Mrc Creekside

Inspection findings

1. May 6, 2026 Health · 5 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected May 12, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected May 21, 2026 · CMS fire safety

2. Mar 5, 2025 Health · 4 findings
   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Mar 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Mar 6, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 6, 2025 · CMS health inspection

3. Jan 14, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jan 20, 2025 · CMS health inspection

4. Feb 21, 2024 Health · 8 findings
   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Mar 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Mar 20, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 20, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Mar 20, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

     Corrected Mar 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Apr 10, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Apr 10, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• BAGGETT, ALYCE — corporate director, NOT APPLICABLE, since 07/01/2013
• BESSER, ALICIA — corporate director, NOT APPLICABLE, since 07/01/2024
• BROWN, ALAN — corporate officer, NOT APPLICABLE, since 04/13/2020
• BROWN, ALAN — corporate director, NOT APPLICABLE, since 04/13/2020
• BUNCH, JAMES — corporate director, NOT APPLICABLE, since 08/07/2020
• CONGER, DALE — corporate director, NOT APPLICABLE, since 02/21/2020
• CURRIE, MATTHEW — corporate officer, NOT APPLICABLE, since 08/21/2025
• GILTS, KIP — corporate director, NOT APPLICABLE, since 07/01/2020
• KING, WILLIAM — corporate director, NOT APPLICABLE, since 01/01/2018
• KOERNER, WILLIAM — corporate director, NOT APPLICABLE, since 02/21/2020
• LOGAN, JAMES — adp of the snf, NOT APPLICABLE, since 01/01/2015
• LOGAN, JAMES — operational/managerial control, NOT APPLICABLE, since 01/01/2015
• MALONE-WARDLEY, ROMONICA — corporate director, NOT APPLICABLE, since 07/01/2023
• MORGAN, RICHARD — corporate director, NOT APPLICABLE, since 07/01/2017
• PARTIN, TODD — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• SIMMONS, ED — corporate director, NOT APPLICABLE, since 02/10/2023
• STEPHENS, DONALD — corporate officer, NOT APPLICABLE, since 01/01/2015
• THOMAS, AMY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• WATSON, FRANKIE — corporate director, NOT APPLICABLE, since 11/12/2021
• WILLIAMSON, BILLY — corporate director, NOT APPLICABLE, since 07/01/2010
• WOODWARD, WALTER — corporate director, NOT APPLICABLE, since 07/01/2024
• METHODIST RETIREMENT COMMUNITIES — 5% or greater direct ownership interest, since 12/02/2002
• MRC TOWNCREEK — 5% or greater direct ownership interest, since 12/02/2002
• THE ALDERSGATE TRUST — adp of the snf, NOT APPLICABLE, since 06/11/2010
• THE ALDERSGATE TRUST — 5% or greater indirect ownership interest, 100%, since 06/11/2010
• TRUIST BANK — 5% or greater mortgage interest, NOT APPLICABLE, since 12/06/2019