Grundy Center, IA

Creekside

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

503 Wical Way, Grundy Center, IA

(319) 824-3212

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

55

Certified beds

Average residents

38

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2018-05-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.10

Registered nurse staffing

LPN hours / resident day

0.61

Licensed practical nurse staffing

Aide hours / resident day

2.63

Nurse aide staffing

Weekend hours

3.98

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

37%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.5
1.5
1 pts better
1.9
1.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
2.1
1.2 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
94.0%
4.7 pts better
93.4%
5.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.2%
4.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.7%
3.7%
3 pts better
3.3%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
4.0%
4 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.8%
4.9%
1.1 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.3%
20.6%
0.3 pts better
19.6%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 22.0%
19.8%
2.2 pts worse
16.7%
5.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 10.1%
18.5%
8.4 pts better
16.3%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 15.6%
18.3%
2.7 pts better
14.9%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.4%
1.7%
3.7 pts worse
1.0%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.7%
2.5%
1.8 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.2%
26.0%
4.8 pts better
19.8%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.6%
4.3%
3.7 pts better
5.1%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.3%
84.3%
10 pts worse
81.7%
7.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 2.5%
1.9%
0.6 pts worse
1.6%
0.9 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2025-12-18

1 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2025-01-09 · Fire 2025-01-09

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2024-02-15 · Fire 2024-02-15

0 health deficiencies

No concentrated health issue counts in this cycle.

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-17

E · Potential for more than minimal harm 2025-12-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-12-17

D · Potential for more than minimal harm 2025-12-18

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-12-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-12-17

D · Potential for more than minimal harm 2025-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-17

F · Potential for more than minimal harm 2025-01-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-14

E · Potential for more than minimal harm 2025-01-09

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2025-01-14

F · Potential for more than minimal harm 2024-02-15

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2024-02-29

F · Potential for more than minimal harm 2024-02-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-02-23

F · Potential for more than minimal harm 2024-02-15

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2024-02-26

F · Potential for more than minimal harm 2024-02-15

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-02-29

F · Potential for more than minimal harm 2024-02-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-23

F · Potential for more than minimal harm 2024-02-15

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-02-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-19

Penalties and ownership

What sits behind the stars

Ownership

Western Home Services Inc

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2014-06-24
Ager, Wendy

Operational/Managerial Control · Individual

0% 4 facilities 2022-01-01
Brockelsby, Sheri

Corporate Officer · Individual

0% 3 facilities 2018-01-18
Brown, Sarah

Corporate Officer · Individual

0% 4 facilities 2021-01-01
Evans, Angela

Operational/Managerial Control · Individual

0% 6 facilities 2022-01-01
Fox, Larry

Operational/Managerial Control · Individual

0% 3 facilities 2020-01-01
Frankhauser, Richard

Corporate Officer · Individual

0% 4 facilities 2021-01-01
Fryslie, Abbye

Operational/Managerial Control · Individual

0% 1 facilities 2020-02-03
Gaines, Ronald

Corporate Officer · Individual

0% 3 facilities 2021-01-01
Gibbs, Stacy

Operational/Managerial Control · Individual

0% 3 facilities 2018-02-26
Hansen, Kris

Operational/Managerial Control · Individual

0% 5 facilities 2022-01-01
Hansen, Kris

Corporate Officer · Individual

0% 5 facilities 2018-02-21
Harris, Jerry

Operational/Managerial Control · Individual

0% 10 facilities 2022-01-01
Kramer, Scott

Operational/Managerial Control · Individual

0% 1 facilities 2025-10-21
Lincoln Savings Bank

5% Or Greater Mortgage Interest · Organization

0% 2 facilities 2025-01-01
Mccormick, Darrell

Operational/Managerial Control · Individual

0% 4 facilities 2022-01-01
O'leary, Patrick

Operational/Managerial Control · Individual

0% 4 facilities 2022-01-01
Sannes, Aaron

Corporate Director · Individual

0% 4 facilities 2025-01-15
Schroeder, Heather

Corporate Director · Individual

0% 4 facilities 2025-01-15
Schultz, Dianne

Corporate Officer · Individual

0% 3 facilities 2021-01-01
Susong, Katherine

Corporate Director · Individual

0% 4 facilities 2025-01-15
Watters, Paul

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-03
Western Home Services Inc

Operational/Managerial Control · Organization

0% 4 facilities 2022-01-01

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