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
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.
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.
July 13, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
- D Ensure services provided by the nursing facility meet professional standards of quality.
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)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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)
- D Provide safe and appropriate respiratory care for a resident when needed.
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)
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
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)
- D Provide routine and 24-hour emergency dental care for each resident.
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
- 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.
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
- D Provide activities to meet all resident's needs.
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).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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).
- D Provide enough food/fluids to maintain a resident's health.
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).
- 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.
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).
- D Provide safe and appropriate respiratory care for a resident when needed.
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)
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
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
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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)
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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)
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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)
- 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.
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)
- 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.
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)
- D Provide and implement an infection prevention and control program.
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
- D Protect each resident from the wrongful use of the resident's belongings or money.
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).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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
- F Establish staff and initial training requirements.
- F Have properly located and lighted "Exit" signs.
- F Install a fire alarm system that can be heard throughout the facility.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Implement emergency and standby power systems.
- C Have generator or other power source capable of supplying service within 10 seconds.
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.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.68 | 3.69 | 3.86 |
| Registered nurses | 0.33 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.04 | 3.25 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 35.3% | 45.9% | 45.8% |
| Registered nurse turnover | 28.6% | 40.3% | 42.9% |
| Administrators who left | 0 |
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.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.68 | 0.33 | 3.95 | 3.04 | 1.3% | 0 of 90 | 92 |
| Oct to Dec 2025 | 3.65 | 0.31 | 3.89 | 3.04 | 0.0% | 0 of 92 | 93 |
| Jul to Sep 2025 | 3.64 | 0.31 | 3.91 | 2.96 | 0.0% | 0 of 92 | 94 |
| Apr to Jun 2025 | 3.82 | 0.36 | 4.14 | 3.02 | 0.0% | 0 of 91 | 92 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 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.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.0 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.8 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 0.0 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.3 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.4 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.4 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 1.4 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Chies, Steven | Managing control - governing body | Individual | 03/17/2016 | |
| Jackson, Blake | Managing control - governing body | Individual | 04/01/2015 | |
| Jackson, Ethan | Managing control - governing body | Individual | 04/01/2015 | |
| Jackson, Mark | Managing control - governing body | Individual | 04/01/2015 | |
| Jackson, Michael | Managing control - governing body | Individual | 05/14/2024 | |
| Jackson, Wessley | Managing control - governing body | Individual | 04/01/2015 | |
| Justice, David | Managing control - governing body | Individual | 04/01/2015 | |
| Kelsey, Donna | Managing control - governing body | Individual | 07/18/2024 | |
| Stitle, Stephen | Managing control - governing body | Individual | 03/16/2016 | |
| Wright, Theressa | Managing control - governing body | Individual | 05/21/2021 | |
| Drummer, Carl | Corporate director | Individual | 01/01/2017 | |
| Hanify, Thomas | Corporate director | Individual | 01/01/2022 | |
| Horn, Brenda | Corporate director | Individual | 12/01/2023 | |
| Lazard, Robert | Corporate director | Individual | 01/29/2021 | |
| Mantravadi, Geeta | Corporate director | Individual | 07/21/2021 | |
| Payne, Monica | Corporate director | Individual | 08/09/2021 | |
| Babcock, Paul | Corporate officer | Individual | 09/30/2020 | |
| Caine, Virginia | Corporate officer | Individual | 01/10/1994 | |
| Harris, Lisa | Corporate officer | Individual | 12/22/2003 | |
| American Senior Communities LLC | Operational/managerial control | Organization | 04/01/2015 | |
| Dice, Mark | Operational/managerial control | Individual | 06/01/2023 | |
| Ginter, Erin | Operational/managerial control | Individual | 06/17/2016 | |
| Shane, Andrew | Operational/managerial control | Individual | 02/01/2023 | |
| Singleton, Michelle | Operational/managerial control | Individual | 09/15/2021 | |
| Van Camp, Steven | Operational/managerial control | Individual | 06/01/2023 | |
| American Senior Communities LLC | Adp of the SNF | Organization | 03/30/2026 | |
| Dice, Mark | Adp of the SNF | Individual | 06/01/2023 | |
| Ginter, Erin | Adp of the SNF | Individual | 03/30/2026 | |
| Shane, Andrew | Adp of the SNF | Individual | 02/01/2023 | |
| Van Camp, Steven | Adp of the SNF | Individual | 06/01/2023 |
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.
- 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."
- 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."
- 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."
- 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."
- 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
- Belltower Health & Rehabilitation Center Granger, 0.4 mi · 4 of 5 stars · 22 citations
- Brickyard Healthcare - Fountainview Care Center Mishawaka, 1.4 mi · 2 of 5 stars · 45 citations
- Holy Cross Rehabilitation and Wellness South Bend, 2 mi · 2 of 5 stars · 26 citations
- Majestic Care of South Bend South Bend, 2.9 mi · 1 of 5 stars · 53 citations
- Holy Cross Village at Notre Dame Inc Notre Dame, 3.9 mi · 3 of 5 stars · 14 citations
- Brickyard Healthcare - Twelfth Street Care Center Mishawaka, 4 mi · 2 of 5 stars · 28 citations
- Cardinal Nursing and Rehabilitation Center South Bend, 4.1 mi · 5 of 5 stars · 13 citations
- Wellbrooke of South Bend South Bend, 4.3 mi · 4 of 5 stars · 17 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
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
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.