Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
CEDAR CREEK HEALTH CAMPUS
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 18275 BURR STREET
City: LOWELL
Telephone: (219) 696-6750
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-013144-1
  License effective date: 12/01/2024
  License expiration date: 11/30/2025
 


Administration and Staff

Administrator: SHELLY DYREK
  Start date: 07/10/2023
 
Director of Nursing: AMANDA LEWIS
  Start date: 10/29/2023
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HANCOCK REGIONAL HOSPITAL
801 NORTH STATE STREET
GREENFIELD IN 46140
 
Ownership type:  OTHER
 
Officer(s): TIMOTHY CLARK
            ROY WILSON
            DEAN FELKER
            STEVEN LONG
            SARA JOYNER
            JOSHUA DAUGHERTY
            MARIA BOND
            LACEY WILLARD
            J. DAVID MOSSLER
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: TRILOGY  HEALTHCARE OF LOWELL
Date of last change of ownership: 12/01/2014
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    24
Number of Medicare/Medicaid beds (SNF/NF):        34
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     58
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            48
 
Total number of beds in facility:            106
 
CENSUS:
Facility census:  87
As reported by the facility on: 07/15/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/15/2025
 
Residential care beds occupied:  31
As reported by the facility on: 07/15/2025
 
Alzheimer Beds:  14
Alzheimer Beds Occupied:  13
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: 46
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: 46
 
  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 - SHELLY DYREK
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 04/03/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved:  
Nurse aide training and competency evaluation program (NATCEP) expires:  
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 06/04/2026
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     MED-STAR ACADEMY
         Approved: 03/17/2015
         Terminated: 07/13/2015
     KANKAKEE VALLEY HIGH SCHOOL
         Approved: 02/04/2016
         Terminated: 06/05/2024
     IN TRAINING COLLEGE OF ADULT EDUCATION
         Approved: 04/07/2017
         Terminated: 06/05/2024
     LOWELL HIGH SCHOOL
         Approved: 06/16/2020
         Terminated: 06/05/2024
     TRILOGY TRAINING PROGRAM
         Approved: 06/21/2021
         Terminated: 06/05/2024
     HANOVER CENTRAL SCHOOL CORPORATION
         Approved: 01/04/2018
         Terminated: 06/05/2024
     IVY TECH COMMUNITY COLLEGE-LAKE COUNTY
         Approved: 08/13/2021
         Terminated: 06/05/2024
     UNIVERSITY OF SAINT FRANCIS
         Approved: 02/07/2023
         Terminated: 06/05/2024
     DESTINATION UNLIMITED TRAINING CENTER
         Approved: 10/01/2021
         Terminated: 06/05/2024
 


Complaints

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

 


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
371
389
395
395


Rank of Score
42
33
32
32


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
Yes
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
     Civil Money Penalty
     Date Imposed: 06/05/2024  Date Ended: 06/05/2024
     Amount proposed per day: 
 
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

6KTN12
Complaint, Follow Up
07/01/2025


6KTN11
Complaint
06/12/2025


X0TN22
Recertification, Follow Up, Life Safety Code
05/13/2025


X0TN21
Recertification, Life Safety Code
04/28/2025


X0TN12
Recertification, Follow Up, State Licensure
04/15/2025


X0TN11
Recertification, Complaint, State Licensure
03/24/2025


L03F12
Complaint, Follow Up
02/10/2025


L03F11
Complaint
01/21/2025


MJNX12
Complaint, Follow Up
10/01/2024


MJNX11
Complaint
09/04/2024


E1X522
Follow Up, Life Safety Code, Recertification
07/18/2024


2GUT11
Complaint
06/05/2024


E1X512
Recertification, Follow Up, State Licensure
05/30/2024


E1X521
Recertification, Life Safety Code
05/28/2024


E1X511
Recertification, State Licensure
05/03/2024


L07111
Complaint
03/20/2024


1Q1S12
Complaint, Follow Up
02/06/2024


1Q1S11
Complaint
01/04/2024


LJF822
Recertification, Follow Up, Life Safety Code
06/29/2023


LJF812
Recertification, Follow Up, State Licensure
06/20/2023


LJF821
Recertification, Life Safety Code
06/08/2023


LJF811
Recertification, State Licensure
05/22/2023


 
 


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.