Federal inspection record · CMS data as of October 1, 2026
Creekside Village
1420 E Douglas Rd, Mishawaka, IN · (574) 307-7200
- Certified beds
- 100
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- American Senior Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 26, 2010
1
How this home got 4 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.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Creekside Village carries 28 inspection points. That is fewer than 59% 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
22 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service6D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning3D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 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 Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Inspection history
2026-03-31
6 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-01-13
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-02-09
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 47 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 25% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts better | 96.5% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 100.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.4% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms22.2 pts better | 3.3% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts better | 1.8% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.2 pts better | 10.3% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.1 pts better | 0.6% | 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 worsened10 pts better | 1.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.9 pts better | 2.9% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 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 incontinence2.3 pts better | 20.1% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts worse | 7.0% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.5 pts better | 99.4% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts worse | 11.5% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 0.7% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.6 pts better | 98.8% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.4 pts worse | 28.2% | 21.8% | 23.4% |
·
Who owns and runs it
32 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 |
|---|---|---|---|
| American Senior Communities LLC | Operational/Managerial Control · Organization | 0% | 88 facilities |
| American Senior Communities LLC | Adp Of The SNF · Organization | 0% | 88 facilities |
| Babcock, Paul | Corporate Officer · Individual | 0% | 70 facilities |
| Caine, Virginia | Corporate Officer · Individual | 0% | 54 facilities |
| Chies, Steven | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Dice, Mark | Operational/Managerial Control · Individual | 0% | 88 facilities |
| Dice, Mark | Adp Of The SNF · Individual | 0% | 88 facilities |
| Drummer, Carl | Corporate Director · Individual | 0% | 54 facilities |
| Fernandes, Taryn | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Fernandes, Taryn | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ginter, Erin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ginter, Erin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hanify, Thomas | Corporate Director · Individual | 0% | 54 facilities |
| Harris, Lisa | Corporate Officer · Individual | 0% | 54 facilities |
| Horn, Brenda | Corporate Director · Individual | 0% | 43 facilities |
| Jackson, Blake | Managing Control - Governing Body · Individual | 0% | 38 facilities |
| Jackson, Ethan | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Jackson, Mark | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Jackson, Michael | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Jackson, Wessley | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Justice, David | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Kelsey, Donna | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Lazard, Robert | Corporate Director · Individual | 0% | 54 facilities |
| Mantravadi, Geeta | Corporate Director · Individual | 0% | 45 facilities |
| Payne, Monica | Corporate Director · Individual | 0% | 45 facilities |
| Shane, Andrew | Operational/Managerial Control · Individual | 0% | 39 facilities |
| Shane, Andrew | Adp Of The SNF · Individual | 0% | 39 facilities |
| Singleton, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stitle, Stephen | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Van Camp, Steven | Operational/Managerial Control · Individual | 0% | 88 facilities |
| Van Camp, Steven | Adp Of The SNF · Individual | 0% | 88 facilities |
| Wright, Theressa | Managing Control - Governing Body · Individual | 0% | 37 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness2F
- F
Establish staff and initial training requirements.
- C
Implement emergency and standby power systems.
Egress1F
- F
Have properly located and lighted "Exit" signs.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1C
- C
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Belltower Health & Rehabilitation Center
Granger, IN · Fundamental Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Brickyard Healthcare - Fountainview Care Center
Mishawaka, IN · Brickyard Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Holy Cross Rehabilitation And Wellness
South Bend, IN · Trinity Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0