Creekside Health And Rehabilitation Center
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Based on observation, interview, and record review, the facility failed to ensure a resident was treated with dignity and respect for 1 of 4 residents reviewed for dignity. (Resident B)Findings include: The clinical record for Resident B was reviewed on 8/21/25 at 12:10 p.m. The diagnoses included, but were not limited to, depression and pain in the right knee. A Quarterly Minimum Data Set assessment, completed 8/5/25, indicated he was moderately cognitively impaired and had severe signs and symptoms of depression.A Psychological Progress Note, dated 8/12/25, indicated he was oriented to person, place, and had mild impairment in thought process. On 8/21/25 at 12:40 p.m., Resident B was observed in his room. He was sitting in his wheelchair by his bed, and the room door was closed. Certified Nurse Aide (CNA) 2 opened
the door without knocking. CNA 2 asked Resident B if he was okay and if he had his call light. Resident B responded that he was fine. CNA 2 exited the room, closing the door behind her. Resident B indicated the staff come into his room often without knocking and it bothered him. He wished they would knock before coming in. Resident B then began speaking about his pain medications and indicated the staff did not administer his pain medication correctly. Qualified Medication Aide (QMA) 3 knocked and entered the room as Resident B was discussing his pain medication and sternly told Resident B No we don't. QMA 3 indicated she had Resident B's methadone (routine pain medication). Resident B asked about having his oxycodone (narcotic pain medication). QMA 3, in a sharp tone, informed him that he had his oxycodone earlier in the day and did Resident B want his methadone, if not she would put refused and throw it away.
Resident B indicated he would take his methadone and QMA 3 administered the medication to him. QMA 3 then left the room. Resident B became tearful and indicated the staff spoke to him that way all the time. He felt that it was disrespectful. The staff would talk to him like there was something wrong with him and respond like he (the resident) did not know what he was talking about. During an interview on 8/21/25 at 1:00 p.m., CNA 2 indicated she was sorry for busting in the door without knocking. CNA 2 had been worried Resident B did not have his call light and should have knocked before entering. During an interview on 8/21/25 at 1:06 p.m., QMA 3 indicated Resident B asked every day about the pain medications and thought
he was getting the wrong medications. She educated him on his medications before giving them.During an
interview on 8/22/25 at 12:39 p.m., the Director of Nursing and the Executive Director indicated they expected staff to knock before entering a room and staff should speak to and treat residents with dignity and respect. On 8/21/25 at 11:04 a.m., the Director of Nursing provided the Resident Rights Policy, implemented 3/5/24, which indicated . The resident has a right to be treated with respect and dignity .This citation relates to Complaint 2580039. 3.1-3(a)3.1-3(t)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
CREEKSIDE HEALTH AND REHABILITATION CENTER in INDIANAPOLIS, IN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in INDIANAPOLIS, IN, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CREEKSIDE HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.