Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
MCCORMICK'S CREEK REHABILITATION AND HEALTHCARE
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 210 STATE HWY 43
City: SPENCER
Telephone: (812) 829-3444
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 25-010478-1
  License effective date: 07/01/2025
  License expiration date: 06/30/2026
 


Administration and Staff

Administrator: SARA MITCHELL
  Start date: 02/25/2020
 
Director of Nursing: CAROL STEWART
  Start date: 02/03/2023
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: MAJOR HOSPITAL
2451 INTELLPLEX DR
SHELBYVILLE IN 46176
 
Ownership type:  OTHER
 
Officer(s): DANA CALDWELL
            JEFF BEATY
            JOHN COFFIN
            JAN SANDMAN
            SHERRI TANDY
            PAULA GUSTAFSON
            GENE JONES
            RALPH MERCURI
            LINDA WESSIC
            ROB KINDER
            RYAN CLAXTON
            MELANIE STEVENS
            PHILP MATTHEW HAEHL
            ALEXANDER ISAKOVAN
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: CONTINUING CARE INC
Date of last change of ownership:  
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    0
Number of Medicare/Medicaid beds (SNF/NF):        87
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     87
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            87
 
CENSUS:
Facility census:  78
As reported by the facility on: 07/11/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/11/2025
 
Residential care beds occupied:  0
As reported by the facility on: 07/11/2025
 
Alzheimer Beds:  0
Alzheimer Beds Occupied:  0
As reported by the facility on:   /  /  
 
Ventilator Beds:  0
Ventilator Beds Occupied:  0
As reported by the facility on:   /  /  
 


Sprinklers and Smoke Detectors

This facility is: FULLY SPRINKLERED
 
Number of comprehensive care resident rooms: 44
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 0
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 44
 
  If hard wired and/or wireless smoke detectors are provided in resident's room, do they:
    (A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes
    (B) Transmit to a central station service - Yes
    (C) Connect to the health facility's fire alarm system - Yes
 
Person completing form - SARA HATFIELD
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 04/04/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 11/16/2007
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2011
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 05/08/2009
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     AREA 30 CAREER CENTER
         Approved: 08/21/2003
         Terminated: 05/09/2007
     BLOOMINGTON HOSPITAL AND HEALTHCARE SYSTEMS
         Approved: 09/04/1998
         Terminated: 05/09/2007
     MCCORMICK'S CREEK REHABILITATION AND HEALTHCARE
         Approved: 11/16/2007
         Terminated: N/A
     HARDON EDUCATION
         Approved: 12/06/2018
         Terminated: N/A
     OWEN VALLEY REHABILITATION AND HEALTHCARE CENTER
         Approved: 04/03/2023
         Terminated: N/A
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  1

 


Facility Report Card



 


 
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR


Report Card Score
458
458
458
458


Rank of Score
6
5
5
5


Average Score
302
296
295
296


 
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic. 
The facility report card score is calculated four times per calendar year 
for the two most recent nursing home health surveys.  The facility report card score 
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys, 
and any follow-up surveys that occur within the two most recent nursing home health surveys. 
The facility report card score ranges from 500 to 0, with 500 being the best score possible. 
 
View the Scope and Severity grid
 
View the scoring methodology
 



Overview of Survey findings




 
 The Most Recent Set
 2ND Most Recent Set
 3RD Most Recent Set

Immediate Jeopardy
No
No
No


 Substandard Quality of Care 
No
No
No


Administrator Change
No
No
No


Owner Change
No
No
No


Number of Substantiated Complaints With Deficiencies
0
0
0


Deficiency Free Standard Health Survey
No
No
No


 
    The term 'Recent Set' referenced above relates to the referenced annual survey,
    and any other surveys performed between it and the previous annual survey.
 

 


Enforcement Actions

 
Federal Certification Actions Imposed
 
Date terminated from Medicare/Medicaid: N/A
 


Survey History


    The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
    The survey report therefore will likely not be posted until four to six weeks after the exit date.
        
    In the grid below click on an event ID that is underlined to see the survey report for that event.


 
Event ID
Survey Type
Exit Date

VTIH21
Complaint, Life Safety Code
07/01/2025


B4RS11
Complaint
06/19/2025


C22111
Complaint
06/09/2025


41SG22
Follow Up, Life Safety Code, Recertification
04/15/2025


1UFQ11
Complaint
04/10/2025


44OG11
Complaint
03/19/2025


8XJN11
Complaint
03/06/2025


41SG21
Recertification, Life Safety Code
02/19/2025


41SG12
Recertification, Follow Up, State Licensure
02/18/2025


93F511
Complaint
02/06/2025


41SG11
Recertification, State Licensure
01/31/2025


GL6511
Complaint
11/12/2024


W2SC11
Complaint
10/30/2024


53IK11
Complaint
08/19/2024


69F411
Complaint
05/15/2024


14OP22
Recertification, Follow Up, Life Safety Code
04/16/2024


E6HF12
Complaint, Follow Up
04/02/2024


E6HF11
Complaint
03/11/2024


14OP12
Recertification, Follow Up, State Licensure
03/06/2024


14OP21
Recertification, Life Safety Code
03/04/2024


14OP11
Recertification, Complaint, State Licensure
02/15/2024


7PV611
Complaint
12/12/2023


064D11
Complaint
11/02/2023


5O5K11
Complaint, Other
10/03/2023


QY0O11
Complaint
08/02/2023


JYQ511
Complaint
07/24/2023


OOXL11
Complaint
07/11/2023


KN7D11
Complaint
03/14/2023


NJI912
Recertification, Complaint, Follow Up, State Licensure
01/31/2023


NJI922
Recertification, Follow Up, Life Safety Code
01/24/2023


NJI921
Recertification, Life Safety Code
01/09/2023


NJI911
Recertification, Complaint, State Licensure
01/04/2023


I70C11
Complaint, Other
10/19/2022


 
 


Links and Resources

 
CMS nursing home compare page 
 
    In addition to the information provided on this 
    web site, the Centers for Medicare & Medicaid Services (CMS) has a web site 
    which contains information on every Medicare and Medicaid certified nursing 
    home in the country. The CMS nursing home survey results contain summary information 
    about a facility's noncompliance of regulations regarding the care of residents 
    found in the nursing homes. You can locate nursing homes in your area and find 
    information about compliance with federal regulations.
 
Resources and links to other organizations
 
Choosing a Nursing Home
 
Overview of the Survey Process
 
State Wide Grouping of all Scores
   
Overview of current comprehensive facility scores
   
Spreadsheet of current comprehensive facility names and scores
   
Legal Disclaimer for Long Term Care Reports.