Medical Suites At Oak Creek (the)
Medical Suites at Oak Creek (The) in OAK CREEK, WI — inspection on August 21, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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 [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.[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.) R2's was admitted to the facility on [DATE] with diagnoses including paraplegia, dependence on renal dialysis, and unspecified cord compression. 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 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. 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 [R1 and 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 [R2] has meds (medications) left at his bedside either until today. 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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.