Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Oak Creek Rehabilitation Center Of Kimberly during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of traumatic brain injury was subjected to physical and verbal abuse by an LPN, who improperly used a gait belt and left the resident unattended on the floor. The facility's investigation was inadequate, failing to substantiate the abuse despite witness statements and evidence. The incident was reported late, and the facility's response was delayed, placing the resident in immediate jeopardy.
A facility failed to report an allegation of abuse and neglect involving a cognitively impaired resident in a timely manner. An LPN was rough with the resident, causing him to hit his head and leaving him on the floor for 45 minutes. The incident was reported to HR the next day, contrary to the facility's policy requiring immediate reporting.
Failure to Prevent Abuse and Neglect of a Resident
Penalty
Summary
The facility failed to prevent physical abuse, verbal abuse, and neglect for a resident, identified as Resident #15, who was severely cognitively impaired and had a history of traumatic brain injury. The incident occurred when LPN #1, while assisting the resident, used a gait belt improperly and yelled at the resident to get up. Despite the resident's inability to assist, LPN #1 insisted that the resident could do it and, after a minute of pulling and yelling, expressed frustration and pulled the resident to the floor, causing the resident to hit his head on the door frame. LPN #1 then left the resident on the floor, instructing NA #1 to leave him there, resulting in the resident being left unattended for 45 minutes, during which he was found soaked in urine and saliva. The facility's investigation into the incident was inadequate, as it failed to substantiate the abuse despite clear evidence and witness statements. The former Administrator did not document a physical assessment or monitoring of the resident after the incident, and there was no incident report filed. The attending physician was not notified, and the resident was not sent to the hospital for evaluation. The investigation report concluded that abuse could not be substantiated, although an email from the former Administrator indicated verbal abuse had occurred. The incident was reported to Human Resources the following day, and statements were collected from staff members who witnessed or were informed about the incident. However, the facility's response was delayed and insufficient, as the former Administrator did not take immediate action to protect the resident or ensure proper documentation and reporting of the incident. This failure placed the resident in immediate jeopardy of serious harm, impairment, or death, as the facility did not protect him from abuse and neglect by LPN #1.
Failure to Timely Report Abuse and Neglect
Penalty
Summary
The facility failed to report an allegation of physical and verbal abuse and neglect to the State Survey Agency in a timely manner. This incident involved a resident who was severely cognitively impaired and had a history of traumatic brain injury. The incident occurred when a Licensed Practical Nurse (LPN) was assisting the resident to get off the floor and back into his wheelchair. The LPN was reported to have been rough, yelling at the resident, and eventually pulling him to the floor, causing the resident to hit his head on the door frame. The resident was left on the floor for 45 minutes, soaked in urine, and in pain. The incident was reported by a Nursing Assistant (NA) to the facility's Human Resources personnel the day after it occurred. The NA, along with two other NAs, reported the incident to a Registered Nurse (RN) the following morning, who then provided statements to the former Administrator. The facility's policy required that all alleged violations involving abuse, neglect, or mistreatment be reported immediately, but this was not adhered to, resulting in harm to the resident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kimberly
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Twin Falls Transitional Care Of Cascadia | 4.2 mi | — | 0 | 0 |
| Serenity Transitional Care | 7.4 mi | — | 0 | 0 |
| Bridgeview Estates | 11.2 mi | — | 0 | 0 |
| Cascades At Desert View | 20.2 mi | — | 2 | 0 |
| Lincoln County Care Center | 27.6 mi | — | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.