D+
50/100

Oak Creek Rehabilitation Center of Kimberly Inspection Report, Violations & Safety Grade (Kimberly, Idaho)

500 Polk Street East, Kimberly, Idaho 83341

Phone: 2084235591

CMS Overall:2/5

Overview & Bed Count

Certified Beds
57
Avg Residents/Day
34.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Twin Falls
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
Yes

CMS Star Ratings

Overall2/5
Health2/5
Staffing1/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityIdaho AvgDifference
RN Hours per Resident per Day0.470.84-0.38
Total Nurse Hours per Resident per Day3.683.99-0.31
CMS Staffing Rating1/53/5-
Nursing Staff Turnover63.0%49.5%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2025-12-05Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2025-12-05Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-12-05Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2025-12-05Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-12-05Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.D – Moderate Harm Potential
2025-12-05Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-12-05Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-12-05Nursing and Physician Services DeficienciesEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.D – Moderate Harm Potential
2025-12-05Nursing and Physician Services DeficienciesPost nurse staffing information every day.D – Moderate Harm Potential
2025-12-05Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-12-05Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2025-12-05Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-12-05Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-12-05Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2024-07-04Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2024-07-04Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.G – Actual Harm

Fire Safety Citation History

35 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-05Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2025-12-05Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2025-12-05Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-12-05Egress DeficienciesMeet other general requirements.F – Moderate Harm Potential
2025-12-05Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2025-12-05Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2025-12-05Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2025-12-05Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-12-05Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-12-05Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-12-05Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2025-12-05Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-12-05Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2024-07-04Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.F – Moderate Harm Potential
2024-07-04Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-07-04Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-07-04Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2024-07-04Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-07-04Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2019-05-09Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2019-05-09Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2019-05-09Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.F – Moderate Harm Potential
2019-05-09Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2019-05-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2019-05-09Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2019-05-09Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential
2019-05-09Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2019-05-09Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.E – Moderate Harm Potential
2019-05-09Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.D – Moderate Harm Potential
2019-05-09Emergency Preparedness DeficienciesProvide family notifications of emergency plan.D – Moderate Harm Potential
2019-05-09Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2019-05-09Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2019-05-09Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2019-05-09Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2019-05-09Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential

Total Penalties & Fines

$13,627
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-07-04Fine$13,627-
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