Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Mrc Creekside during CMS and state inspections, most recent first.
A resident with type 2 DM, Parkinson's disease, and bladder dysfunction had a sacral wound treated with NPWT ordered at 125 mmHg, but the comprehensive care plan was not revised to include the wound vac or related interventions. The care plan only addressed skin integrity concerns related to the sacral wound, and the interim MDS Coordinator acknowledged the missed update while the Administrator stated care plans should be updated with changes.
Unlocked Treatment Cart Left Unattended: A Treatment Nurse left a treatment cart in the hallway unlocked with the keys in the lock while providing wound care to a resident. The cart contained dressings and ointments, and the nurse later stated she should have taken the keys and locked the cart. The ADON and Administrator stated nurse medication/treatment carts should always be locked and never left unattended, consistent with the facility policy on medication labeling and storage.
Infection Control Lapses During Wound Care and EBP Use A Treatment Nurse performing wound care for a resident with DM2, Parkinson’s disease, an indwelling catheter, an ostomy, and a sacral wound touched clean items with dirty gloves during the dressing change and wound vac setup. An LVN also failed to wear a gown while providing high-contact care and flushing a PICC line for another resident on EBP. Both staff acknowledged the infection control lapses, and facility leadership stated staff were expected to follow hand hygiene and EBP protocols.
The facility failed to properly store food in the kitchen's walk-in freezer, with several items left in unsealed bags, exposing them to the elements. The Dietitian and Executive Chef acknowledged the issue, emphasizing the importance of sealing food to prevent contamination. Despite training, recent staff changes may have contributed to lapses in following storage protocols, as noted by the Administrator.
A resident with high blood pressure and chronic kidney disease received an incorrect dose of felodipine due to a medication aide's error. The resident was supposed to receive 15 mg but was only given 10 mg, contrary to physician orders. The DON acknowledged the importance of following orders to prevent potential adverse effects.
A resident prescribed Eliquis for atrial fibrillation and stroke was not monitored for side effects of the anticoagulant medication. Despite facility policy requiring such monitoring, staff interviews revealed that the oversight was due to the monitoring not being added to the computer system. This lapse in protocol could lead to potential adverse consequences, such as excessive bleeding.
The facility failed to remove expired Lispro insulin pens from a medication cart, affecting two residents with type 2 diabetes. Both residents received insulin injections as part of their treatment, but the expired pens were overlooked by nursing staff, including the LVN, ADON, and DON. This oversight could lead to the administration of less effective medication.
A facility failed to properly label a bottle of morphine sulfate in a medication cart, posing a risk of medication errors. The bottle, prescribed to a resident with Alzheimer's and heart disease, was found with a blank label during a narcotic count. Staff interviews revealed a lack of awareness about the issue, highlighting the need for regular checks to ensure proper labeling.
Care Plan Not Updated for Wound Vac Therapy
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan for Resident #48 that included measurable objectives and timeframes after the resident began receiving negative pressure wound therapy (NPWT) to a sacral wound. Record review showed the resident was admitted with diagnoses including type 2 diabetes, Parkinson's disease, and neuromuscular dysfunction of the bladder. The resident's active physician orders included NPWT to the sacral wound at 125 mmHg every day shift for wound care, and the annual MDS indicated the resident had no cognitive impairment, had an indwelling catheter, an ostomy, and a surgical wound. The care plan dated 4/22/2026 identified a potential/actual impairment to skin integrity due to a surgical wound to the sacrum, but it did not include a care plan for the wound vac or related interventions. During interview, the interim MDS Coordinator said the care plan should have been revised and updated with the new order and acknowledged missing the update for Resident #48. The Administrator stated that members of the IDT team were responsible for updating and revising care plans and that care plans should be updated with changes.
Unlocked Treatment Cart Left Unattended
Penalty
Summary
The facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and to permit only authorized personnel to have access to the keys for 1 of 3 treatment carts reviewed. During an observation on 5/04/2026 at 3:04 pm, the Treatment Nurse and MA A were in Resident #48’s room providing wound care. The Treatment Nurse sanitized her hands, donned a gown, cleaned an overbed table, placed wax paper down, and set wound care supplies on the table in the doorway of the resident’s room. She then entered the room and left the treatment cart in the hallway unlocked with the keys in the lock and closed the door to the resident’s room. When the care was completed, the Treatment Nurse exited the room and stated she was not supposed to leave the keys in the cart. During interview, she said she should have taken the keys and locked the cart, and that the cart contained different types of dressings and ointments that residents should not have access to. She said the cart should not be left unattended or unlocked unless staff were in front of it. The ADON and Administrator later stated that nurse medication/treatment carts should always be locked, the person responsible should keep the keys, and carts should never be left unattended. Record review of the facility policy titled Medication Labeling and Storage, revised February 2023, stated that the facility stores all medications and biologicals in locked compartments under proper temperature, humidity, and light controls, and only authorized personnel have access to keys.
Infection Control Lapses During Wound Care and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program for 2 of 5 staff reviewed for infection control. During wound care for Resident #48, the Treatment Nurse removed the dressing from the sacral wound, changed gloves at several points, and performed wound care, but then touched clean items with dirty gloves. After applying the wound vac dressing, the Treatment Nurse removed the resident’s brief from underneath the buttocks and then touched a clean brief and placed it underneath the resident while still wearing contaminated gloves. The Treatment Nurse later stated she should have changed her gloves and sanitized her hands before touching the wound vac and that she should not have touched the clean brief with dirty gloves. Resident #48 was admitted with diagnoses including type 2 diabetes, Parkinson’s disease, and neuromuscular dysfunction of the bladder. Her record showed an indwelling catheter, an ostomy, and a surgical wound, and she had an active order for NPWT to the sacral wound. Her care plan identified impaired skin integrity related to the sacral wound, but there was no care plan for the wound vac or interventions. During the observed wound care, the Treatment Nurse sanitized her hands, donned a gown, prepared supplies, and assisted with the dressing change, but did not maintain clean technique when handling items in the room. The facility also failed to ensure LVN B wore a gown during enhanced barrier precautions while providing high-contact care to another resident. During observation, LVN B administered an IV antibiotic and flushed a PICC line for Resident #44, who had an enhanced barrier precautions sign posted in the room. LVN B did not wear a gown while flushing the PICC line or connecting the IV tubing. LVN B stated she forgot to put the gown on and acknowledged the resident was on enhanced barrier precautions because of a foley catheter, an open wound, and a PICC line. The ADON and Administrator stated staff were expected to follow infection control protocols, including hand hygiene and enhanced barrier precautions, and both acknowledged the residents could be at risk of cross contamination if those precautions were not followed.
Improper Food Storage in Kitchen Freezer
Penalty
Summary
The facility failed to store food in accordance with professional standards in the kitchen's walk-in freezer. During an observation, it was noted that several food items, including frozen beef patties, fried steak fritters, and French fries, were stored in open cardboard boxes with clear plastic bags that were not properly sealed, leaving them exposed to the elements. The Dietitian acknowledged the issue and stated that all food products should be sealed to prevent exposure. The Executive Chef (EC) also confirmed that unsealed containers could lead to food-borne illnesses and affect food quality. Both the Dietitian and EC emphasized the responsibility of the dietary staff to ensure proper storage, labeling, and dating of food items. Interviews with the Dietitian, EC, and other staff members revealed that there was a lack of adherence to the facility's policy on food storage, which requires all food items to be covered, labeled, and stored in sealed containers. The EC mentioned that the kitchen staff had undergone training on these procedures, but recent staff changes might have contributed to lapses in following the protocols. The Administrator expressed expectations for the kitchen staff to comply with the facility's policies to prevent issues such as freezer burn, which could compromise the freshness and quality of the food served to residents.
Medication Administration Error for Resident
Penalty
Summary
The facility failed to ensure the accurate administration of medications for a resident, leading to a deficiency in pharmaceutical services. During a medication pass, a medication aide (MA B) administered an incorrect dose of felodipine to a resident with high blood pressure and chronic kidney disease. The resident was supposed to receive a total of 15 mg of felodipine, consisting of a 10 mg tablet and an additional 5 mg tablet, as per the physician's orders. However, MA B only administered a 10 mg tablet, failing to provide the full prescribed dosage. The resident, who had intact cognition and required supervision with activities of daily living, was at risk of not receiving the intended therapeutic benefit of the medication due to this error. The Director of Nursing (DON) acknowledged that medications should be administered according to physician orders and noted that incorrect dosages could potentially result in unstable vital signs. The facility's policy on medication errors defines such errors as the preparation or administration of drugs not in accordance with physician orders, which was the case in this incident.
Failure to Monitor Anticoagulant Medication Side Effects
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary medication by not monitoring for side effects of the anticoagulant medication, Eliquis. The resident, a male with a history of atrial fibrillation and stroke, was prescribed Eliquis 2.5 mg twice daily starting from late February. However, the facility did not document any monitoring for side effects of the anticoagulant from the start date until early March. This oversight was confirmed through interviews with the nursing staff, including an LVN, the Unit Manager, and the DON, all of whom acknowledged that the monitoring was overlooked. The facility's policy required monitoring for signs of adverse drug reactions, particularly for anticoagulants, but this was not implemented for the resident in question. The staff, including the admitting nurse and those providing care, were responsible for ensuring that monitoring was added to the computer system, but this step was missed. The failure to monitor could lead to potential adverse consequences, such as excessive bleeding, as noted by the staff during interviews. The facility's policy and the staff's acknowledgment of the oversight highlight the deficiency in adhering to the required monitoring protocols for anticoagulant medications.
Expired Insulin Pens Not Removed from Use
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were labeled and stored according to professional principles, as observed in one of the two medication carts reviewed. Specifically, two insulin pens of Lispro insulin, used to lower blood sugar, were found to be expired and not removed from use. One insulin pen labeled for Resident #4 had been expired for 12 days, and another pen labeled for Resident #31 had been expired for 29 days. This oversight was identified during a review of the Hall 200 Nurse's medication cart. Resident #4, an elderly female with a diagnosis of type 2 diabetes mellitus, was receiving insulin injections as part of her treatment plan. Her medical records indicated that she was moderately impaired cognitively and received insulin injections daily. Similarly, Resident #31, also diagnosed with type 2 diabetes mellitus, was receiving insulin injections as prescribed. Both residents were at risk of receiving less effective medication due to the use of expired insulin pens. Interviews with the nursing staff, including the LVN, ADON, and DON, revealed that the expired insulin pens were overlooked. The staff acknowledged that the responsibility for removing expired medications from the medication cart lay with the nurses, with the ADON serving as a backup. Despite being educated on the removal of expired medications, the oversight occurred, potentially compromising the effectiveness of the insulin administered to the residents.
Improper Labeling of Morphine Sulfate in Medication Cart
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled in accordance with currently accepted professional principles, specifically concerning a bottle of morphine sulfate in a medication cart on the second floor. The bottle, prescribed to Resident #8, was found with a blank label, lacking essential information such as the prescriber, resident's name, date prescribed, date of birth, route, and directions. This oversight was discovered during a narcotic count conducted with a State Surveyor and a medication aide (MA A), who acknowledged the absence of a proper label and the potential risk of administering the wrong dose or medication. Resident #8, who was admitted to the facility with diagnoses including Alzheimer's Disease and hypertensive heart disease, had an active physician order for morphine sulfate oral solution to be administered as needed for pain. Despite the order, the resident had not received the medication since September 2024. The medication was dispensed through a hospice pharmacy, and the facility typically placed the medication in a labeled plastic bag as a safety measure. However, the bottle itself lacked a proper label, which could lead to medication errors. Interviews with facility staff, including MA A, LVN B, the ADON, and the DON, revealed that the medication aides were responsible for checking the medication carts weekly to ensure proper labeling. The staff were unaware of the labeling issue until it was brought to their attention, and they recognized the potential risk of medication errors due to the missing label. The facility's policy on medication labeling and storage emphasized the importance of proper labeling to prevent such errors.
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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 Huntsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Focused Care At Huntsville | 1.3 mi | ★★★★★ | 2 | 0 |
| Huntsville Health Care Center | 2 mi | ★★★★★ | 5 | 0 |
| Willis Nursing And Rehabilitation Lp | 19.5 mi | ★★★★★ | 9 | 0 |
| River Pointe Of Trinity Healthcare And Rehabilitat | 20.1 mi | ★★★★★ | 1 | 0 |
| Trinity Rehabilitation & Healthcare Center | 20.8 mi | ★★★★★ | 37 | 3 |
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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.