CREEKSIDE HEALTH AND REHABILITATION CENTER
3114 EAST 46TH STREET, INDIANAPOLIS, IN 46205 · CCN 155628
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 111.9
- Phone
- 3179207888
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-15 | 10 | 7.6 | 9.5 | +2.4 worse |
| 2 | 2023-12-05 | 8 | 7.9 | 9.8 | +0.1 worse |
| 3 | 2022-08-09 | 22 | 8.8 | 9.3 | +13.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Resident rights | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.16 | 58.8% |
| RN staffing (reported) | 0.54 | 50.0% |
| Total nurse staffing (adjusted) | 4.08 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- TLC MANAGEMENT
- Facilities in chain
- 20
- Chain avg overall
- 4.00 / 5
Inspection citations (40)2 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-22 · Health · corrected 2025-09-04
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-28 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-28 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-03-12 · Health · corrected 2025-03-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-12 · Health · corrected 2025-03-25
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-15 · Health · corrected 2025-02-08
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-15 · Health · corrected 2025-02-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-15 · Health · corrected 2025-02-08
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-15 · Health · corrected 2025-02-08
Actual harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-01-15 · Health · corrected 2025-02-08
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-05 · Health · corrected 2023-12-29
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-12-05 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-05 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-05 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-05 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-05 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-12-05 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0761Ensure 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.2023-12-05 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-03-14 · Health · corrected 2023-04-05
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- CF0680Ensure the activities program is directed by a qualified professional.2022-08-09 · Health · corrected 2022-09-07
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0688Provide 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.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-08-09 · Health · corrected 2022-09-07
Actual harm
- DF0775Keep complete, dated laboratory records in the resident's record.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
- FF0886Perform COVID19 testing on residents and staff.2022-08-09 · Health · corrected 2022-09-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| RIVERVIEW HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-08-01 |
| BRIARWOOD HEALTHCARE OPERATIONS COMPANY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-01 |
| TENDER LOVING CARE MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-01 |
| DAWSON, STACIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-01 |
| HYATT, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-01 |
| YASSIN KASSAB, MAHMOUD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-01 |
| FRIEND, JAYNA | Individual | CORPORATE OFFICER | — | 2021-06-01 |
| HYATT, DAVID | Individual | CORPORATE OFFICER | — | 2017-08-01 |
Other facilities in INDIANAPOLIS
| Name | Overall | Beds |
|---|---|---|
| MILLER'S MERRY MANOR | ★★★★★ | 114 |
| FAIRWAY VILLAGE | ★★★★★ | 53 |
| MARQUETTE | ★★★★★ | 57 |
| HOOSIER VILLAGE | ★★★★★ | 24 |
| SOUTHPOINTE HEALTHCARE CENTER | ★★★★★ | 100 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.