Creekside Village

Inspection findings

1. Apr 10, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Apr 13, 2026 · CMS health inspection

2. Dec 1, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Jan 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jan 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 15, 2026 · CMS health inspection

3. Jun 19, 2025 Health · 3 findings
   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Jul 8, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jul 8, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0741 Miscellaneous Deficiencies

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

     Corrected Jul 8, 2025 · CMS fire safety

4. Apr 24, 2024 Health · 4 findings
   • Not serious Scope/severity E

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected May 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected May 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0655 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

     Corrected May 23, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected May 23, 2024 · CMS fire safety

5. Oct 25, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0626 Resident Rights Deficiencies

     Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

     Corrected Nov 20, 2023 · CMS health inspection

6. Feb 24, 2023 Health · 3 findings
   • Not serious Scope/severity D

     F0655 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

     Corrected Mar 16, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0657 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.

     Corrected Mar 16, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Mar 16, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ALKARRA, NHEME — adp of the snf, NOT APPLICABLE, since 01/01/2014
• BERGERON, BOBBY — operational/managerial control, NOT APPLICABLE, since 01/15/2024
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 01/15/2024
• MUSTAFA, MARIAN — adp of the snf, NOT APPLICABLE, since 09/19/2023
• NICHOLSON, LOUIS — operational/managerial control, NOT APPLICABLE, since 01/15/2024
• PELLERIN, RICHARD — adp of the snf, NOT APPLICABLE, since 01/15/2024
• CREEKSIDE VILLAGE HEALTHCARE LTC PARTNERS, INC. — operational/managerial control, NOT APPLICABLE, since 01/15/2024
• CSTX REAL ESTATE HOLDINGS, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2024