CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH

The information listed below provides an in-depth look into the type and quality of care offered at Creekside Rehabilitation & Behavioral Health. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH
850 SONOMA AVE
SANTA ROSA, CA 95404
(707) 544-7750

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 172
  • Certified Beds: 181

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Sebastopol | Healdsburg | Sonoma

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Creekside Rehabilitation & Behavioral Health. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1633.1%
ADL Index Range: 6-1028.8%
ADL Index Range: 0-50.8%
Total Percent:62.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.0%
ADL Index Range: 6-109.1%
ADL Index Range: 0-50.2%
Total Percent:24.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.9%
ADL Index Range: 6-102.5%
Total Percent:3.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.9%
ADL Index Range: 6-102.5%
Total Percent:4.3%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
0.1%
Total Percent:0.1%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.1%
ADL Index Range: 15-16
- No Signs of depression
2.1%
Total Percent:2.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.1%
ADL Index Range: 6-10
- No Signs of depression
0.5%
ADL Index Range: 2-5
- No Signs of depression
0.05%
Total Percent:1.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
0.7%
ADL Index Range: 11-14
- No Signs of depression
0.1%
ADL Index Range: 6-10
- No Signs of depression
0.5%
Total Percent:1.3%
 

Rating Details For Creekside Rehabilitation & Behavioral Health

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours42 Minutes1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 12 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 31 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours1 Hour and 54 Minutes1 Hour and 44 Minutes
Total Nurse Hours4 Hours and 25 Minutes4 Hours and 2 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder42%58%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased5%11%
Percent of Long-Stay Residents Who Lose Too Much Weight5%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Were Physically Restrained-7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain42%23%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores22%17%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/21/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Train All Employees on What to Do in an Emergency.
  • Inspection Date: 04/21/2011
  • Correction Date: 05/23/2011

Environmental

Keep Temperature Levels Comfortable and Safe.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009
Get Rid of Garbage Properly.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/05/2010
  • Correction Date: 06/28/2010
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 03/05/2010
  • Correction Date: 06/28/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 03/05/2010
  • Correction Date: 06/28/2010
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 04/21/2011
  • Correction Date: 05/23/2011
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 04/21/2011
  • Correction Date: 05/23/2011

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 03/05/2010
  • Correction Date: 06/28/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/05/2010
  • Correction Date: 06/28/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/05/2010
  • Correction Date: 06/28/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/21/2011
  • Correction Date: 05/23/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/27/2009
  • Correction Date: 03/26/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Creekside Rehabilitation & Behavioral Health, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/18/2008
  • Correction Date: 02/25/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/11/2009
  • Correction Date: 08/21/2009

Resident Rights

Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
  • Complaint Filed: 04/07/2008
  • Correction Date: 01/01/1900
Provide Written Records when a Resident is Transferred or Discharged.
  • Complaint Filed: 04/07/2008
  • Correction Date: 01/01/1900
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 04/07/2008
  • Correction Date: 01/01/1900
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
  • Complaint Filed: 04/07/2008
  • Correction Date: 01/01/1900

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Creekside Rehabilitation & Behavioral Health had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/18/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Properly Working Sprinkler Alarm System.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/22/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/22/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010
Portable Fire Extinguishers.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/18/2011
  • Correction Date: 06/06/2011
Portable Fire Extinguishers.
  • Inspection Date: 05/18/2011
  • Correction Date: 06/06/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 05/18/2011
  • Correction Date: 06/06/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/22/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/18/2011
  • Correction Date: 06/06/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/22/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/18/2011
  • Correction Date: 06/06/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/22/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/17/2010
  • Correction Date: 04/15/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011