Creekside Transitional Care and Rehabilitation · Meridian Healthcare, Inc.

2088956402 · 1351 West Pine Avenue, Meridian, ID 83642

Overview

Creekside Transitional Care and Rehabilitation is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #135125. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 1351 West Pine Avenue, Meridian, ID 83642. The overall rating is 4.

Federal Provider Number 135125
Provider Name CREEKSIDE TRANSITIONAL CARE AND REHABILITATION
Legal Business Name MERIDIAN HEALTHCARE, INC.
Address 1351 West Pine Avenue
Meridian
ID 83642
County Ada
Telephone 2088956402
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 1997-03-20
Number of Certified Beds 139
Average Number of Residents per Day 74
Provider Resides in Hospital N
Continuing Care Retirement Community Y
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago Y
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 2
Quality Measure Rating 5
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating 5
Staffing Rating 4
Registered Nurses Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.09844
Reported LPN Staffing Hours per Resident per Day 1.49700
Reported RN Staffing Hours per Resident per Day 0.85653
Reported Licensed Staffing Hours per Resident per Day 2.35353
Reported Total Nurse Staffing Hours per Resident per Day 4.45196
Reported Physical Therapist Staffing Hours per Resident Per Day 0.12653
Expected CNA Staffing Hours per Resident per Day 1.95279
Expected LPN Staffing Hours per Resident per Day 0.73668
Expected RN Staffing Hours per Resident per Day 0.36128
Expected Total Nurse Staffing Hours per Resident per Day 3.05075
Adjusted CNA Staffing Hours per Resident per Day 2.21235
Adjusted LPN Staffing Hours per Resident per Day 1.50560
Adjusted RN Staffing Hours per Resident per Day 0.94878
Adjusted Total Nurse Staffing Hours per Resident per Day 4.66962
Rating Cycle 1 Standard Survey Health Date 2019-03-01
Rating Cycle 1 Total Number of Health Deficiencies 16
Rating Cycle 1 Number of Standard Health Deficiencies 14
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 172
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 172
Rating Cycle 2 Standard Health Survey Date 2017-06-16
Rating Cycle 2 Total Number of Health Deficiencies 22
Rating Cycle 2 Number of Standard Health Deficiencies 13
Rating Cycle 2 Number of Complavarchar Health Deficiencies 9
Rating Cycle 2 Health Deficiency Score 136
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 136
Rating Cycle 3 Standard Health Survey Date 2016-04-29
Rating Cycle 3 Total Number of Health Deficiencies 12
Rating Cycle 3 Number of Standard Health Deficiencies 8
Rating Cycle 3 Number of Complavarchar Health Deficiencies 4
Rating Cycle 3 Health Deficiency Score 96
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 96
Total Weighted Health Survey Score 147.333
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 7
Number of Citations from Infection Control Inspections 2
Number of Fines 1
Total Amount of Fines in Dollars 7150.00
Number of Payment Denials 0
Total Number of Penalties 1
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
CREEKSIDE TRANSITIONAL CARE AND REHABILITATION

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTPENNANT HEALTHCARE, INC.Organization100%since 05/18/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTENSIGN GROUP, INCOrganization100%since 05/18/2018
MANAGING EMPLOYEECLEGG, TRENTIndividualsince 11/01/2018
OFFICERBUNKER, DEREKIndividualsince 05/18/2018
OFFICERBURNAM, SOONIndividualsince 05/18/2018
OFFICERBURTON, SPENCERIndividualsince 05/18/2018
OFFICERFARNSWORTH, STEPHENIndividualsince 05/18/2018
OPERATIONAL/MANAGERIAL CONTROLCLEGG, TRENTIndividualsince 11/01/2018

Location Information

Street Address 1351 WEST PINE AVENUE
City MERIDIAN
State ID
Zip Code 83642

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Aspen Transitional Rehabilitation · Ahc of Boise 2867 East Copper Point Drive, Meridian, ID 8364220840191002005-08-234
Meridian Meadows Transitional Care · Tanabell Health Services, Inc. 2656 E Magic View Drive, Meridian, ID 8364220899628012020-01-09

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.