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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215113

Creekside Center For Rehabilitation And Nursing

109 federal citations on record , including 4 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $101,178.

Abuse Icon Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
109
Total citations
58
Last 3 years
6
Actual harm+
1
Federal penalties
$101,178
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care22 Resident Rights18 Medication & Pharmacy16 Care Planning15 Nursing & Physician Services12

Most common F-tags at this facility

F6894 F7574 F6844 F6564 F6093

Citation history

109 on record
SurveyF-TagViolationSeveritySource
Dec 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Oct 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 17, 2025F610Respond appropriately to all alleged violations.DComplaint
Oct 17, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Feb 21, 2025F880Provide and implement an infection prevention and control program.EComplaint
Feb 21, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Feb 21, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 21, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 5, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Aug 5, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint
Aug 5, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint
Aug 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 5, 2024F660Plan the resident's discharge to meet the resident's goals and needs.FComplaint
Aug 5, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Aug 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 5, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Aug 5, 2024F610Respond appropriately to all alleged violations.EComplaint
Aug 5, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.JComplaint
Aug 5, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 5, 2024F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint
Aug 5, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Aug 5, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Aug 5, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Aug 5, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Aug 5, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Aug 5, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.FStandard
Aug 5, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Aug 5, 2024F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.FStandard
Aug 5, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard
Aug 5, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FStandard
Aug 5, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Aug 5, 2024F880Provide and implement an infection prevention and control program.FStandard
Aug 5, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Aug 5, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Aug 5, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 5, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Aug 5, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Aug 5, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Aug 5, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Aug 5, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 5, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Aug 5, 2024F732Post nurse staffing information every day.DStandard
Aug 5, 2024F730Observe each nurse aide's job performance and give regular training.FStandard
Aug 5, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard
Aug 5, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Aug 5, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 5, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Aug 5, 2024F637Assess the resident when there is a significant change in conditionDStandard
Aug 5, 2024F625Notify 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.DStandard
Aug 5, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Aug 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Aug 5, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Aug 5, 2024F578Honor 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.DStandard
Aug 5, 2024F572Give residents a notice of rights, rules, services and charges.DStandard
Aug 5, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard
Aug 5, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Aug 5, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jul 25, 2019F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jul 25, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jul 25, 2019F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Jul 25, 2019F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Jul 25, 2019F759Ensure medication error rates are not 5 percent or greater.EStandard
Jul 25, 2019F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jul 25, 2019F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jul 25, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jul 25, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jul 25, 2019F732Post nurse staffing information every day.CStandard
Jul 25, 2019F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Jul 25, 2019F692Provide enough food/fluids to maintain a resident's health.DStandard
Jul 25, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Jul 25, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jul 25, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 25, 2019F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard
Jul 25, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jul 25, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jul 25, 2019F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jul 25, 2019F625Notify 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.DStandard
Jul 25, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jul 25, 2019F610Respond appropriately to all alleged violations.EStandard
Jul 25, 2019F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jul 25, 2019F602Protect each resident from the wrongful use of the resident's belongings or money.EStandard
Jul 25, 2019F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Jul 25, 2019F565Honor the resident's right to organize and participate in resident/family groups in the facility.BStandard
Jul 25, 2019F558Reasonably accommodate the needs and preferences of each resident.DStandard
Feb 5, 2018F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Feb 5, 2018F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 5, 2018F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Feb 5, 2018F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Feb 5, 2018F761Ensure 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.EStandard
Feb 5, 2018F759Ensure medication error rates are not 5 percent or greater.EStandard
Feb 5, 2018F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Feb 5, 2018F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Feb 5, 2018F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Feb 5, 2018F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Feb 5, 2018F730Observe each nurse aide's job performance and give regular training.EStandard
Feb 5, 2018F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard
Feb 5, 2018F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Feb 5, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Feb 5, 2018F675Honor each resident's preferences, choices, values and beliefs.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $101,178 .

DateTypeFinePayment denial
Aug 5, 2024Fine$101,178—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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