CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1557842026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Creekside Village

CMS lists this provider in Mishawaka, IN, with 100 certified beds, an overall rating of 4/5, and 32 citation rows in the current August 2026 release.

1420 E Douglas Rd · Mishawaka, IN 46545 · St. Joseph County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds100CMS provider file
Recent citation rows32current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Creekside Village survey cycles in this release

CMS supplies 3 survey-cycle rows for Creekside Village in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-3152026-03-319
Cycle 22025-01-1372025-01-130
Cycle 32024-02-09112024-02-090
02 / CITATION DETAIL

Creekside Village citations in the current release

CMS reports 32 citation rows, including 0 with G–L codes and 0 with J–L codes.

0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-31 · FIREE0037Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-03-31 · FIREE0041Severity C · widespread; potential for minimal harm

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-03-31 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-30
2026-03-31 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-30
2026-03-31 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-30
2026-03-31 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2026-04-30
2026-03-31 · HEALTHF0790Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

Correction field: Deficient, Provider has date of correction · 2026-04-30
2026-03-31 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-03-31 · FIREK0341Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-03-31 · FIREK0351Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-03-31 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-03-31 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-03-31 · FIREK0741Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2026-06-30
2026-03-31 · FIREK0918Severity C · widespread; potential for minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-16
2025-03-21 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-04-10 · complaint
2025-01-13 · HEALTHF0679Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Correction field: Deficient, Provider has date of correction · 2025-02-13
2025-01-13 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-13
2025-01-13 · HEALTHF0692Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2025-02-13
2025-01-13 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-02-13
2025-01-13 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-13
2025-01-13 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction field: Deficient, Provider has date of correction · 2025-02-13
2024-07-02 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Past Non-Compliance · 2024-06-24 · complaint
2024-02-09 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2024-03-10
2024-02-09 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2024-03-10
03 / ENFORCEMENT FILE

CMS penalties reported for Creekside Village

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Creekside Village

CMS matched 32 ownership disclosure rows to Creekside Village; names and roles are reported fields, not independently verified identities.

  • CHIES, STEVENIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 03/17/2016
  • JACKSON, BLAKEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2015
  • JACKSON, ETHANIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2015
  • JACKSON, MARKIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2015
  • JACKSON, MICHAELIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/14/2024
  • JACKSON, WESSLEYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2015
  • JUSTICE, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2015
  • KELSEY, DONNAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/18/2024
  • STITLE, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 03/16/2016
  • WRIGHT, THERESSAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/21/2021
  • DRUMMER, CARLIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2017
  • HANIFY, THOMASIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2022
  • HORN, BRENDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2023
  • LAZARD, ROBERTIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/29/2021
  • MANTRAVADI, GEETAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/21/2021
  • PAYNE, MONICAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/09/2021
  • BABCOCK, PAULIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 09/30/2020
  • CAINE, VIRGINIAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/10/1994

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Creekside Village

CMS reports 3.68 total nurse hours and 0.33 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.68per resident day
RN hours0.33per resident day
Weekend nurse hours3.04per resident day
Staff turnover35.3%CMS reported field
06 / LOCAL RECORDS

Facilities published near Creekside Village

The local peer set contains 2 other published facility records near Mishawaka, IN, with separate bed, rating, and citation-row fields.

Open the Mishawaka ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.