Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Oak Creek Rehabilitation Center of Kimberly
Kimberly, ID · 57 certified beds · Last Life Safety survey December 5, 2025
CMS Certification Number 135084 · first certified September 1981
Ownership
Operated by CASCADES HEALTHCARE · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within ID
35 citations — more than 100% of the 80 certified nursing homes in ID. Compared within ID rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 13 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was December 2025. Facilities in ID are typically surveyed 12–36 months after the last one (median 14), measured over 112 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
11 of the 35 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 35 Life Safety citations above. The Physical Environment Index
- F-0584 Honor 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.
- F-0880 Provide and implement an infection prevention and control program.
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
How that compares
Compared with the median facility in ID, and nationally. Surveyors differ markedly between states, so the ID figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 35 |
| Median facility in ID | 9 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 9, 2019 | 16 |
| July 4, 2024 | 6 |
| December 5, 2025 | 13 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | 3 | 2025-12-05 |
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2025-12-05 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2025-12-05 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2025-12-05 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 2 | 2025-12-05 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 2 | 2025-12-05 |
| K-0324 | Provide properly protected cooking facilities. | 2 | 2025-12-05 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2024-07-04 |
What the citations cover
- Emergency Preparedness Deficiencies 11
- Smoke Deficiencies 10
- Egress Deficiencies 5
- Gas, Vacuum, and Electrical Systems Deficiencies 4
- Other 5
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 11 |
| Smoke Deficiencies | 10 |
| Egress Deficiencies | 5 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 4 |
| Miscellaneous Deficiencies | 2 |
| Services Deficiencies | 2 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
December 5, 2025 — 13 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (April 23, 2026) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (April 23, 2026) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0200 | Meet other general requirements. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0222 | Add 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. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (April 23, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (April 23, 2026) |
July 4, 2024 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (July 1, 2024) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (July 1, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (July 1, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (July 1, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (July 1, 2024) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (July 1, 2024) |
May 9, 2019 — 16 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (October 2, 2018) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (September 27, 2018) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (October 2, 2018) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (October 2, 2018) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (October 2, 2018) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (October 2, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.