Federal inspection record · CMS data as of October 1, 2026
Creekside Health And Rehabilitation Center
3114 East 46th Street, Indianapolis, IN · (317) 920-7888
- Certified beds
- 120
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- Tlc Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 29, 1997
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Creekside Health And Rehabilitation Center carries 51 inspection points. That is fewer than 32% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate foot care.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights7E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- 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.
Inspection history
2026-02-11
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-01-15
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-12-05
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 59 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts better | 96.3% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 99.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 2.6% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms21.7 pts better | 3.8% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 5.9% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.4 pts better | 13.1% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.9 pts better | 9.8% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.6 pts better | 3.5% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.3 pts better | 2.5% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts worse | 1.2% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse | 24.1% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.1% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.7 pts better | 94.6% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.6 pts better | 4.3% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.9 pts better | 90.1% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts worse | 24.1% | 21.8% | 23.4% |
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Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Riverview Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 31 facilities |
| Briarwood Healthcare Operations Company, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Briarwood Healthcare Operations Company, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Dawson, Stacia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dawson, Stacia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dwight A. Ott And Gloria Ott | Trustee Of The SNF · Organization | 0% | 8 facilities |
| Friend, Jayna | Corporate Officer · Individual | 0% | 31 facilities |
| Gibson, Cullen | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 17 facilities |
| Hyatt, David | Corporate Officer · Individual | 0% | 31 facilities |
| Hyatt, David | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Indianapolis Health Care Management, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ott Family Trust | Trustee Of The SNF · Organization | 0% | 13 facilities |
| Ott, Bradley | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Ott, Dwight | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 20 facilities |
| Ott, Gary | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 20 facilities |
| Ott, Ryan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 19 facilities |
| Showalter, Jennifer | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Tender Loving Care Management Inc | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Tender Loving Care Management Inc | Adp Of The SNF · Organization | 0% | 20 facilities |
| Yassin Kassab, Mahmoud | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Yassin Kassab, Mahmoud | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Smoke1E
- E
Install corridor and hallway doors that block smoke.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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American Village
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★★★★★- Worst citation, 3 yrs
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Community Nursing And Rehabilitation Center
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North Capitol Nursing & Rehabilitation Center
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