McCormick’s Creek Rehabilitation and Healthcare
Nursing Home, Respite Care & Skilled Nursing · Spencer, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

McCormick’s Creek Rehabilitation and Healthcare

Nursing Home, Respite Care & Skilled Nursing · Spencer, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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McCormick’s Creek Rehabilitation and Healthcare accepts Medicare, Medicaid, and private pay.

Inspection History

In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.

Since 2022 · 4 years of data 36 deficiencies 3 complaints 33 inspections
Inspection Score Info A composite 0–100 score combining this facility's inspections, deficiencies, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

4 points above the Indiana average for assisted living residences (83/100)

Rank #110 / 392 in Indiana Inspection Score — State benchmarked This home is ranked 110th out of 392 homes in Indiana for Inspection Score. Shows this facility's inspection score compared to the Indiana average among 392 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 87 out of 100. Letter grade B+. 4 points above the Indiana average for assisted living residences (83/100)

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Indiana state average
Overall vs. IN average 1 Worse Metrics worse than Indiana average:
• Inspections (85% above)
3 At Avg Metrics at Indiana average:
• Total deficiencies (at IN avg)
• Deficiencies per year (at IN avg)
• Inspections with deficiencies (at IN avg)
4 Better Metrics better than Indiana average:
• Deficiencies per inspection (42% below)
• Inspection deficiency rate (43% below)
• Total complaints (40% below)
• Complaints per year (38% below)
Latest Inspection January 14, 2026 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIN Averagevs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3636 This facility has total deficiencies in line with the Indiana average (36 vs. IN avg 36).— At avg
Deficiencies per year Info Average deficiencies per year since 2022. 99 This facility has deficiencies per year in line with the Indiana average (9 vs. IN avg 9).— At avg
Deficiencies per inspection Info Average deficiencies per inspection. 1.11.9 This facility has 42% fewer deficiencies per inspection than a typical Indiana assisted living residence (1.1 vs. IN avg 1.9).↓ 42% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIN Averagevs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 3319 This facility has had 74% more total visits than the Indiana average (33 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 74% more
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 77 This facility has inspections with deficiencies in line with the Indiana average (7 vs. IN avg 7).— At avg
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 21%37% This facility has 16 percentage points lower inspection deficiency rate than a typical Indiana assisted living residence (21% vs. IN avg 37%).↓ 16% better
Inspections Info Routine, scheduled inspections conducted by state regulators. 2413 This facility has 85% more inspections than a typical Indiana assisted living residence (24 vs. IN avg 13).↑ 85% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityIN Averagevs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 35 This facility has 40% fewer total complaints than a typical Indiana assisted living residence (3 vs. IN avg 5).↓ 40% better
Complaints per year Info Average complaints per year since 2022. 0.81.3 This facility has 38% fewer complaints per year than a typical Indiana assisted living residence (0.8 vs. IN avg 1.3).↓ 38% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on July 1, 2025, found no deficiencies related to the complaint investigated and confirmed compliance with Medicare/Medicaid and Life Safety Code requirements.
  • The February 19, 2025 Life Safety Code survey cited 10 deficiencies including fire suppression training, fire alarm testing, sprinkler maintenance, smoke barrier doors, and oxygen storage safety.
  • The January 31, 2025 recertification survey found one deficiency for catheter care, with immediate corrective action and staff re-education completed onsite.

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A


Last Health inspection on Jan 2025

Total health citations
12 Rank #51 / 292Health citations — State benchmarkedThis home is ranked 51st out of 292 homes in Indiana for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 292 IN facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3 Rank #82 / 292Citations per inspection — State benchmarkedThis home is ranked 82nd out of 292 homes in Indiana for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 292 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 12 citations resulted from standard inspections; and 2 of 12 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

11 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 3 years)
Quality of Care moderate citation Jan 31, 2025
Corrected

Nutrition moderate citation Mar 11, 2024
Corrected

Environmental moderate citation Feb 15, 2024
Corrected

Infection Control moderate citation Feb 15, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 84
Employees 76
Contractors 8
Staff to resident ratio 1.12 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 33
Average shift 8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 24,224

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 11 RN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 13 LPN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 24 CNA Staff are full-time employees. No contractors work on this role. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.3%

1,517 contractor hours this quarter

Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Clinical Nurse Specialist: 1 Qualified Social Worker: 1 Respiratory Therapy Technician: 1 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant240248,57592100%8.6
Licensed Practical Nurse130134,44392100%8.7
Medication Aide/Technician5052,0759098%9.5
Registered Nurse110111,7679199%7.8
Physical Therapist7071,50492100%6.8
Other Dietary Services Staff8081,1679199%5.6
Mental Health Service Worker2029656975%8.2
RN Director of Nursing2027326065%7.3
Dietitian1014936571%7.6
Respiratory Therapy Technician0114826368%7.6
Nurse Practitioner1014245358%8
Physical Therapy Assistant0224095358%7.7
Administrator1013544650%7.7
Physical Therapy Aide0222714043%6.7
Qualified Social Worker0112594246%6.2
Clinical Nurse Specialist1122463942%6.1
Speech Language Pathologist0115778%8.1
24 Certified Nursing Assistant
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 98%
11 Registered Nurse
% of Days 99%
7 Physical Therapist
% of Days 100%
8 Other Dietary Services Staff
% of Days 99%
2 Mental Health Service Worker
% of Days 75%
2 RN Director of Nursing
% of Days 65%
1 Dietitian
% of Days 71%
1 Respiratory Therapy Technician
% of Days 68%
1 Nurse Practitioner
% of Days 58%
2 Physical Therapy Assistant
% of Days 58%
1 Administrator
% of Days 50%
2 Physical Therapy Aide
% of Days 43%
1 Qualified Social Worker
% of Days 46%
2 Clinical Nurse Specialist
% of Days 42%
1 Speech Language Pathologist
% of Days 8%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 2.7
66% better than State average

State average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 5.2
69% better than State average

State average: 17.1

Long-stay resident measures
Significantly above average State avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 1.8%
85% better than State average

State average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.8%
60% better than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 8.1%
67% better than State average

State average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.8%
79% better than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.3%
25% better than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.8%
69% better than State average

State average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 59.9%
148% worse than State average

State average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.1%
27% better than State average

State average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2%
In line with State average

State average: 95.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.74
54% better than State average

State average: 1.60

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.55
5% worse than State average

State average: 1.48

Short-stay resident measures
Significantly above average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
21% better than State average

State average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 64.4%
19% worse than State average

State average: 79.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 17.6%
21% better than State average

State average: 22.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 22.0%
110% worse than State average

State average: 10.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.3%
195% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 57.1%
6% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.1%
9% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

60% of new residents, often for short stays.

Typical stay 25 days

Medicaid

18% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 75
Medicare
15
20% of residents
Medicaid
50
66.7% of residents
Private pay or other
10
13.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Other Nonprofit
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$11.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.8M
Nonprofit Other Nonprofit
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$11.3M Rank #115 / 294Revenue — State benchmarkedThis home is ranked 115th out of 294 homes in Indiana for Revenue. Shows this facility's annual revenue compared to the Indiana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.8M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$63.3K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #199 / 294Payroll — State benchmarkedThis home is ranked 199th out of 294 homes in Indiana for Payroll. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.0M 35.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #283 / 294Payroll % — State benchmarkedThis home is ranked 283rd out of 294 homes in Indiana for Payroll %. Shows payroll as a percentage of revenue versus the Indiana average. Well-run Indiana facilities typically land around 54–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.5M

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 25 days.

Admissions
297 total

Coverage residents most often arrive under.

Medicare 23%
Private pay 60%
Medicaid 18%
Discharges
296 total

Coverage residents most often leave under.

Medicare 14%
Private pay 54%
Medicaid 32%

Places of interest near McCormick’s Creek Rehabilitation and Healthcare

Address 0.0 miles from city center Info Estimated distance in miles from Spencer's city center to McCormick’s Creek Rehabilitation and Healthcare's address, calculated via Google Maps.

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Frequently Asked Questions about McCormick’s Creek Rehabilitation and Healthcare

Who is the Director of Nursing at McCormick’s Creek Rehabilitation and Healthcare?

Carol Stewart is the Director of Nursing at McCormick’s Creek Rehabilitation and Healthcare.

Who is the owner of McCormick’s Creek Rehabilitation and Healthcare?

McCormick’s Creek Rehabilitation and Healthcare is legally operated by Major Hospital, and administered by Sara Mitchell.

Is McCormick’s Creek Rehabilitation and Healthcare in a walkable area?

McCormick’s Creek Rehabilitation and Healthcare has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of McCormick’s Creek Rehabilitation and Healthcare?

According to IN state health department records, McCormick’s Creek Rehabilitation and Healthcare's license number is 25-010478-1.

When does McCormick’s Creek Rehabilitation and Healthcare's license expire?

According to IN state health department records, McCormick’s Creek Rehabilitation and Healthcare's license expires on June 30, 2027.

What is the occupancy rate at McCormick’s Creek Rehabilitation and Healthcare?

McCormick’s Creek Rehabilitation and Healthcare's occupancy is 84%.

Does McCormick’s Creek Rehabilitation and Healthcare operate as a for-profit or non-profit?

McCormick’s Creek Rehabilitation and Healthcare is registered as a non-profit in IN.

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