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Creekside Village

1420 E Douglas Rd, Mishawaka, IN 46545 · St. Joseph County · (574) 307-7200

100 certified beds, about 92 residents a day · For profit - Corporation · Medicare and Medicaid since 2010

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155784 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 31, 2026, inspectors cited 5 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 22 health citations since October 2023 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 3.68 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.

35.3% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to American Senior Communities, an affiliated group of 90 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 22 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
22D
0E
0F
Potential for minimal harm
0A
0B
0C
July 13, 2026Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 10, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure a medication was administered as ordered by the physician for 1 of 3 residents reviewed for medication administration, (Resident B).
March 31, 2026Standard inspection · 5 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure staff accurately administered physician ordered medications and treatments for 2 of 2 residents reviewed for standards of care. (Residents 1 and 18)
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure treatments to address a skin condition were administered for 1 of 1 reisdents reviewed for skin conditions. (Resident 18)
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide oxygen according to the standards of practice regarding changing oxygen tubing and cleaning the oxygen concentrator and filter for 2 of 2 residents reviewed for respiratory care. (Residents 1 and 61)
  4. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to follow a monitor medications for 1 of 5 residents whose medications were reviewed. (Resident 3)
  5. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure an order for oral surgery was transcribed timely and followed timely for 1 of 19 residents who were reviewed. (Resident 3)
March 21, 2025Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a controlled narcotic medication was either secured in a locked environment or under direct observation of the staff member administering the medication for 1 of 1 residents observed for medication administration and safety. (Resident D)
January 13, 2025Standard inspection · 6 citations
  1. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure individual and group activities were provided per individual preferences for 1 of 1 resident reviewed for activities (Resident 11).
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to assess a resident's skin or notify the Physician of the need for a treatment timely for 1 of 3 residents who were reviewed for a skin condition (Resident 30).
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2025
    Inspectors wroteBased on interview and record review, the facility failed to obtain an admission weight and weekly weights of a newly admitted resident that resulted in an undetermined weight loss for 1 of 3 residents reviewed for a weight loss (Resident 62).
  4. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow physician's orders related to enternal feedings and water flushes for 1 of 1 resident reviewed for a gastronomy tube (G-tube) (Resident 27).
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a Continuous Positive Airway Pressure (CPAP) machine and tubing was stored properly, the water provided for the machine was sealed while being stored and there was a completed order regarding settings for the machine for 1 of 2 reviewed for respiratory care. (Resident 140)
  6. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a newly admitted resident received the influenza vaccine after signing the consent form for 1 out of 5 records reviewed. (Resident 141)
July 2, 2024Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interview, the facility failed to complete and submit a timely 5-day follow-up report regarding a fall investigation that had been reported to IDOH (Indiana State Department of Health) for 1 of 3 residents reviewed for falls. (Resident D)
February 9, 2024Standard inspection · 6 citations
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to create a Baseline Care Plan related to a resident whose native language was not English, and a resident with methicillin-susceptible staphylococcus aureus (MSSA), for 2 of 19 residents who were reviewed for Baseline Care Plans. (Residents 55 & 244)
  2. 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) March 10, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure comprehensive care plans were updated related to self administration of eye drops, isolation, and NPO (nothing by mouth) status, for 3 of 22 residents whose care plans were reviewed. (Residents 20, 244, & 30)
  3. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the Pharmacist's Recommendation related to the use of a diuretic medication, for 1 of 5 residents review for unnecessary medications. (Resident 8)
  4. D
    Implement 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's psychotropic medication was not increased and deemed a failed GDR (gradual dose reduction) without adequate indication/documentation and other non-pharmacological interventions consistently implemented by facility staff, for 1 of 5 residents reviewed for unnecessary medications. (Resident 33)
  5. 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) March 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication carts were free from loose pills and failed to date opened medications in 2 of 3 medication carts observed. (Halls 100 & 200)
  6. 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) March 10, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure proper infection control practices were completed during 1 of 1 blood sugar checks observed. (LPN 2)
October 6, 2023Complaint inspection · 2 citations
  1. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on interview and record review, the facility failed to prevent the misappropriation of a resident's narcotic pain medication for 1 of 3 residents reviewed for liquid narcotic medication (Resident B).
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on interview and record review, the facility failed to prevent the improper disposal of liquid narcotics for 1 of 3 residents reviewed, who were being administered liquid narcotics. (Resident B)

Fire safety inspections

9 fire safety citations on file: 9 on March 31, 2026.

Every fire safety citation9 citations
  1. F
    Establish staff and initial training requirements.
    E 37 · March 31, 2026 · Corrected (the home has a date of correction)
  2. F
    Have properly located and lighted "Exit" signs.
    K 293 · March 31, 2026 · Corrected (the home has a date of correction)
  3. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · March 31, 2026 · Corrected (the home has a date of correction)
  4. F
    Install an approved automatic sprinkler system.
    K 351 · March 31, 2026 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 31, 2026 · Corrected (the home has a date of correction)
  6. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 31, 2026 · Corrected (the home has a date of correction)
  7. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 31, 2026 · Corrected (the home has a date of correction)
  8. C
    Implement emergency and standby power systems.
    E 41 · March 31, 2026 · Corrected (the home has a date of correction)
  9. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 31, 2026 · 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 homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.683.693.86
Registered nurses0.330.670.69
All nursing staff on weekends3.043.253.42
Nurse aides2.29
Licensed practical nurses1.06
Nursing staff turnover (share who left in a year)35.3%45.9%45.8%
Registered nurse turnover28.6%40.3%42.9%
Administrators who left0

CMS expects 4.45 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 3.95 on weekdays and 3.04 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.68 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.680.333.953.04 1.3%0 of 9092
Oct to Dec 20253.650.313.893.04 0.0%0 of 9293
Jul to Sep 20253.640.313.912.96 0.0%0 of 9294
Apr to Jun 20253.820.364.143.02 0.0%0 of 9192
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% 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 homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.011.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.83.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.011.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.33.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.013.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.422.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.410.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.41.8

Owners and operators

Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.

NameRoleTypeShareSince
Chies, StevenManaging control - governing bodyIndividual03/17/2016
Jackson, BlakeManaging control - governing bodyIndividual04/01/2015
Jackson, EthanManaging control - governing bodyIndividual04/01/2015
Jackson, MarkManaging control - governing bodyIndividual04/01/2015
Jackson, MichaelManaging control - governing bodyIndividual05/14/2024
Jackson, WessleyManaging control - governing bodyIndividual04/01/2015
Justice, DavidManaging control - governing bodyIndividual04/01/2015
Kelsey, DonnaManaging control - governing bodyIndividual07/18/2024
Stitle, StephenManaging control - governing bodyIndividual03/16/2016
Wright, TheressaManaging control - governing bodyIndividual05/21/2021
Drummer, CarlCorporate directorIndividual01/01/2017
Hanify, ThomasCorporate directorIndividual01/01/2022
Horn, BrendaCorporate directorIndividual12/01/2023
Lazard, RobertCorporate directorIndividual01/29/2021
Mantravadi, GeetaCorporate directorIndividual07/21/2021
Payne, MonicaCorporate directorIndividual08/09/2021
Babcock, PaulCorporate officerIndividual09/30/2020
Caine, VirginiaCorporate officerIndividual01/10/1994
Harris, LisaCorporate officerIndividual12/22/2003
American Senior Communities LLCOperational/managerial controlOrganization04/01/2015
Dice, MarkOperational/managerial controlIndividual06/01/2023
Ginter, ErinOperational/managerial controlIndividual06/17/2016
Shane, AndrewOperational/managerial controlIndividual02/01/2023
Singleton, MichelleOperational/managerial controlIndividual09/15/2021
Van Camp, StevenOperational/managerial controlIndividual06/01/2023
American Senior Communities LLCAdp of the SNFOrganization03/30/2026
Dice, MarkAdp of the SNFIndividual06/01/2023
Ginter, ErinAdp of the SNFIndividual03/30/2026
Shane, AndrewAdp of the SNFIndividual02/01/2023
Van Camp, StevenAdp of the SNFIndividual06/01/2023

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on July 13, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on March 31, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 31, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on January 13, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.04 hours per resident per day, below the Indiana average of 3.25.

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

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

Common questions

What is Creekside Village's Medicare star rating?
CMS rates Creekside Village 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Creekside Village get at its last inspection?
5 health deficiencies at the standard inspection on March 31, 2026. The Indiana average is 7.2.
Has Creekside Village been fined?
CMS lists no fines in the last three years.
Does Creekside Village 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 Village?
CMS lists 30 owners and managers, and links the home to American Senior Communities. Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY.

Sources

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