Creekside Center
9107 N. Davis Road, Stockton, CA 95209


Creekside Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555387. The address is 9107 N. Davis Road, Stockton, CA 95209. The zip code is 95209. The phone number is 2094786488.


Creekside Center · 9107 N. Davis Road, Stockton, CA 95209

Federal Provider Number 555387
Provider Name CREEKSIDE CENTER
Address 9107 N. DAVIS ROAD
STOCKTON, CA 95209
Phone Number 2094786488
SSA County Code 490
County Name San Joaquin
Ownership Type For profit - Corporation
Certified Beds 75
Certified Beds Residents 71
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SUNBRIDGE STOCKTON REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 09/05/1989
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.24437
Reported LPN Staffing Hours per Resident per Day 0.68944
Reported RN Staffing Hours per Resident per Day 0.57746
Reported Licensed Staffing Hours per Resident per Day 1.2669
Reported Total Nurse Staffing Hours per Resident per Day 3.51127
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09366
Expected CNA Staffing Hours per Resident per Day 2.38184
Expected LPN Staffing Hours per Resident per Day 0.58793
Expected RN Staffing Hours per Resident per Day 0.99664
Expected Total Nurse Staffing Hours per Resident per Day 3.96641
Adjusted CNA Staffing Hours per Resident per Day 2.31208
Adjusted LPN Staffing Hours per Resident per Day 0.97331
Adjusted RN Staffing Hours per Resident per Day 0.43293
Adjusted Total Nurse Staffing Hours per Resident per Day 3.56836
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 5
Cycle 1 Health Deficiency Score 52
Cycle 1 Standard Survey Health Date 08/11/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 52
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 08/20/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 09/10/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 34.667
Number of Facility Reported Incidents 6
Number of Substantiated Complaints 5
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Creekside Center

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DAVIS, TIM (Individual) OFFICER since 03/02/2015
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 12/01/2012
FC GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST since 12/01/2012
GENESIS HEALTHCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
REGENCY HEALTH SERVICES, INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SANCHEZ, GREG (Individual) OFFICER since 03/02/2015
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SHERMAN, MICHAEL (Individual) OFFICER since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUNBRIDGE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUNDANCE REHABILITATION HOLDCO, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2016
TRELOAR, JUDY (Individual) MANAGING EMPLOYEE since 04/18/2016
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012

95209 · Nursing Home

Meadowood A Health and Rehabilitation Center 3110 Wagner Heights Road, Stockton, CA 95209
Wagner Heights Nursing & Rehabilitation Center 9289 Branstetter Place, Stockton, CA 95209

Stockton · Nursing Home

Windsor Elmhaven Care Center 6940 Pacific Avenue, Stockton, CA 95207
Solomon Valley Manor 315 S Ash St, Stockton, KS 67669
Windsor Hampton Care Center 442 Hampton Street, Stockton, CA 95204
Crestwood Manor - 104 1130 Monaco Court, Stockton, CA 95207
Lincoln Square Post Acute Care 1032 N. Lincoln Street, Stockton, CA 95203
Waverly Place of Stockton 501 East Front Street, Po Box #38, Stockton, IL 61085
Golden Living Center - Hy-pana 4545 Shelley Court, Stockton, CA 95207
Plymouth Square 1319 N. Madison Street, Stockton, CA 95202
Wagner Heights Nursing & Rehabilitation Center 9289 Branstetter Place, Stockton, CA 95209
Kindred Transitional Care & Rehab - Valley Gardens 1517 East Knickerbocker Drive, Stockton, CA 95210
Riverwood Healthcare Center 5320 Carrington Circle, Stockton, CA 95210
Meadowood A Health and Rehabilitation Center 3110 Wagner Heights Road, Stockton, CA 95209
La Salette Health and Rehabilitation Center 537 E. Fulton Street, Stockton, CA 95204
Golden Living Center - Chateau 1221 Rosemarie Lane, Stockton, CA 95207
Good Samaritan Rehab and Care Center 1630 N. Edison Street, Stockton, CA 95204
Golden Living Center - Portside 2740 North California Street, Stockton, CA 95204
Lake Stockton Healthcare Facility 811 Owen Mill Road, Po Box 945, Stockton, MO 65785

CA · Nursing Home

Windsor Terrace of Westlake Village 250 Fairview Rd, Thousand Oaks, CA 91361
Country Villa North 3233 W. Pico Boulevard, Los Angeles, CA 90019
Valley Memorial Hospital Snf 1111 E Stanley Boulevard, Livermore, CA 94550
Stonebrook Health and Rehabilitation 350 De Soto Drive, Los Gatos, CA 95030
Artesia Christian Home Inc. 11614 E. 183rd St, Artesia, CA 90701
Valle Vista Convalescent Hospital 1025 W. Second Avenue, Escondido, CA 92025
Las Villas Del Norte Health Center 1335 Las Villas Way, Escondido, CA 92026
Atherton Baptist Home 214 South Atlantic Blvd., Alhambra, CA 91801
Covina Rehabilitation Center 261 W. Badillo Street, Covina, CA 91723
Inglewood Health Care Center 100 S. Hillcrest Blvd, Inglewood, CA 90301
Brier Oak On Sunset 5154 Sunset Blvd, Los Angeles, CA 90027
Antelope Valley Care Center 44567 North 15th St. West, Lancaster, CA 93534
La Crescenta Healthcare Center 3050 Montrose Ave, La Crescenta, CA 91214
York Healthcare & Wellness Centre 6071 York Blvd., Los Angeles, CA 90042
Kindred Nursing and Transitional Care-santa Cruz 1115 Capitola Road, Santa Cruz, CA 95062
Manorcare Health Services (citrus Heights) 7807 Uplands Way, Citrus Heights, CA 95610
Milpitas Care Center 120 Corning Avenue, Milpitas, CA 95035
Walnut Village Rehabilitation and Care Center 1401 W Ball Road, Anaheim, CA 92802
Sonoma Developmental Center D/p Snf P.o. Box 1493, Eldridge, CA 95431
Royal Palms Post Acute 630 W. Broadway, Glendale, CA 91204
Premier Care Center for Palm Springs 2990 East Ramon Road, Palm Springs, CA 92264
Empress Care Center, LLC 1299 S. Bascom Avenue, San Jose, CA 95128
Leisure Court Nursing Center 1135 Leisure Court, Anaheim, CA 92801
University Care Center 5602 University Ave, San Diego, CA 92105
Parkview Healthcare Center 27350 Tampa Avenue, Hayward, CA 94544
Crestwood Manor - 104 1130 Monaco Court, Stockton, CA 95207
Dept of State Hospitals - Napa D/p Snf 2100 Napa-vallejo Highway, Napa, CA 94558
Mayflower Gardens Convalescent Hospital 6705 West Avenue M, Lancaster, CA 93536
Brookdale San Dimas 1740 San Dimas Avenue, San Dimas, CA 91773
Royal Oaks Care Center 3565 E. Imperial Hwy., Lynwood, CA 90262
Two Palms Nursing Center, Inc 2637 E. Washinton Blvd, Pasadena, CA 91107
Lodi Nursing & Rehabilitation 1334 S. Ham Lane, Lodi, CA 95242
Sequoias, The 501 Portola Road, Portola Valley, CA 94028
Riverside Behavioral Healthcare Center 4580 Palm Avenue, Riverside, CA 92501
Fairfield Post-acute Rehab 1255 Travis Blvd, Fairfield, CA 94533
Veterans Home of California - Barstow 100 East Veterans Parkway, Barstow, CA 92311
Kindred Transitional Care and Rehab - Canyonwood 2120 Benton Drive, Redding, CA 96003
Golden Living Center - Hillcrest 3672 North First Street, Fresno, CA 93726
Mercy Retirement & Care Center 3431 Foothill Blvd., Oakland, CA 94601
California Home for The Aged 6720 E. Kings Canyon, Fresno, CA 93727