Creekside Health And Rehabilitation Center
5511 Swift Road, Sarasota, FL 34231 · For profit - Corporation · 178 certified beds · (941) 921-7462 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- no federal fines or payment denials on record
- it has abuse, neglect, or exploitation citations (F0602, F0603) — most recent Feb 2026
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 8.0% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 7.9% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 3.2% | 4.6% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.6% | 2.5% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 15.1% | 9.5% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 25.6% | 14.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.6% | 4.5% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 17.8% | 10.5% | 21.2% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.4% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.6% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 87.3% | 94.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 19.0% | 26.1% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.9% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.40 | 2.13 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.35 | 1.15 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
40.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 212 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 51.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 80 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 40.8%CMS range 35.5–47.9 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.1%CMS range 9.1–15.4 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 51.2% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 43.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 38.8% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.3% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.7% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.9%CMS range 4.9–10.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.03 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 178 beds and averages 138.6 residents a day — about 78% occupied, or roughly 39 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.41 hrs/resident/day on weekends vs 3.79 on weekdays — 10% thinner on weekends. RN hours go from 0.49 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.
- Potential for harm · D2026-02-05 · tag F0602 — failed to protect residents from theft of their belongings — isolatedProtect each resident from the wrongful use of the resident's belongings or money.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to protect the resident's right to be free from misappropriation of property for 1 (Resident #1) of 3 residents reviewed.The findings included:Review of the facility policy titled Abuse, Neglect, Exploitation, Misappropriation, Mistreatment and Injury of Unknown Origin (ANEMMI), revision date 3/2025 revealed Misappropriation of resident property means the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent.On 2/3/26 at 10:30 a.m., the Regional Director of Operations provided incident investigations for November 2025 which included an investigation into an allegation of misappropriation of resident's property. Review of the facility provided investigations revealed that on 11/13/25, the facility initiated an investigation into an allegation of unauthorized transfer of money from Resident #1's bank account to Certified Nursing Assistant (CNA) Staff A's money transfer application. The facility's investigation included documentation…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-02-05 · tag F0603 — failed to not confine residents against their will — isolatedProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to protect the right to be free from involuntary seclusion for 1 (Resident #2) or 4 residents reviewed.The findings included:Review of the facility policy titled Abuse, Neglect, Exploitation, Misappropriation, Mistreatment and Injury of Unknown Origin (ANEMMI), revision date 3/2025 indicated the resident has the right to be free from abuse, neglect, exploitation, misappropriation of resident property, mistreatment and exploitation as defined in this subpart. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. Abuse is defined at 483.5 as the willful infliction of injury, unreasonable confinement, intimidation, or punishment resulting in physical harm, pain or mental anguish.On 2/4/26 at 11:39 a.m., Resident #2 was observed in the secured memory care unit. Resident #2 said, They moved me back here against my will. He said they taped the door up saying do not enter and he was locked…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-08-19 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, review of facility policy, resident and staff interviews, the facility failed to provide the necessary care and services for personal hygiene and incontinent care for 2 (Resident #100 and #2) of 3 residents reviewed for activities of daily living.The findings included:Review of the facility's policy, Standards and Guidelines: ADL Care and Services, initiated 4/2020 (revised 1/24) revealed, Residents who are unable to carry out activities of daily living (ADL's) independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene . Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with including but not limited to:Hygiene (bathing/showers, dressing, grooming and oral care).Elimination (toileting).The resident has the right to refuse any and all ADL care.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-02-20 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, and record reviews, the facility failed to follow proper sanitation and cleaning practices in the kitchen to prevent the outbreak of foodborne illness. The findings included: On 2/17/25 at 9:20 a.m., an initial tour of the kitchen was completed with the Certified Dietary Manager (CDM). The ice machine was observed first. It had a monthly maintenance check sheet attached to the front. The last month signed on the maintenance log for the ice machine was checked by maintenance was August of 2024. Photographic evidence obtained In an interview the CDM said to her knowledge no one had checked it since she had been she had been employed at the facility, approximately three months. Dietary Aide Staff E was observed using the 3-compartment sink. The third sink was empty. A metal bin with a sanitizing solution was observed in the third sink. Dietary Aide Staff E was observed washing and rinsing a pan. Staff E dunked the pan and left it floating on the sanitizing solution in the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-02-20 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, residents and staff interviews, the facility failed to ensure a safe, clean, comfortable and homelike environment for 9 (Rooms #238, #240, #243, Residents #75's room, #103's room, #109's room, and #81's room)of 22 residents' rooms observed, and 2 (Unit 2A and 2B) of 2 shower rooms observed. The findings included: On 2/17/25 at 9:46 a.m., during the initial tour the following observations were made: 1. room [ROOM NUMBER]: A shampoo bottle, and a spray bottle were stored on the floor next to bed B. 15 unrefrigerated yogurts and a carton of milk were stored on the air-conditioning unit and the windowsill. The shared bathroom had a pile of soiled towels on the floor. Unlabeled dishes and washbasins were stored on a shelf above the toilet. An unlabeled urine measuring container was stored on the toilet tank. Photographic evidence obtained. 2. Resident #108's room: Resident #108 was observed in bed. Her urinary catheter drainage bag was on the floor. 3. room [ROOM NUMBER] A: The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-02-20 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure 8 (Residents #109, #346, #196, #108, #138, #103, #9, and #65) of 9 residents dependent upon staff for care received the necessary care and assistance for activities of daily living. The findings included: 1. Review of the Clinical Record Review for Resident #109 revealed an Annual Minimum Data Set (MDS) assessment with a target date of 3/14/24. The assessment noted the resident felt it was very important to choose a shower, bed bath, tub bath or sponge bath. The Quarterly MDS with a target date of 1/2/25 revealed Resident #109's cognitive skills for daily decision making was intact with a Brief Interview for Mental Status (BIMS) score of 15. Resident #109 required set-up or clean-up assistance with showers or bathing and supervision or touching assistance to get in and out of a tub/shower. On 2/17/25 at 10:00 a.m., in an interview Resident #109 stated, Staff do not offer to shower me and no, I did not receive my shower yesterday.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-02-20 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interviews, the facility failed to ensure 2 (Residents #6 and #123) of 3 sampled residents received care in accordance with the established plan of care. The findings included: 1. Review of Resident #6's clinical record revealed an admission date of 12/31/24. Diagnoses included chronic diastolic congestive heart failure, a condition in which the heart doesn't pump blood as well as it should. Review of the admission Minimum Data Set (MDS) assessment with a target date of 1/7/25 revealed Resident #6's cognition was intact with a Brief Interview for Mental Status score of 15. Review of the Treatment Administration Record (TAR) for February 2025 revealed a physician's order dated 1/30/25 for TED hose (compression stockings) on during the day and off at night to Bilateral Lower Extremities (BLE), every day and evening for BLE edema (swelling caused by excess fluid buildup in tissues) and orthostatic hypotension (sudden drop in blood pressure upon standing up). On 2/17/25 at 3:55 p.m., Resident #6 was observed sitting in a wheelchair. Observation of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-02-20 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record reviews and staff interviews, the facility failed to ensure licensed nurses followed infection prevention practices during blood glucose monitoring for 2 (Residents #447 and #131) of 2 residents observed. The facility failed to ensure urinary catheter drainage bags were stored in a safe and sanitary manner for 2 (Residents #103 and #75) of 2 residents observed with urinary catheter drainage bags stored on the floor. The findings included: 1. Review of the policy for Hand Hygiene and Infection Control last revised on 6/2023 revealed that the facility shall require facility personnel use accepted hand hygiene after each direct resident contact for which hand hygiene is indicated. Situations that require hand hygiene include but are not limited to: Before and after performing any invasive procedure (e.g. fingerstick blood sampling) and after removing gloves or aprons. On 2/19/25 at 11:30 a.m.,, Registered Nurse (RN) Staff D was observed doing a fingerstick to measure Resident #447's blood glucose. RN Staff D donned a pair of gloves that he removed from his…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-02-20 · tag F0887 — patternEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure that resident or resident representative had the opportunity to accept or refuse a COVID-19 vaccine and that the resident's medical record includes documentation that the resident or resident representative were provided education regarding the benefits and potential risks associated with COVID-19 vaccine, documentation of COVID-19 vaccine administered to the resident; or documentation the resident did not receive the COVID-19 vaccine due to medical contraindications or refusal for 5 (Residents #97, #67, #133, #104, #108 ) of 5 residents reviewed for vaccinations. The findings included: Facility policy for Infection Control COVID 19 Revised 6/24/24 indicated under section titled Vaccination 1. COVID 19 Vaccines are offered to residents and staff in accordance with CDC (Centers for Disease Control) guidance Stay Up to Date with COVID-19 Vaccines. CDC guidance Stay Up to Date with COVID-19 Vaccines indicates: It is especially important to get your 2024-2025 COVID-19 vaccine if you are ages 65 and older, are at high…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-20 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident and staff interviews, the facility failed to support the resident's right to voice a grievance without fear of discrimination or reprisal for 1(Resident #103) of 2 residents reviewed for grievances. The findings included: The facility policy Abuse, Neglect, Exploitation, Misappropriation, Mistreatment and Injury of Unknown Origin issued 8/2022, defined Mental abuse: the use of verbal or nonverbal conduct which causes or has the potential to cause the resident to experience humiliation, intimidation, fear, shame. Review of the clinical record revealed Resident #103 had a readmission date of 8/27/24 with diagnoses including multiple sclerosis, anxiety and major depressive disorder. Review of the Quarterly Minimum Data Set (MDS) with a target date of 2/2/25. The MDS noted the resident's cognitive skills for daily decision making were intact with a BIMS score of 15. Resident #103 had an indwelling urinary catheter and was always incontinent of stool. Resident #103 was dependent on staff for toileting and required substantial/maximal assistance to shower/bathe self. On…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · D2025-02-20 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to develop a care plan to meet the needs of 1 (Resident #51) of 4 residents reviewed for comprehensive care plan. The findings included: Review of the clinical record for Resident #51 revealed an admission date of 1/15/25. Diagnoses included Chronic Obstructive Pulmonary Disease. Review of the smoking evaluation dated 1/20/25 at 8:27 a.m., revealed Resident #51 was a smoker, used cigarettes and agreed to the smoking policy. Resident #51 also agreed to remove oxygen source before smoking. Review of the care plan failed to reveal a care plan for smoking with goals and interventions to meet the resident's needs. On 2/18/25 at 3:36 p.m., in an interview Resident #51 said she's been smoking for a long time. She said when her sister visits, she goes outside with her to smoke. On 2/18/25 at 4:06 p.m., in an interview Minimum Data Set (MDS) Licensed Practical Nurse (LPN) Staff R said there should be a smoking care plan if the resident was smoking while residing at the facility. On 2/20/25 at 12:11 p.m., in an interview Registered…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-02-20 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, clinical record review, review of facility Standards and Guidelines, resident and staff interviews, the facility failed to ensure proper storage of medication for 2 (Residents #107 and #81) of 2 residents observed with unsecured over the counter medications at bedside and 1 (Unit 1A) of 3 units observed with medication left unsecured and unattended. The findings included: The facility Standards and Guidelines: Medication Storage and Labeling documented, The facility stores all drugs and biologicals in a safe, secure and orderly manner . Drugs used in the facility are stored in locked compartments . Only persons authorized to prepare and administer medications have access to locked medications . On 2/17/25 at 10:43 a.m., an unsecured bottle of acetaminophen 500 milligrams (mg) tablets was observed at Resident #107's bedside. In an interview, Resident #107 said he took the acetaminophen as needed for headaches. Photographic evidence obtained. Review of Resident #107's clinical record failed to show documentation that the Interdisciplinary Team (IDT) determined…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-20 · tag F0552 — isolatedEnsure that residents are fully informed and understand their health status, care and treatments.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident, resident representative and staff interviews, the facility failed to allow 1 (Resident #18) of 2 residents reviewed the right to participate in their care by failing to inform the resident and representative in advance of the discontinuation of a medication. The findings included: Review of Resident #18's clinical record revealed an admission date of 12/26/24 from an acute care hospital. Review of the admission Minimum Data Set (MDS) assessment revealed the resident's cognition was intact with a Brief Interview for Mental Status score of 15. Diagnoses included seizure disorder or epilepsy. The clinical record revealed an amended letter of plenary guardianship dated 11/3/17, noting Resident #18 had a court appointed limited guardian of his person and property. Review of the hospital Discharge summary dated [DATE] revealed discharge diagnoses included Epilepsy without status epilepticus (seizure lasting more than 5 minutes or seizures very close together). The discharge…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-09-18 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, and staff interview the facility failed to provide maintenance services to maintain a clean and comfortable environment in 1 (Memory Care) of 3 units observed. The findings included: On 9/17/24 at 9:10 a.m., and on 9/18/24 at 1:00 p.m., the following observations were made: Wallpaper peeling away from the wall above the floor, along wallpaper seams and along the ceiling in the Memory Care Hallway. rooms [ROOM NUMBER] were missing cove moldings. Sheetrocks were cracked with holes noted in the walls. Resident rooms 123, 125 and 129 were missing pull cords on the overbed lights. Observation of the Memory Care shower room window revealed a broken blind, and broken lights in the bathroom stall and shower stall. The shower room floor tile and stall tiles were covered with orange and brown film. On 9/18/24 at 1:00 p.m., the Administrator verified the wallpaper was peeling away from the wall above the floor, along the wallpaper seams and along the ceiling in the Memory Care Hallway. He also…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2022-08-11 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, and staff interview, the facility failed to provide a clean, and sanitary environment in the kitchen by not having clean walls, air conditioning vents, food appliances, food preparation, and storage areas. The facility also failed to properly store food, clean, and make necessary repairs in 2 (nourishment rooms 1B and 2B) of 2 nourishment rooms observed. This failure had the potential to cause food borne illness in residents receiving an oral diet. The findings included: On 8/8/2022 at 9:20 a.m., during the initial kitchen tour with the Food Service Director and the Regional Dietary Consultant, the following was observed: The oven, stove top, flat top cooker, and steam and hold table had caked on grease and grime. Photographic evidence obtained The reach-in refrigerators were dirty with spills, black bio-growth. Unlabeled food including a rotten tomato in a bin with lettuce was observed in the reach-in refrigerator. Photographic evidence obtained A snack cart with residents' snacks had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-08-11 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and staff interview, the facility failed to ensure implementation of a person centered, meaningful activity program for 1 (Resident #72) of 7 residents reviewed for activities. The findings included: Review of the clinical record for Resident #72 revealed an admission date of 3/17/17. The Annual Minimum Data Set (MDS) assessment with a target date of 3/8/22 revealed Resident #72 scored a 9 on the Brief Interview for Mental Status, indicative of moderate cognitive impairment. The MDS noted it was somewhat important for Resident #72 to keep up with news, do things with groups of people, do his favorite activities, and participate in religious services or practices. Resident #72 was totally dependent on physical assistance of staff for transfer and locomotion on and off unit. Diagnoses listed on the order summary report included major depressive disorder, dementia, Parkinson's disease, and age-related cataract (opacity of the lens resulting in blurred vision). The activity care plan initiated on 5/25/2017 with a target date of 9/23/22 noted the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-08-11 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility policy and staff interviews, the facility failed to remove and discard expired medications from 2 (Memory Care and 2B) of 4 medication carts, and 1 (medication storage room [ROOM NUMBER]A) of 2 medication storage rooms observed. This has the potential for expired medications to be administered to residents. The findings included: The policy titled Storage and Expiration Dating of Medications, Biologicals with a revision date of 7/21/22 noted, . Once any medication or biological package is opened, Facility should follow manufacturer/supplier guidelines with respect to expiration dates for opened medications . Facility should destroy or return all discontinued, outdated/expired, or deteriorated medications or biologicals in accordance with Pharmacy return/destruction guidelines and other Applicable law. The Insulin Storage Recommendations document dated April 2019 noted to store opened vials of Levemir (insulin) at room temperature for 42 days. 1. On 8/8/22 at 10:26 a.m.,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-08-11 · tag F0882 — isolatedDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and record review the facility failed to have a designated qualified Infection Preventionist with the education, training, experience or certification. The findings included: The Facility's Infection Infection Preventionist Orientation Plan and Skills Competency Checklist dated 10/2020 noted, Either produce validation of completion of CMS/CDC (Center for Medicare and Medicaid/ Center for Disease Control) online course on CDC Train or register for course within first week of appointment to position of infection Preventionist. The course is a 23 module/19-hour Free course. On 8/11/22 9:12 a.m., the Assistant Director of Nursing (ADON) said she has been the designated Infection Preventionist for the facility for six months. She said she started the CDC training 6 months ago but has not yet completed the training and was not certified. On 8/22/22 9:45 a.m., the Director of Nursing (DON) said she was not a certified Infection Preventionist and was under the impression her ADON was.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to ASTON HEALTH — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.7 | -0.7 vs chain |
| Health inspection | 2 of 5 | 2.5 | -0.5 vs chain |
| Staffing | 3 of 5 | 2.2 | +0.8 vs chain |
| Quality measures | 4 of 5 | 4.1 | ≈ chain avg |
The other 37 homes this chain runs (chain average 2.7★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| CREEKSIDE REHAB HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 05/05/2023 |
| BP CREEKSIDE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | since 05/05/2023 |
| LF CREEKSIDE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | since 05/05/2023 |
| BUTLER, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/29/2025 |
| JOHNSON, SUSAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/05/2023 |
| RICHARDS, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/29/2025 |
| WILDER, LORI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/05/2023 |
| WILDES, DONNA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/28/2025 |
| FRIEDMAN, LEOPOLD | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 10/16/2025 |
| ASTON HEALTHCARE LLC | Organization | ADP OF THE SNF | — | since 05/05/2023 |
CMS files one row per role, so the 13 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $504K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105454. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-20, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.