B

CREEKSIDE CENTER FOR REHABILITATION AND HEALING

306 W DUE WEST AVENUE, MADISON, TN 37115
Score: 71 / 100

Creekside Center For Rehabilitation And Healing earns a solid B grade from CMS data, with a score of 71/100. Performing above average across most metrics, this Madison facility ranks in the 73th percentile among Tennessee nursing homes.

Staffing at Creekside Center For Rehabilitation And Healing is near the national average, with 3.87 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 8 deficiencies at Creekside Center For Rehabilitation And Healing. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.87 3.8 Average
Registered Nurses (RN) 0.66 0.7 Average
Licensed Practical Nurses (LPN) 1.12 0.7 Above Average
Certified Nursing Assistants (CNA) 2.10 2.4 Below Average
Weekend Total Nursing 3.08 3.8 Below Average
Weekend RN Hours 0.41 0.7 Below Average

🔍 Inspection & Deficiency History

8
Total Deficiencies
Jul 11, 2023
Most Recent Inspection
🟠 8 Moderate
View recent deficiencies (5 shown)
  • Tag 0557 Severity D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    Jul 11, 2023 · Resident Rights Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jul 11, 2023 · Resident Rights Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jul 11, 2023 · Resident Assessment and Care Planning Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Apr 30, 2019 · Quality of Life and Care Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    May 15, 2018 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.0% 4.5% Better
Falls with major injury 3.1% 3.0% Average
On antipsychotic medication 11.3% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 0.4% 14.0% Better
Excessive weight loss 4.8% 7.5% Better
New/worsened incontinence 18.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 71 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
139
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 11, 2023
Deficiencies (Cycle 1)
3