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Creekside Health And Rehabilitation Center

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About Creekside Health And Rehabilitation Center

General Information

Legal Business NameCreekside Healthcare, LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 15, 2014 (3 years)
Capacity139
Residents91
Percent Occupied65%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Creekside Health And Rehabilitation Center

Creekside Health And Rehabilitation Center
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Tennessee Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

February 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

February 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Creekside Health And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 25min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
45min
1hr 10min
ReportedExpected
RN
3hr 50min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

87.7%
86.9%
86.9%
94.3%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
93.0%
100.0%
98.6%
92.4%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
53.2%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
22.6%
24.1%
16.4%
21.2%
Q1 2015Q2 2015Q3 2015TN
Received an Antipsychotic Medication
17.3%
18.9%
31.6%
16.7%
Q1 2015Q2 2015Q3 2015TN
Need for Help with ADLs has Increased
4.6%
0.0%
4.9%
6.0%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
17.5%
14.8%
7.9%
8.9%
Q1 2015Q2 2015Q3 2015TN
Lose Too Much Weight
1.9%
10.9%
8.1%
5.4%
Q1 2015Q2 2015Q3 2015TN
High Risk Residents With Pressure Ulcers
3.8%
6.9%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015TN
Have Depressive Symptoms
1.8%
6.6%
11.8%
6.2%
Q1 2015Q2 2015Q3 2015TN
With a Urinary Tract Infection
0.0%
1.6%
2.9%
3.4%
Q1 2015Q2 2015Q3 2015TN
Experiencing One or More Falls with Major Injury
2.9%
6.4%
2.4%
3.2%
Q1 2015Q2 2015Q3 2015TN
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015TN
Were Physically Restrained

Quality Measures for Short Stay Residents

90.9%
91.9%
90.1%
81.2%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
86.9%
86.3%
86.3%
81.3%
Q1 2015Q2 2015Q3 2015TN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
4.8%
3.2%
4.3%
14.8%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
1.9%
2.1%
2.6%
2.3%
Q1 2015Q2 2015Q3 2015TN
Newly Received an Antipsychotic Medication
0.7%
0.3%
1.1%
0.8%
Q1 2015Q2 2015Q3 2015TN
With Pressure Ulcers That Are New or Worsened