Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Creekside Transitional Care And Rehabilitation during CMS and state inspections, most recent first.
Surveyors found that potatoes and onions stored in the kitchen were spoiled, with potatoes being mushy and sprouting, and onions being green and soft. The CDM acknowledged these items were not fresh and should have been discarded, indicating a failure to maintain safe and sanitary food storage for all residents consuming facility-prepared food.
Surveyors found that the facility did not consistently protect resident privacy, as a computer displaying a resident's medical information was left unattended and visible, and multiple residents received mail and packages that had already been opened. Staff interviews confirmed that mail was sometimes opened based on judgment calls, particularly for insurance documents, contrary to residents' rights to privacy and confidentiality.
Two residents sharing a room experienced persistent foul urine odors and unclean conditions due to one resident's refusal of care and the other's occasional refusal, with staff only cleaning when the room was unoccupied. The cognitively intact resident expressed dissatisfaction with the odor, and staff confirmed that both residents' behaviors contributed to the environment, but no alternative arrangements were offered.
Two residents with significant mental health diagnoses had inaccurate MDS assessments, with documentation failing to reflect updated PASRR Level II determinations and current diagnoses. The MDS Coordinator confirmed that assessments did not include correct information regarding serious mental illness status, despite supporting documentation in the medical records.
A resident with existing neurological and cognitive conditions was diagnosed with delusional disorder and alcohol-induced dementia, but the facility did not complete a new PASRR Level I screening as required. This omission was confirmed by staff and identified during record review and interview.
A nurse failed to prime an insulin pen and did not hold the needle in place for the recommended time during administration to a resident with diabetes. This did not follow professional standards or manufacturer instructions, as confirmed by staff interviews.
A resident with muscle weakness and unsteadiness was not provided assistance with toenail care despite multiple requests to staff. Observations and staff interviews confirmed that the resident's toenails were excessively long and had not been trimmed since admission.
A resident with multiple chronic conditions did not receive prescribed as-needed bowel care medications according to physician orders, resulting in a five-day period without a bowel movement. Medication administration records showed that interventions were not provided as required, and this lapse was confirmed by the ADON.
A resident with obstructive sleep apnea had a CPAP machine with a water chamber that was found dry and containing a whitish residue, indicating it had not been properly cleaned as required by physician orders. An RN, when asked about the residue, did not provide an explanation and only cleaned the chamber after the issue was identified during a survey.
A resident with PTSD, paraplegia, anxiety, and major depressive disorder was not assessed for trauma triggers, and their care plan only included medication administration without interventions for PTSD triggers. The ADON confirmed a lack of knowledge regarding the resident's triggers and acknowledged the absence of appropriate care plan interventions.
A resident requiring personal care assistance and with a pressure ulcer was found with a Pure Wick catheter canister full of foul-smelling, cloudy urine, and tubing containing urine resting on the nightstand. The canister and tubing were not emptied, rinsed, or stored in a clean bag after use, and an LPN confirmed these infection control practices were not followed.
Two residents experienced falls during mechanical lift transfers due to inadequate safety measures. One resident sustained significant injuries, while the other was unharmed. Despite current competencies of the CNAs involved, the facility's investigation found no deficiencies in staff actions or equipment.
The facility failed to ensure proper sanitation and PPE use in food preparation areas. Staff with facial hair did not wear coverings, and chemical testing supplies for sanitization were unavailable. Additionally, pans were stored wet, contrary to air-drying procedures, increasing the risk of bacterial growth.
The facility failed to properly contain and dispose of garbage, as observed when two dumpsters were found with open lids, exposing the garbage inside. This was contrary to the facility's policy requiring dumpsters to be closed and free of litter. A staff member was reminded to close the dumpster lid, and the Administrator confirmed the expectation for lids to be closed, indicating a lapse in policy adherence.
The facility failed to provide bed hold notices to two residents upon their transfer to the hospital, as required by policy. One resident with dementia, diabetes, and metabolic encephalopathy, and another with hypertension and congestive heart failure, were transferred without receiving the necessary documentation. The ADON was unaware of the requirement to issue a written bed hold notice during these transfers.
A resident with a fluid restriction due to medical conditions expressed a preference to have a water pitcher in their room to avoid frequent requests for water. Despite being cognitively intact and aware of their fluid restriction, the water pitcher was removed by a CNA at the direction of an LPN, who was concerned about the resident's water intake. Another LPN and the ADON stated that the resident's choice should be honored, and education on fluid restrictions could be provided.
A resident with a history of stroke was inaccurately assessed in their MDS, which documented them as cognitively intact and without extremity impairments. However, the Therapy Program Manager confirmed the resident had bilateral extremity impairments, and the MDS Coordinator admitted the assessment was incorrectly coded.
Improper Storage of Spoiled Produce in Kitchen
Penalty
Summary
During a kitchen inspection, surveyors observed a sack of potatoes and a sack of onions stored on a wire rack. The potatoes were found to be mushy with bulging sprouts, and the onions were green, soft, and mushy. The Certified Dietary Manager (CDM) confirmed that the potatoes and onions were not fresh and should have been disposed of. This failure to properly store and dispose of spoiled food items constituted a deficiency in maintaining safe and sanitary food storage practices for the facility's 129 residents who consumed food prepared by the facility.
Failure to Protect Resident Privacy and Confidentiality of Records and Mail
Penalty
Summary
The facility failed to maintain the privacy and confidentiality of residents' personal and medical records, as well as the security of their mail and packages. On one occasion, a computer screen displaying a resident's medical information was left open and unattended on a medication cart, making sensitive information visible. The responsible LPN acknowledged not logging off the computer before leaving the area. Additionally, the facility's process for handling resident mail and packages resulted in multiple instances where residents received mail and packages that had already been opened. Residents reported receiving opened packages and mail, with one resident stating this occurred regularly and another noting a specific incident and subsequent staff behavior that made her feel uncomfortable. Staff interviews revealed that the receptionist/accounts payable staff would sometimes open resident mail, particularly if it was believed to contain insurance cards, to make copies for the billing department before delivering the mail to residents. The administrator confirmed that staff made judgment calls about opening mail based on the return address and the feel of the envelope. These actions were inconsistent with the facility's documented resident rights, which guarantee personal privacy, confidentiality of records, and the right to receive unopened mail and packages.
Failure to Maintain Clean and Homelike Environment in Shared Room
Penalty
Summary
The facility failed to provide a safe, clean, and homelike environment for two residents sharing a room, resulting in persistent foul urine odors and unclean living conditions. One resident, who was severely cognitively impaired and had a history of refusing care, was observed with a half-full, uncapped urinal and an open bedside commode containing urine and splatters across the seat. Multiple observations over several days documented a strong foul urine odor emanating from the room and into the hallway. Staff interviews confirmed that the resident's behaviors often prevented timely cleaning, and staff would only clean the area when the resident was not present. The other resident in the shared room, who was cognitively intact but had a history of major depressive disorder and occasional refusal of care, expressed dissatisfaction with the persistent odor but felt unable to address the issue. Staff acknowledged that both residents' refusals of care contributed to the unclean environment and that relocating the affected resident had not been considered. The ongoing odor and lack of cleanliness were directly observed and corroborated by staff and resident interviews.
Inaccurate MDS Assessments Related to PASRR Status
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for two residents, resulting in incorrect documentation regarding their mental health status and PASRR (Preadmission Screening and Resident Review) determinations. One resident, with diagnoses including Wernicke's encephalopathy, cognitive communication deficit, delusional disorder, and alcohol-induced dementia, had an annual MDS assessment that did not reflect updated mental health diagnoses. The assessment incorrectly indicated that the resident was not considered by the state Level II PASRR process to have a serious mental illness, despite documentation of an active psychotic disorder diagnosis. The MDS Coordinator confirmed that the PASRR Level I and II had not been updated following the new diagnoses. Another resident, admitted and readmitted with diagnoses such as PTSD, major depressive disorder, and anxiety, also had an annual MDS assessment that inaccurately documented the absence of a PASRR Level II determination. However, a PASRR Level II was present in the resident's electronic medical record. The MDS Coordinator acknowledged that the assessment should have indicated the presence of a PASRR Level II. These inaccuracies were identified through record review and staff interviews, demonstrating a failure to ensure that MDS assessments included correct and current information for residents with serious mental illness or related conditions.
Failure to Complete PASRR After New Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that a Pre-admission Screening and Resident Review (PASRR) was accurately completed when new mental health diagnoses were identified for a resident. Specifically, the resident was admitted with multiple diagnoses, including Wernicke's encephalopathy and a cognitive communication deficit. On 3/14/24, the resident received two new mental health diagnoses: delusional disorder and alcohol-induced dementia. Despite these new diagnoses, the facility did not conduct a new PASRR Level I screening as required. This was confirmed by staff interview, where the ADON acknowledged that a new PASRR should have been completed at the time the new diagnoses were made. The deficiency was identified through record review and staff interview, and it was noted that the failure to complete the required PASRR screening could have resulted in the resident not being referred for necessary specialized mental health services.
Failure to Follow Professional Standards in Insulin Administration
Penalty
Summary
A deficiency was identified when a nurse failed to administer insulin according to professional standards and manufacturer instructions for a resident with diabetes. The nurse prepared the insulin pen by removing the cap, sanitizing the tip, attaching a new needle, and dialing the prescribed dose, but did not prime the pen before administration. The nurse then administered the insulin to the resident's left upper arm without holding the pen in place for the recommended duration, withdrawing the needle after approximately three seconds instead of the required ten seconds. Interviews confirmed that the nurse did not prime the insulin pen and did not adhere to the recommended injection time. The Assistant Director of Nursing stated that the facility's practice is to follow the manufacturer's instructions, which include priming the pen and holding the needle in place for ten seconds. The failure to follow these procedures was observed during the administration of insulin to a resident with multiple diagnoses, including diabetes, as ordered by the physician.
Failure to Assist with Personal Care Needs
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living for a resident who was unable to perform these tasks independently. The resident, who had diagnoses including muscle weakness and unsteadiness, reported that she had repeatedly asked nurses, doctors, and CNAs to trim her toenails, but no one had assisted her. Observations confirmed that both of her great toenails were long, thick, and yellow, with measurements of a quarter inch in length. Staff interviews corroborated that the toenails were excessively long and should have been trimmed, indicating that the resident's needs for personal care were not met.
Failure to Administer Bowel Care Medications as Ordered
Penalty
Summary
The facility failed to follow professional standards of practice for bowel and bladder care for one resident with multiple diagnoses, including multiple sclerosis, malnutrition, and dementia. According to the physician's orders, the resident was to receive Miralax as needed if no bowel movement occurred for three days, followed by Dulcolax suppository and then a Fleets enema if there was no response to the previous interventions. Record review showed that the resident did not have a bowel movement for five consecutive days, from 6/1/25 through 6/5/25. Medication administration records indicated that none of the prescribed as-needed bowel care medications were administered during the first four days without a bowel movement, and the first intervention was not given until the fifth day. This was confirmed by the ADON, who acknowledged that the resident should have received medication on the fourth day but did not.
Failure to Maintain Clean CPAP Water Chamber
Penalty
Summary
The facility failed to ensure that the CPAP water chamber for a resident with obstructive sleep apnea was kept clean, as required by physician orders. The resident's care plan included nightly use of a CPAP machine with specific instructions to wash the tubing and reusable filter weekly. During observation, the CPAP machine was found on the resident's bedside table, and the resident reported last using it about a week prior. Upon inspection, the water chamber was found to be very dry with a whitish residue at the bottom. When questioned, the RN did not provide an explanation for the residue and proceeded to wash the chamber. The RN acknowledged that if the CPAP had been used the previous night, night shift staff should have noticed and cleaned the residue before setting up the machine.
Failure to Assess and Address PTSD Triggers in Resident Care Plan
Penalty
Summary
The facility failed to assess, monitor, and identify potential triggers for a resident diagnosed with Post-Traumatic Stress Disorder (PTSD), as required for trauma-informed care. Record review showed that the resident had multiple diagnoses, including PTSD, paraplegia, anxiety, and major depressive disorder, and was taking antianxiety and antidepressant medications daily. The resident's care plan only included medication administration for PTSD and did not address specific triggers. During staff interview, the Assistant Director of Nursing (ADON) confirmed she was unaware of the resident's PTSD triggers and acknowledged that the care plan lacked interventions for these triggers, despite the requirement to do so.
Failure to Maintain Sanitary Conditions for Pure Wick Catheter System
Penalty
Summary
The facility failed to implement proper infection control practices for a resident who used a Pure Wick female external catheter system. The resident, who required assistance with personal care and had a pressure ulcer on the left buttocks, was observed with her Pure Wick canister full of foul-smelling, dark, cloudy urine, and the tubing containing visible urine was resting on her nightstand. The canister and tubing were not emptied or rinsed after use, and the tubing was not stored in a clean bag as required. An LPN confirmed that the room smelled like urine and acknowledged that the canister and tubing should have been properly maintained to prevent cross contamination.
Deficiency in Resident Safety During Mechanical Lift Transfers
Penalty
Summary
The facility failed to ensure the safety of residents during mechanical lift transfers, resulting in harm to two residents. Resident #1, who was severely cognitively impaired and dependent on staff for transfers due to hemiplegia and hemiparesis, fell during a transfer from her bed to a chair. Despite the mechanical lift competencies of the CNAs involved being current and complete, Resident #1 slid out of the sling, sustaining a facial contusion and fractures to her lumbar vertebrae and left leg. The facility's investigation did not identify any deficiencies in staff actions or equipment. Similarly, Resident #2, who was also severely cognitively impaired and required assistance for transfers due to Alzheimer's, muscle weakness, and knee contractures, fell during a transfer from a chair to her bed. The resident slid feet first from the sling, landing on the floor, but fortunately, no injuries were reported. The mechanical lift competencies of the CNAs involved were also current and complete, and the facility's investigation did not find any causative factors related to staff actions or equipment failure.
Sanitation and PPE Deficiencies in Food Preparation Areas
Penalty
Summary
The facility failed to adhere to sanitary standards in the food preparation areas, as observed during a survey. Staff members with facial hair were not wearing appropriate coverings, such as hair nets or beard nets, while working in food preparation areas. This was contrary to the facility's policy, which mandates that all dietary personnel must wear hair restraints at all times in these areas. The Certified Dietary Manager (CDM) confirmed that kitchen staff with facial hair are required to have their facial hair covered, yet observations showed non-compliance with this policy. Additionally, the facility did not have the necessary supplies to test the chemical levels in the sanitization compartment of a three-compartment sink, as required by their policy. A staff member was unable to demonstrate the monitoring of sanitization chemical levels due to the unavailability of testing supplies. Furthermore, the facility did not follow proper procedures for air-drying dishes, as observed with seven pans that were stacked and stored while still wet, which could encourage bacterial growth. The CDM acknowledged the oversight and noted that the pans needed to be re-washed and air-dried before storage.
Improper Garbage Disposal
Penalty
Summary
The facility failed to ensure proper containment and disposal of garbage, as observed during a survey. The facility's policy, dated October 2023, requires that garbage be stored in a manner inaccessible to vermin, with dumpsters kept closed and free of surrounding litter. However, on June 24, 2024, at 8:37 AM, two dumpsters outside the facility were found with open lids, exposing the garbage inside. Dumpster #2 had bags of garbage preventing the lid from closing. A staff member was seen placing cardboard into this dumpster and was reminded by another staff member to close the lid, indicating a lapse in adherence to the policy. Later that day, at 3:26 PM, the Administrator confirmed that the dumpsters were supposed to have their lids closed, further highlighting the failure to comply with the facility's garbage disposal policy. This oversight increased the risk of pests and rodents, potentially endangering residents, staff, and guests.
Failure to Provide Bed Hold Notices During Hospital Transfers
Penalty
Summary
The facility failed to provide a bed hold notice to residents and/or their representatives upon transfer to a hospital, as required by their Admission/Discharge/Transfer policy. This deficiency was identified for two residents who were transferred to the hospital. The policy, revised in October 2023, mandates that residents or their representatives be informed in writing of their right to exercise the bed hold provision during a transfer to a hospital or for therapeutic leave. Resident #81, who had multiple diagnoses including dementia, diabetes, and metabolic encephalopathy, was transferred to the hospital on May 14, 2024, but there was no documentation of a bed hold notice being provided. Similarly, Resident #99, with diagnoses including hypertension and congestive heart failure, was transferred on May 12, 2024, without a bed hold notice being documented. The Assistant Director of Nursing (ADON) admitted to being unaware of the requirement to provide a written bed hold notice during such transfers, resulting in the failure to inform the residents or their representatives of their rights.
Failure to Honor Resident's Choice for Water Pitcher
Penalty
Summary
The facility failed to honor a resident's choice to have a water pitcher on the bedside table, which was a preference expressed by the resident. The resident, who was cognitively intact and had a physician's order for a 1,200 ml daily fluid restriction due to end-stage renal disease and congestive heart failure, reported that a water pitcher was placed on his bedside table by a nursing assistant but was later removed without his knowledge. The resident expressed that he preferred having the pitcher in his room to avoid frequently using the call light to request water. The removal of the water pitcher was directed by an LPN, who instructed a CNA to take it away while the resident was sleeping, citing the fluid restriction as the reason. The LPN acknowledged the resident's choice but was concerned about the resident requesting a lot of water over the weekend. Another LPN and the ADON stated that residents have the right to have a water pitcher in their room and that staff should honor their choices, suggesting that the resident could be educated on the risks and benefits of exceeding the fluid restriction.
Inaccurate MDS Assessment for Resident with Stroke History
Penalty
Summary
The facility failed to ensure accurate MDS assessments for its residents, as evidenced by the case of a resident with multiple diagnoses, including a history of stroke. A quarterly MDS assessment inaccurately documented the resident as cognitively intact and without upper or lower body impairments. However, the Therapy Program Manager later confirmed that the resident had both upper and lower bilateral extremity impairments. The MDS Coordinator also acknowledged that the MDS assessment was coded inaccurately, indicating a discrepancy between the resident's actual condition and the documented assessment.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Meridian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Meridian Meadows Transitional Care | 2.6 mi | ★★★★★ | 26 | 0 |
| Aspen Transitional Rehabilitation | 3.6 mi | ★★★★★ | 6 | 0 |
| Cascadia Of Nampa | 5.2 mi | ★★★★★ | 16 | 1 |
| Life Care Center Of Treasure Valley | 5.5 mi | ★★★★★ | 0 | 0 |
| Arbor Valley Of Cascadia | 6.7 mi | ★★★★★ | 0 | 0 |
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