Meridian, ID

Creekside Transitional Care And Rehabilitation

3-star overall rating with 2-star inspections with $8,278 in total fines with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1351 West Pine Avenue, Meridian, ID

(208) 888-7049

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

139

Certified beds

Average residents

123

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1997-03-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.73

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.47 · national 2.35

Total nurse hours

3.59

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.10

Weekend nurse staffing · state 3.47 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.17

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

21%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,320

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.43

Composite VBP score used to determine payment impact.

Payment multiplier

0.9933

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.25

Baseline 19.46% · Performance 19.93% · Measure score 3.25 · Achievement 3.25 · Improvement 0

Healthcare-associated infections

6.96

Baseline 6.05% · Performance 5.75% · Measure score 6.96 · Achievement 6.96 · Improvement 2.33

Total nurse turnover

Baseline 60.58% · Performance 43.24% · Measure score 5 · Achievement 5 · Improvement 4.35

Adjusted total nurse staffing

0.96

Baseline 3.89 hours · Performance 3.35 hours · Measure score 0.96 · Achievement 0.96 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.25%	10.72% 1.5 pts better	No Different than the National Rate · Eligible stays 202 · Observed rate 7.43% · Lower 95% interval 6.82%
Discharge to community	57.13%	50.57% 6.6 pts better	Better than the National Rate · Eligible stays 191 · Observed rate 52.36% · Lower 95% interval 51.04%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	96.99%	95.27% 1.7 pts better	Numerator 161 · Denominator 166
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 166
Discharge self-care score	71.79%	53.69% 18.1 pts better	Numerator 84 · Denominator 117
Discharge mobility score	74.36%	50.94% 23.4 pts better	Numerator 87 · Denominator 117
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 166 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	5.75%	7.12% 1.4 pts better	No Different than the National Rate · Eligible stays 112 · Observed rate 3.57% · Lower 95% interval 3.24%
Staff COVID-19 vaccination coverage	4.09%	8.2% 4.1 pts worse	Numerator 9 · Denominator 220
Staff flu vaccination coverage	13.92%	42% 28.1 pts worse	Numerator 38 · Denominator 273
Discharge function score	82.91%	56.45% 26.5 pts better	Numerator 97 · Denominator 117
Transfer of health information to provider	97.87%	95.95% 1.9 pts better	Numerator 46 · Denominator 47
Transfer of health information to patient	98.94%	96.28% 2.7 pts better	Numerator 93 · Denominator 94
Resident COVID-19 vaccinations up to date	16.09%	25.2% 9.1 pts worse	Numerator 14 · Denominator 87

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.9	1.1 0.2 pts better	1.9 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.6 0.5 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	96.8% 2.9 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	96.2% 3.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	2.7% 0.9 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.2% · Q3 1.0% · Q4 1.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.2%	13.6% 10.4 pts better	11.4% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 2.3% · Q3 3.6% · Q4 1.1% · 4Q avg 3.2%
Percentage of long-stay residents who lose too much weight	10.3%	5.4% 4.9 pts worse	5.4% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 8.8% · Q3 8.4% · Q4 9.7% · 4Q avg 10.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.6%	16.2% 8.6 pts better	19.6% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 9.8% · Q3 8.3% · Q4 5.9% · 4Q avg 7.6%
Percentage of long-stay residents who received an antipsychotic medication	13.7%	20.5% 6.8 pts better	16.7% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 13.3% · Q3 14.1% · Q4 11.6% · 4Q avg 13.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.8%	17.9% 5.1 pts better	16.3% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.2% · Q3 9.6% · Q4 18.2% · 4Q avg 12.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	16.7% 13 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.4% · Q3 7.9% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.5% 1 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.9% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	1.9% 0.6 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.2% · Q4 1.9% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.1%	22.6% 2.5 pts better	19.8% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 21.3% · Q3 18.7% · Q4 21.5% · 4Q avg 20.1%
Percentage of long-stay residents with pressure ulcers	1.7%	3.4% 1.7 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.0% · Q3 0.9% · Q4 2.3% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	90.2% 8.7 pts better	81.7% 17.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 99.3% · Q3 98.9% · Q4 98.2% · 4Q avg 98.9%
Percentage of short-stay residents who had an outpatient emergency department visit	10.9%	11.6% 0.7 pts better	12.0% 1.1 pts better	Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 10.3% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.5% 1.1 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.6%	86.5% 12.1 pts better	79.7% 18.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.1%	17.5% 3.4 pts better	23.9% 9.8 pts better	Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 13.1% · Expected 22.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-13 · Fire 2025-06-13

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-06-27 · Fire 2024-06-27

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-03-01 · Fire 2019-03-01

14 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-06-13

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-06-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-12-27

E · Potential for more than minimal harm 2024-06-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-27

E · Potential for more than minimal harm 2024-06-27

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-12-27

E · Potential for more than minimal harm 2024-06-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-12-27

E · Potential for more than minimal harm 2024-06-27

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-12-27

D · Potential for more than minimal harm 2024-06-27

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-12-27

D · Potential for more than minimal harm 2024-06-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-27

F · Potential for more than minimal harm 2019-03-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2018-12-14

F · Potential for more than minimal harm 2019-03-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-11-14

F · Potential for more than minimal harm 2019-03-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2018-11-26

E · Potential for more than minimal harm 2019-03-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2018-11-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-14

G · Actual harm 2025-03-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-26

F · Potential for more than minimal harm 2024-06-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-01

F · Potential for more than minimal harm 2024-06-27

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-06-27

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-27

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-01

E · Potential for more than minimal harm 2019-03-01

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2019-04-05

E · Potential for more than minimal harm 2019-03-01

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-04-05