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Creekside Center for Rehabilitation and Healing

306 W Due West Avenue, Madison, TN 37115 · Davidson County · (615) 612-4499

139 certified beds, about 133 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2014

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445516 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 12, 2023, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 8 health citations since May 2018 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.73 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

64.9% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Carerite Centers, an affiliated group of 34 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
0F
Potential for minimal harm
0A
0B
0C
July 12, 2023Standard inspection · 3 citations
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 17, 2023
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to promote dignity and respect for 1 of 28 sampled residents (Resident #80). Resident #80 had been assisted to his wheelchair and left partially dressed in a T-shirt and an adult brief.
  2. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 17, 2023
    Inspectors wroteBased on facility policy review, observations and interviews, the facility failed to ensure a safe and clean environment in 6 of 101 resident rooms (room [ROOM NUMBER], #99, #100, #103, #106, and #113) observed.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 17, 2023
    Inspectors wroteBased on facility policy review, facility document review, medical record review, and interview, the facility failed to conduct quarterly care conferences for 15 of 28 (Resident #9, #15, #17, #18, #22, #27, #31, #53, #65, #66, #72, #81, #93, #95 and #111) sample residents reviewed.
May 1, 2019Standard inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 23, 2019
    Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to maintain clean fingernails for 1 resident (#97) of 26.
May 16, 2018Standard inspection · 4 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2018
    Inspectors wroteBased on medical record review and interview the facility failed to ensure a Significant Change Minimum Data Set (MDS) was assessed for 1 of 4 sampled residents (Resident #46) reviewed for hospice and failed to accurately assess a Quarterly MDS for 1 of 8 sampled residents (Resident #83) reviewed.
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2018
    Inspectors wroteBased on observation and interview, the facility failed to provide nail care for 1 of 40 sampled residents (Resident #26) reviewed.
  3. D
    Ensure 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2018
    Inspectors wroteBased on facility policy review, medical record review, observation and interview the facility failed to store 3 medications in a locked compartment for 1 resident (Resident #74) of 24 residents reviewed on the Inglebrook Way hall and failed to date 2 of 4 multi-dose vials of medication after being opened in one of three refrigerators.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2018
    Inspectors wroteBased on facility policy, observation and interview the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections related to wash basins sitting on the bathroom floor unbagged for 6 of 24 residents (Resident # 37, Resident #46, Resident #79, Resident #112, Resident #117, and Resident #420) reviewed on [NAME] Way.

Fire safety inspections

17 fire safety citations on file: 3 on July 12, 2023, 10 on May 1, 2019, 4 on May 16, 2018.

Every fire safety citation17 citations
  1. D
    Provide properly protected cooking facilities.
    K 324 · July 12, 2023 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 12, 2023 · Corrected (the home has a date of correction)
  3. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 12, 2023 · Corrected (the home has a date of correction)
  4. E
    Address subsistence needs for staff and patients.
    E 15 · May 1, 2019 · Corrected (the home has a date of correction)
  5. D
    Conduct risk assessment and an All-Hazards approach.
    E 6 · May 1, 2019 · Corrected (the home has a date of correction)
  6. D
    List the names and contact information of those in the facility.
    E 30 · May 1, 2019 · Corrected (the home has a date of correction)
  7. D
    Provide emergency officials' contact information.
    E 31 · May 1, 2019 · Corrected (the home has a date of correction)
  8. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 1, 2019 · Corrected (the home has a date of correction)
  9. D
    Provide properly protected cooking facilities.
    K 324 · May 1, 2019 · Corrected (the home has a date of correction)
  10. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 1, 2019 · Corrected (the home has a date of correction)
  11. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 1, 2019 · Corrected (the home has a date of correction)
  12. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · May 1, 2019 · Corrected (the home has a date of correction)
  13. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 1, 2019 · Corrected (the home has a date of correction)
  14. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 16, 2018 · Corrected (the home has a date of correction)
  15. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 16, 2018 · Corrected (the home has a date of correction)
  16. D
    Meet requirements for the use of electrical equipment.
    K 919 · May 16, 2018 · Corrected (the home has a date of correction)
  17. D
    Ensure proper usage of power strips and extension cords.
    K 920 · May 16, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.733.803.86
Registered nurses0.570.600.69
All nursing staff on weekends3.073.313.42
Nurse aides2.14
Licensed practical nurses1.02
Nursing staff turnover (share who left in a year)64.9%48.9%45.8%
Registered nurse turnover40.0%43.2%42.9%
Administrators who left1

CMS expects 4.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.00 on weekdays and 3.07 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.85 in April to June 2025 to 3.73 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.730.574.003.07 18.3%0 of 90133
Oct to Dec 20253.720.584.052.89 29.0%0 of 92133
Jul to Sep 20253.870.664.183.08 19.4%0 of 92129
Apr to Jun 20253.850.664.143.14 14.9%0 of 91129
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.314.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.617.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.75.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.816.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.622.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.211.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.61.8

Owners and operators

Legal business name: MADISON POINTE CENTER FOR REHABILITATION AND HEALING LLC. CMS links this home to Carerite Centers, a group of 34 nursing homes averaging 3.6 stars overall.

NameRoleTypeShareSince
Madison Ventures Tn LLC5% or greater direct ownership interestOrganization100%06/01/2018
Einhorn, NealManaging control - governing bodyIndividual06/01/2018
Friedman, MarkManaging control - governing bodyIndividual06/01/2018
Friedman, MarkCorporate officerIndividual06/01/2018
Couch, JamesOperational/managerial controlIndividual12/27/2018
Rose, SarahOperational/managerial controlIndividual05/12/2025
Salih, RajinOperational/managerial controlIndividual04/08/2025
Md Friedman Family 2017 TrustAdp of the SNFOrganization06/01/2018
Neal Einhorn Family 2017 TrustAdp of the SNFOrganization06/01/2018
Couch, JamesAdp of the SNFIndividual12/27/2018
Rose, SarahAdp of the SNFIndividual05/12/2025
Salih, RajinAdp of the SNFIndividual04/08/2025
Schwartz, EliezerAdp of the SNFIndividual06/01/2018
Zucker, YossieAdp of the SNFIndividual06/01/2018

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 12, 2023: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 12, 2023: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 1, 2019: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 16, 2018: "Ensure 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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Tennessee average of 3.31.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Creekside Center for Rehabilitation and Healing's Medicare star rating?
CMS rates Creekside Center for Rehabilitation and Healing 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Creekside Center for Rehabilitation and Healing get at its last inspection?
3 health deficiencies at the standard inspection on July 12, 2023. The Tennessee average is 4.4.
Has Creekside Center for Rehabilitation and Healing been fined?
CMS lists no fines in the last three years.
Does Creekside Center for Rehabilitation and Healing accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Creekside Center for Rehabilitation and Healing?
CMS lists 14 owners and managers, and links the home to Carerite Centers. Legal business name: MADISON POINTE CENTER FOR REHABILITATION AND HEALING LLC.

Sources

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