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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Creekside Village during CMS and state inspections, most recent first.
A resident with dementia, legal blindness, prior traumatic subdural hemorrhage, peripheral vascular disease, and a history of repeated falls, who was care planned as high fall risk, sustained an unwitnessed fall with hip pain. Staff documented notification of the physician, DON, and Administrator, but there was no documentation that the resident’s responsible party (RP) was notified. The night-shift LVN acknowledged notifying the physician and Administrator but chose not to notify the RP due to the late hour and lack of apparent injury, and stated she reported the incident to the day shift without recalling to whom. Subsequent interviews with nursing leadership and staff confirmed that facility expectations required RP notification for any fall and that the lack of RP notification and failure to communicate this need during shift report resulted in the RP not being informed of the fall.
A CNA did not pull the privacy curtain while providing incontinent care to a resident with multiple medical conditions and a cognitively intact status, despite the presence of a roommate. The resident expressed embarrassment and a preference for privacy, and facility policy requires staff to ensure resident dignity and privacy during care.
A resident with hemiplegia and urinary incontinence did not receive timely or thorough incontinence care as required by her care plan. Staff failed to check and change the resident every 2-3 hours, and proper perineal cleaning techniques were not followed, leaving the resident in soiled clothing and at risk for inadequate care.
A CNA failed to follow infection control protocols while providing incontinent care to a resident, including not performing hand hygiene, not changing gloves, transporting soiled linen without a bag, and returning used disposable wipes to a common cart. The resident was dependent on staff for hygiene and had multiple medical conditions, including incontinence. These actions were observed and confirmed through staff interviews and record review.
A Quarterly MDS assessment for a resident with multiple complex medical conditions was not transmitted to CMS within the required 14-day period after completion. The delay was attributed to the absence of an on-site MDS Coordinator, and staff confirmed that the facility relied on the RAI Manual for assessment procedures.
A resident was administered multiple antipsychotic medications without obtaining a signed consent, despite having the cognitive ability to understand her treatment. The facility's policy requires informed consent before administering or changing the dosage of such medications, but this was not followed, placing the resident at risk.
The facility failed to ensure that MDS data for a resident who passed away was encoded and transmitted within the required timeframe. The MDS assessment was initiated but not completed due to the MDS Coordinator being needed on the floor. This was confirmed during an interview with the MDS Coordinator and the DON.
A facility failed to develop and implement a Baseline Care Plan within 48 hours for a hospice resident admitted for respite care. The resident, diagnosed with malignant neoplasm of the left lung, passed away without a baseline care plan in place. The DON and MDS coordinator acknowledged the oversight, attributing it to the resident's short stay and imminent death.
Failure to Notify Resident Representative After Unwitnessed Fall
Penalty
Summary
The deficiency involves the facility’s failure to promptly notify a resident’s representative of a significant change in condition following an unwitnessed fall. The resident was an elderly male with traumatic subdural hemorrhage, peripheral vascular disease, dementia with severely impaired cognition (BIMS score of 0), legal blindness, repeated falls, and a care plan identifying him as high risk for falls due to vision problems and weakness. His care plan documented multiple prior falls and included interventions such as ensuring the call light was within reach, educating CNAs to fully dress the resident in the morning, and ensuring appropriate footwear during ambulation or wheelchair mobility. Record review showed that on a date in March, the resident sustained an unwitnessed fall with complaints of right hip pain, for which an X-ray was ordered and showed no fracture. The facility’s incident log and incident documentation indicated that the DON and physician were notified of the fall, but there was no documentation that the resident’s responsible party (RP) was notified. During interview, the RP stated she was not notified of the fall. Multiple staff interviews, including with an RN, LVN, DON, ADON, and Administrator, confirmed that the facility’s expectation and practice were that any fall, whether witnessed or unwitnessed and with or without injury, was considered a change in condition requiring notification of the RP. The LVN who managed the incident during the night shift stated she notified the physician and Administrator but did not notify the RP because the fall occurred in the middle of the night, there was no apparent injury, and she did not want to wake the family. She reported that she informed the day shift nurse of the incident but could not recall the nurse’s name, and subsequent staff interviews indicated the lack of RP notification was not communicated during shift report. Review of facility documents titled Resident Rights and Falls – Clinical Protocol showed they did not address notification of falls to the resident’s responsible party. The combination of the nurse’s decision not to notify the RP at night and the failure to communicate the need for follow-up notification to the day shift led to the RP not being notified of the resident’s fall, constituting the deficiency.
Failure to Provide Privacy During Incontinent Care
Penalty
Summary
A certified nursing assistant (CNA) failed to provide personal privacy for a resident during incontinent care. The CNA entered the resident's room, where the resident's roommate was present, and did not pull the privacy curtain before removing the resident's soiled pants and brief and providing personal care. This action was observed directly, and the CNA later acknowledged that she should have pulled the privacy curtain but did not do so because she was nervous. The resident involved had a history of age-related cataract, overactive bladder, hemiplegia, hemiparesis following cerebral infarction, epilepsy, and anxiety, and was care planned for bladder incontinence. The resident was cognitively intact and expressed a preference for privacy during care, stating that not having the curtain pulled left her feeling exposed and embarrassed. Facility policy requires that all residents be treated with kindness, respect, and dignity, including the provision of privacy during care.
Failure to Provide Timely and Thorough Incontinence Care
Penalty
Summary
Certified Nursing Assistants (CNAs) failed to provide appropriate care and services for a resident who was dependent on staff for activities of daily living, specifically incontinence care. The resident, an older adult with diagnoses including hemiplegia, hemiparesis, overactive bladder, and cognitive intactness, was care planned to be checked and changed every 2-3 hours and as needed. Observations revealed that the resident was left in soiled clothing and a heavily urine-soaked brief, and had to request to be changed. During incontinent care, CNA A did not follow proper cleaning procedures, using the same wipe for multiple areas and failing to clean the perineal area before applying a clean brief. CNA A also admitted to not being the assigned CNA for the resident and stated she was nervous, which contributed to the improper care. Interviews with staff confirmed that the resident had not received incontinence care since the night shift, and the assigned CNA (CNA B) acknowledged missing a scheduled round of care. Facility policy requires incontinence care at least every 2 hours and specifies proper perineal cleaning techniques, which were not followed. The Director of Nursing and both CNAs confirmed the expectations for care frequency and technique, but these were not met, resulting in the resident not receiving the necessary care and services as outlined in her care plan.
Failure to Follow Infection Control Protocols During Incontinent Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of a CNA during incontinent care for a resident. The CNA did not perform hand hygiene before, during, or after providing care, and failed to change gloves between tasks. After completing care, the CNA transported soiled linen in her hands down the hallway instead of using a plastic bag, and only sanitized her hands after disposing of the linen. Additionally, the CNA removed a package of disposable wipes from the resident's room and placed them back on a cart in the hallway, contrary to infection control protocols. The resident involved was an elderly female with multiple diagnoses, including hemiplegia, hemiparesis, epilepsy, and incontinence, and was dependent on staff for toileting and personal hygiene. Facility records and staff interviews confirmed that the CNA was aware of the correct procedures but did not follow them during the observed care. Facility policies required hand hygiene before and after resident contact, proper handling of soiled linen, and that personal care items not be returned to common areas after use in resident rooms. These lapses were directly observed and confirmed through interviews and record review.
Late Transmission of MDS Assessment
Penalty
Summary
The facility failed to transmit a completed Quarterly Minimum Data Set (MDS) assessment for one resident within the required 14-day timeframe after completion. Specifically, the assessment for a male resident with multiple complex diagnoses, including Parkinson's Disease, Alzheimer's Disease, hemiplegia, dysphagia, type 2 diabetes, and gastrostomy status, was completed and signed on 1/15/25 but was not accepted by the CMS system until 1/31/25, resulting in a 16-day delay. This was identified through record review and confirmed by interviews with facility staff, who acknowledged the late transmission and attributed it to the absence of an on-site MDS Coordinator for several months. Interviews with the Director of Reimbursement, Corporate VP of Operations, and the current MDS Coordinator confirmed that the facility relied on the RAI Manual for MDS assessment procedures and did not have a separate assessment policy. The staff acknowledged that the MDS assessment should have been transmitted within 14 days of completion, as required by the RAI Manual, and recognized that the delay constituted a failure to meet regulatory requirements for timely MDS data submission.
Failure to Obtain Informed Consent for Antipsychotic Medications
Penalty
Summary
The facility failed to inform residents in advance of the risks and benefits of proposed care and treatment, specifically for one resident who was administered multiple antipsychotic medications without obtaining a signed consent. The medications included Buspirone HCI, Klonopin, Olanzapine, and Venlafaxine HCI ER. The resident, who had a history of cerebral infarction, major depressive disorder, and other medical conditions, was able to complete the MDS assessment and had a BIMS score of 13, indicating some cognitive ability to understand her treatment. Despite this, the facility did not secure informed consent for the administration of these medications, as confirmed by interviews with the MDS nurse, DON, and charge nurse, as well as a review of the resident's records and the facility's policy on psychotropic medication use. The DON and charge nurse acknowledged the importance of obtaining informed consent and stated that the facility's policy requires it before administering or changing the dosage of antipsychotic medications. However, the charge nurse admitted that the facility did not have a current consent for the resident's treatment and was in the process of obtaining it from the resident's POA. The failure to obtain informed consent was attributed to the resident's frequent admissions and discharges from psychiatric hospitals and the facility's oversight in ensuring compliance with its own policy. This deficiency placed the resident at risk of receiving treatments without being fully informed of their risks and benefits.
Failure to Transmit MDS Data Timely After Resident Death
Penalty
Summary
The facility failed to ensure that resident assessments were completed, encoded accurately, and transmitted to the CMS system within the required timeframe for one resident. Specifically, the MDS data for a resident who passed away was not encoded and transmitted within the 7 to 14 days required after the death. The resident, a female with a diagnosis of malignant neoplasm of the left lung, was admitted to the facility and later passed away. The MDS assessment was initiated but not completed, as the MDS Coordinator was required to work on the floor. This failure was confirmed during an interview with the MDS Coordinator and the DON, who acknowledged that the MDS was not completed due to staffing needs on the floor. The facility's policy on MDS completion, which follows the RAI manual, was requested but not provided in the report.
Failure to Implement Baseline Care Plan for Hospice Resident
Penalty
Summary
The facility failed to develop and implement a Baseline Care Plan within 48 hours of admission for a resident admitted for respite care. The resident, a female with a diagnosis of malignant neoplasm of the left lung, was admitted on 03/12/24 and was on hospice care. Despite the facility's policy requiring a baseline care plan to be developed within 48 hours, no such plan was created for this resident. The MDS assessment was initiated but not completed, and there was no RN signature on the MDS. The resident passed away on 03/15/24 without a baseline care plan in place. During an interview, the DON and the MDS coordinator acknowledged the oversight, attributing it to the resident's short stay and imminent death. The facility's policy, updated in 2016, mandates that a baseline care plan be developed to meet the resident's immediate needs within 48 hours of admission. This plan should include initial goals, physician orders, dietary orders, therapy services, social services, and PASARR recommendations if applicable. The failure to implement this plan could have compromised the resident's care during her stay.
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What surveyors actually found near you
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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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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Richwood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodlake Nursing Center | 1.3 mi | ★★★★★ | 2 | 0 |
| Brazos Healthcare Center | 2.1 mi | ★★★★★ | 4 | 0 |
| Oak Village Healthcare | 3.3 mi | ★★★★★ | 0 | 0 |
| Country Village Care | 9.3 mi | ★★★★★ | 5 | 1 |
| Cypress Woods Care Center | 9.4 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.