Creekside Health and Rehabilitation Center

Name: Creekside Health and Rehabilitation Center
Address: 3114 EAST 46TH STREET, Indianapolis, IN, 46205, US
Telephone: 3179207888

3114 East 46th Street, Indianapolis, IN 46205 · Marion County · 120 certified beds · avg 110 residents/day · certified since Jul 29, 1997

Part of chain: TLC MANAGEMENT (20 facilities, chain avg rating 3.8★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 15, 2025 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 8, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 26, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Feb 11, 2026	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Feb 11, 2026	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 11, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 11, 2026	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Feb 11, 2026	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 11, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 22, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
May 28, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
May 28, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint
Mar 12, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Mar 12, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 15, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 15, 2025	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Dec 5, 2023	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 5, 2023	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint
Dec 5, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 5, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Dec 5, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 5, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 5, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Dec 5, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2025	10	1	G ▲
2026	7	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Indiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.53	3.42	3.95	top 7% in Indiana; top 22% in the U.S.
Registered Nurse hours	0.59	0.62	0.69	top 44% in Indiana; top 50% in the U.S.
Weekend total nurse staffing	3.74	3.01	3.50	top 11% in Indiana; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.47	0.48	bottom 46% in Indiana; top 50% in the U.S.
Total nursing staff turnover (%)	53.6	45.9	45.8	bottom 27% in Indiana; bottom 28% in the U.S.
RN turnover (%)	37.5	40.4	42.9	top 44% in Indiana; top 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.01, RN 0.52, weekend 3.31. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Riverview Hospital	Organization	5% or Greater Direct Ownership Interest	100%	08/01/2017
Briarwood Healthcare Operations Company, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2017
Briarwood Healthcare Operations Company, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/16/2025
Dawson, Stacia	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2017
Dawson, Stacia	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2017
Dwight A. Ott and Gloria Ott	Organization	Trustee of the SNF	NOT APPLICABLE	08/01/2017
Friend, Jayna	Individual	Corporate Officer	NOT APPLICABLE	06/01/2021
Gibson, Cullen	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/16/2025
Hyatt, David	Individual	Corporate Officer	NOT APPLICABLE	08/01/2017
Hyatt, David	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2017
Indianapolis Health Care Management, INC.	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2012
Ott Family Trust	Organization	Trustee of the SNF	NOT APPLICABLE	08/01/2017
Ott, Bradley	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/16/2025
Ott, Dwight	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/16/2025
Ott, Gary	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/16/2025
Ott, Ryan	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/16/2025
Showalter, Jennifer	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/16/2025
Tender Loving Care Management INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2017
Tender Loving Care Management INC	Organization	ADP of the SNF	NOT APPLICABLE	07/16/2025
Yassin Kassab, Mahmoud	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How is routine foot care handled here, and does a podiatrist visit regularly?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
American Village	1.1 mi	Indianapolis, IN	★★★☆☆	2/5	abuse
Community Nursing and Rehabilitation Center	4.1 mi	Indianapolis, IN	★★☆☆☆	1/5
North Capitol Nursing & Rehabilitation Center	4.2 mi	Indianapolis, IN	★★★☆☆	2/5
Miller's Merry Manor	4.2 mi	Indianapolis, IN	★★★★☆	4/5
Arlington Place Health Campus	4.3 mi	Indianapolis, IN	★★★★☆	3/5
Hooverwood	4.4 mi	Indianapolis, IN	★☆☆☆☆	1/5	abuse
Allison Pointe Healthcare Center	4.7 mi	Indianapolis, IN	★★☆☆☆	1/5
Brickyard Healthcare - Brookview Care Center	4.8 mi	Indianapolis, IN	★★★☆☆	2/5
Rosewalk Village	5.0 mi	Indianapolis, IN	★★★☆☆	3/5
Harrison Terrace	5.2 mi	Indianapolis, IN	★★☆☆☆	2/5
Wildwood Healthcare Center	5.2 mi	Indianapolis, IN	★★☆☆☆	3/5
Alpha Home - a Waters Community	5.5 mi	Indianapolis, IN	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 155628.

The Care File

Visit checklist — Creekside Health and Rehabilitation Center

3114 East 46th Street, Indianapolis, IN 46205 · 3179207888

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ Jan 15, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How is routine foot care handled here, and does a podiatrist visit regularly?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155628 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)