Creekside Village
Creekside Village Information
| Facility Name | Creekside Village |
| Location | 1420 E Douglas Rd, Mishawaka, IN 46545 |
| County (SSA Code) | St. Joseph (700) |
| Phone Number | 574-307-7200 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 100 |
| Average Number of Residents | 83.3 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2010-10-26 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.55501 |
| Reported LPN Staffing Hours per Resident per Day | 1.37147 |
| Reported RN Staffing - Hours per Resident per Day | 0.6252 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.99667 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.55168 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.16472 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.22137 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.86757 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.46509 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.55403 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.08313 |
| Total Weighted Health Survey Score for three cycles | 46 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-26 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 48 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-18 |
| Rating cycle 2 - Health Deficiency Score | 48 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-11 |
| Rating cycle 3 - Health Deficiency Score | 132 |
| Rating cycle 3 - Total Health Inspection Score | 132 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 8 |
| Number of Substantiated Complaints | 8 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |