL SUITES AT OAK CREEK (THE) in OAK CREEK, WI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in OAK CREEK, WI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MEDICAL SUITES AT OAK CREEK (THE) or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.