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 Avera Creighton Care Centre during CMS and state inspections, most recent first.
The facility failed to follow proper infection control protocols during meal service, as observed with dietary aides not using the required PPE, such as N95 masks and eye protection, and not performing hand hygiene consistently. This non-compliance was confirmed by the DON, who noted that staff had not received recent training on PPE use during a COVID-19 outbreak.
The facility failed to account for narcotic medications according to policy, affecting several residents. Discrepancies were found between recorded counts and actual pills remaining, as staff did not update controlled substance records immediately after administration. The Director of Nursing confirmed the expectation for immediate record updates to ensure accuracy.
Inadequate PPE Use and Hand Hygiene During Meal Service
Penalty
Summary
The facility failed to adhere to proper infection prevention and control protocols during room tray meal service, which had the potential to affect all residents. Observations revealed that a dietary aide (DA-A) did not follow the required personal protective equipment (PPE) guidelines when entering rooms of residents on Airborne Respirator Precautions and Contact Precautions. DA-A entered a resident's room wearing only a surgical mask instead of the required N95 mask and eye protection. Additionally, DA-A did not perform hand hygiene consistently between resident contacts and failed to change masks appropriately, which is against the facility's policy. Further observations showed that another dietary aide (DA-B) also did not adhere to PPE protocols, as they entered a resident's room without wearing the necessary face shield or eye protection. DA-B also failed to perform hand hygiene before putting on new PPE. Interviews with the Director of Nursing confirmed that staff were expected to follow specific PPE protocols, including wearing an N95 mask, face shield or goggles, gown, and gloves, and performing hand hygiene before and after PPE use. The dietary staff had not received recent training on PPE use during a COVID-19 outbreak, contributing to these deficiencies.
Narcotic Medication Discrepancies
Penalty
Summary
The facility failed to properly account for narcotic medications according to its policy, which had the potential to affect several residents. The policy required all scheduled controlled medications to be kept in double-locked locations on the medication cart, with a controlled substance record documenting the administration details. However, during an observation of a medication pass, discrepancies were noted in the narcotic counts. For instance, a Registered Nurse (RN) administered Oxycodone to a resident and documented it, but the count did not match the pills remaining. The RN then adjusted the record to account for a previous administration that had not been documented. Further observations revealed similar discrepancies with other residents' narcotic medications. A Licensed Practical Nurse (LPN) administered Tramadol to a resident but did not have the controlled substance record available on the cart, intending to update it later. This led to mismatches between the recorded counts and the actual pills remaining in the medication cassettes for multiple residents. The Director of Nursing confirmed that staff were expected to update the controlled substance record immediately after administering narcotic medications to ensure accuracy and prevent errors.
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What surveyors actually found near you
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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 Creighton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Plainview Manor | 10 mi | — | 0 | 0 |
| Alpine Village Retirement Center | 10.7 mi | — | 0 | 0 |
| Good Samaritan Society - Bloomfield | 16.4 mi | — | 8 | 0 |
| Accura Healthcare Of Neligh | 23.6 mi | — | 0 | 0 |
| Accura Healthcare Of Pierce | 27.5 mi | — | 0 | 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.