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Creekside Village

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About Creekside Village

General Information

Legal Business NameThe Health And Hospital Corporation Of Marion County
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 26, 2010 (6 years)
Capacity100
Residents90
Percent Occupied90%
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 Village

Creekside Village
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Indiana 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

April 29, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionMaintain comfortable sound levels.

November 16, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$10,725 fine
GFewActual HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

April 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
FManyPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
CManyPotential for Minimal HarmComplaint+InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

March 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

May 14, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

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 Village 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
2hr 35min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
1hr 5min
1hr 5min
ReportedExpected
RN
3hr 45min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

86.2%
76.9%
76.9%
76.9%
93.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
83.6%
78.8%
76.2%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
48.4%
58.3%
70.0%
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
17.0%
10.8%
13.3%
14.7%
22.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
42.9%
12.2%
20.0%
1.5%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose ability to move independently worsened
17.5%
12.7%
9.1%
19.7%
15.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antipsychotic medication
33.3%
14.5%
8.8%
16.2%
16.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose need for help with daily activities has increased
7.2%
0.0%
7.6%
17.8%
6.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who self-report moderate to severe pain
8.6%
23.5%
8.9%
6.2%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who lose too much weight
4.0%
6.6%
7.2%
1.4%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of high risk long-stay residents with pressure ulcers
-
10.0%
5.7%
8.2%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who have depressive symptoms
3.4%
4.2%
1.3%
6.2%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a urinary tract infection
3.4%
2.7%
1.2%
1.2%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
1.2%
4.0%
0.9%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

78.9%
69.9%
33.8%
60.0%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.8%
56.6%
56.6%
56.6%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
74.2%
67.6%
50.9%
49.4%
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who made improvements in function
19.0%
0.0%
2.4%
25.5%
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
4.8%
6.7%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who newly received an antipsychotic medication
2.4%
1.9%
2.3%
1.7%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents with pressure ulcers that are new or worsened