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CREEKSIDE CENTER FOR REHABILITATION AND HEALING

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CREEKSIDE CENTER FOR REHABILITATION AND HEALING is a for profit - limited liability company facility in MADISON, TN with 139 certified beds and a 4-star overall CMS rating. The facility has 8 deficiency records on file.

306 W DUE WEST AVENUE, MADISON, TN 37115

Phone: 6156124499

Overall Rating

4/5

Health Inspection

4/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
445516
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
139
Residents
129
In Hospital
No
County
Davidson
Last Inspection
Jul 12, 2023

Staffing Data

RN Hours
0.66 (nat'l avg: 0.68)
LPN Hours
1.12
CNA Hours
2.10
Total Nursing Hours
3.87 (nat'l avg: 3.89)
PT Hours
0.09
Nursing Turnover
55.4%
RN Turnover
55.0%

What the CMS Record Reveals About CREEKSIDE CENTER FOR REHABILITATION AND HEALING

CREEKSIDE CENTER FOR REHABILITATION AND HEALING operates 139 certified beds in MADISON, TN with approximately 129 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 8 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.87 total nursing hours per resident day (national average 3.89), with RN coverage at 0.66 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, CREEKSIDE CENTER FOR REHABILITATION AND HEALING falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 55.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

D — Isolated - Minimal harm Jul 12, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 17, 2023

D — Isolated - Minimal harm Jul 12, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 17, 2023

D — Isolated - Minimal harm Jul 12, 2023 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Aug 17, 2023

D — Isolated - Minimal harm May 1, 2019 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2019

D — Isolated - Minimal harm May 16, 2018 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 25, 2018

D — Isolated - Minimal harm May 16, 2018 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 25, 2018

D — Isolated - Minimal harm May 16, 2018 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 25, 2018

D — Isolated - Minimal harm May 16, 2018 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 16, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 0.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 77.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 68.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 3.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 72.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.3% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for CREEKSIDE CENTER FOR REHABILITATION AND HEALING?
CREEKSIDE CENTER FOR REHABILITATION AND HEALING has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at CREEKSIDE CENTER FOR REHABILITATION AND HEALING?
CREEKSIDE CENTER FOR REHABILITATION AND HEALING reports 3.87 total nursing hours per resident day (national average: 3.89). RN hours are 0.66 per resident day (national average: 0.68). Nursing staff turnover is 55.4%.
How many beds does CREEKSIDE CENTER FOR REHABILITATION AND HEALING have?
CREEKSIDE CENTER FOR REHABILITATION AND HEALING has 139 certified beds with approximately 129 residents. The facility is located at 306 W DUE WEST AVENUE, MADISON, TN 37115.
Does CREEKSIDE CENTER FOR REHABILITATION AND HEALING have any deficiencies on record?
Yes, CREEKSIDE CENTER FOR REHABILITATION AND HEALING has 8 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has CREEKSIDE CENTER FOR REHABILITATION AND HEALING received any fines or penalties?
No, CREEKSIDE CENTER FOR REHABILITATION AND HEALING has no fines or penalties on record.
Who owns CREEKSIDE CENTER FOR REHABILITATION AND HEALING?
CREEKSIDE CENTER FOR REHABILITATION AND HEALING is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was CREEKSIDE CENTER FOR REHABILITATION AND HEALING last inspected?
The most recent health inspection for CREEKSIDE CENTER FOR REHABILITATION AND HEALING was on Jul 12, 2023. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for CREEKSIDE CENTER FOR REHABILITATION AND HEALING?
CREEKSIDE CENTER FOR REHABILITATION AND HEALING is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial