The Medical Suites at Oak Creek
2700 Honadel Boulevard, Oak Creek, WI 53154 · (414) 435-2005
For profit - Corporation · 144 certified beds
Special Focus Facility Medicare doesn't rate this home: “This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.” Special Focus Facilities get a full inspection at least every six months.
The Medical Suites at Oak Creek is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in October 2025, found 19 citations, 1 for actual harm or immediate jeopardy (the Wisconsin average is 9.5). It was fined 3 times in the last three years, $199,227 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | Not available |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | Not available |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | Not available |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | Not available |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on October 3, 2025 found 19 citations. What an inspection citation means
- Provide safe, appropriate pain management for a resident who requires such services.October 3, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 3, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Dispose of garbage and refuse properly.October 3, 2025 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have a plan that describes the process for conducting QAPI and QAA activities.October 3, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 3, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 3, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.October 3, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 3, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.October 3, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.October 3, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.October 3, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.October 3, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.October 3, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.October 3, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 3, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.October 3, 2025 · F0773 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 3, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.October 3, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement a program that monitors antibiotic use.October 3, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 78 citations.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 19, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 19, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.May 19, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 7, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 7, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 7, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.May 7, 2026 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 7, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 7, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 7, 2026 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 7, 2026 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 7, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 7, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.May 7, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 7, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide medically-related social services to help each resident achieve the highest possible quality of life.May 7, 2026 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 7, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.May 7, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 7, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 7, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 7, 2026 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 7, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement policies and procedures for flu and pneumonia vaccinations.May 7, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.May 7, 2026 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.May 7, 2026 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.May 7, 2026 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.May 7, 2026 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.May 7, 2026 · F0945 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide training in compliance and ethics.May 7, 2026 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.May 7, 2026 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.May 7, 2026 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 18, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 18, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 18, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.October 3, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.October 3, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.October 3, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
- Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.October 3, 2025 · F0773 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 3, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 3, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.October 3, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.October 3, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.August 21, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 8, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 8, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 4, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 4, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.April 3, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 3, 2025 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.April 3, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.April 3, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide timely, quality laboratory services/tests to meet the needs of residents.April 3, 2025 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 3, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.December 4, 2024 · F0559 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 4, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.September 11, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.September 11, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop, implement, and/or maintain an effective training program for all new and existing staff members.September 11, 2024 · F0940 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 15, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 15, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.July 15, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.July 15, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 15, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.July 15, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 15, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 15, 2024 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 15, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.April 17, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 17, 2024 · F0578 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 17, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.April 17, 2024 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.April 17, 2024 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 17, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 17, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 17, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.April 17, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.April 17, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 17, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $106,600October 3, 2025
- Fine of $64,527July 15, 2024
- Fine of $28,100April 17, 2024
- Medicare payment denial for 49 daysStarting August 13, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Wisconsin average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.63 | 4.21 | 3.86 |
| Registered nurses (RN) | 0.62 | 0.99 | 0.69 |
| Licensed practical nurses (LPN) | 1.21 | 0.64 | 0.86 |
| Nurse aides | 1.79 | 2.58 | 2.32 |
| Total nursing staff turnover | 64.8% | 46.9% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 144 |
| Average residents per day | 120.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Greendale Park Nursing and Rehab Greendale · ★★★★★ 1 out of 5 stars
- Complete Care at Hales Corners Hales Corners · ★★★★★ 3 out of 5 stars
- Eastcastle Pl Bradford Ter Conv Ctr Milwaukee · ★★★★★ 5 out of 5 stars
- Milwaukee Catholic Home Milwaukee · ★★★★★ 4 out of 5 stars
- St Francis Health Services Saint Francis · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Medical Suites at Oak Creek on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.