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Nursing homeFAID #2007

Creekstone Health and Wellness

1500 SOUTHGATE DRIVE, KISSIMMEE, FL, 34746

(407) 846-7201

161 licensed beds

CMS rates Creekstone Health and Wellness 2 out of 5 overall. Federal inspectors issued 27 citations across 8 inspections in the last three years, with $11,629 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

1500 Southgate Drive

Kissimmee, FL 34746

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Public record summary

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Bed capacity

161

CMS facility ID

105559

Care type

Nursing home

County

Osceola

Facility name

Creekstone Health and Wellness

Street address

1500 SOUTHGATE DRIVE

City / state / ZIP

Kissimmee, FL 34746

Phone

(407) 846-7201

Website

good-sam.com

About this facility — Creekstone Health and Wellness

Creekstone Health and Wellness is a Medicare/Medicaid-certified skilled nursing facility in Kissimmee, Florida. It is licensed for 161 beds — above the median for skilled nursing facilities in Florida (120 beds).

It is one of 68 senior care facilities in Kissimmee and 694 skilled nursing facilities across Florida. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Good Samaritan Society, a group of 93 facilities on this site.

Federal inspectors have cited Creekstone Health and Wellness 27 times across 8 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $11,629 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Good Samaritan Society

Ownership type

Non profit - Corporation

Registered owners & officers

Cain, James

Director — since 2024

Chappel, Christopher

Managing employee — since 2018

Dykhouse, Dana

Director — since 2024

Engbrecht, Wesley

Director — since 2024

Fluit, Joel

Managing employee — since 2022

Gassen, William

Director · Officer — since 2024

Gulsvig, Neil

Director — since 2024

Herseth Sandlin, Stephanie

Director — since 2024

Lundeen, Mark

Director — since 2024

Middleton, Aimee

Officer — since 2022

Molbert, Lauris

Director — since 2024

Morrison, Tony

Managing employee — since 2019

North, Andrew

Director — since 2024

Olson, Nicholas

Officer — since 2024

Rogers, Michael

Officer — since 2022

Sanford

Direct owner — since 2019

Schema, Nathan

Officer — since 2022

Shulkin, David

Director — since 2024

Spies, Dorene

Managing employee — since 2022

Teiken, Brent

Director — since 2024

Ventling-herrmann, Marnie

Director — since 2024

Regulatory standing

Federal court records

20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1987-05-20

CMS overall rating

2 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$11,629 total

Last standard inspection

2025-12-11

Nurse staffing

1.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$435 per day (≈ $13,220/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

51% Medicaid · 5% Medicare · 44% private/other

Occupancy

65% (fiscal year 2023)

Vs. state median

7% above the FL median of $408/day — full state cost breakdown

Services & coverage

Licensed beds

161

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2025-12-11Health inspectionComplaint-triggered7 citations

F-0585

D · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2026-01-23

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-01-23

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-01-23

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-01-23

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-23

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2026-01-23

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-01-23

2024-02-01Health inspection4 citations

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2024-02-23

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-02-23

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-23

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-02-23

5 earlier / fire-safety inspections (16 citations)

2023-11-10Health inspectionComplaint-triggered1 citation

F-0698

G · Actual harmFrom a complaint

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-12-04

2022-03-24Health inspection4 citations

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-04-25

F-0609

E · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-04-25

F-0623

E · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-04-25

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2022-04-25

2025-12-11Fire-safety inspection5 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-01-26

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-26

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-26

K-0911

E · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2026-01-26

K-0912

E · No harm found

Have power receptacles that are properly grounded.

Corrected 2026-01-26

2024-02-01Fire-safety inspection2 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-02-28

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-28

2022-03-24Fire-safety inspection4 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-04-25

K-0111

F · No harm found

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2022-04-25

K-0223

F · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-06-23

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-04-25

Federal penalties

2023-11-10Fine$11,629

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 105559.

Quality of care & staffing

How it compares in Florida.

Inspection citations, 3 years

More than 50% of nursing homes in the state

State median: 26

Federal fines, 3 years

$11,629

More than 69% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

1.2

Among the lowest of nursing homes in the state

State median: 3.7

Nursing staff turnover, annual

38%

Higher than 40% of nursing homes in the state

State median: 42%

Resident outcomes

On 19 federal quality measures, this facility does better than the Florida average on 8 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	34.3%	8.3%	13.5%	Worse than state
Lose too much weight	7.3%	5.5%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.4%	0.3%	0.7%	Worse than state
With a urinary tract infection	0.0%	0.6%	1.5%	Better than state
Have depressive symptoms	0.7%	5.4%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.7%	2.5%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	97.5%	98.4%	93.7%	Near state average
Ability to walk independently worsened	31.6%	8.4%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	4.4%	13.9%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	99.2%	99.4%	95.3%	Near state average
With pressure ulcers	3.8%	4.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	21.4%	9.5%	18.3%	Worse than state
Received an antipsychotic medication	1.8%	8.7%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	88.3%	95.6%	82.3%	Near state average
Newly received an antipsychotic medication	1.1%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	80.0%	96.3%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	25.6%	25.8%	23.4%	Near state average
Had an outpatient emergency department visit	12.9%	8.9%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

E-0004 2 inspections. Develop and maintain an Emergency Preparedness Program (EP).
K-0345 2 inspections. Have approved installation, maintenance and testing program for fire alarm systems.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.

What its owners also hold

Sanford has an ownership stake on file at 89 nursing homes, averaging 3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Florida

Licensing: Florida Agency for Health Care Administration, Bureau of Health Facility Regulation, Assisted Living Unit
File a complaint: 888-419-3456 · Online
Long-Term Care Ombudsman: 888-831-0404. A free advocate for residents and families.
Adult Protective Services: 800-962-2873. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Hca Florida Osceola Hospital, about 3.2 miles. CMS rating 2 of 5.
Orlando Health St Cloud Hospital, about 8.4 miles. CMS rating 2 of 5.
Ucf Lake Nona Hospital, about 12 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Canopy Ridge Assisted Living, Kissimmee, about 0.2 miles.
The Courtyard At Granada, Kissimmee, about 2.8 miles.
All Seasons Assisted Living, Kissimmee, about 2.8 miles.
The Good Shepherd Assisted Living, Kissimmee, about 2.9 miles.
Aum Haven Alf, Kissimmee, about 3.0 miles.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 27 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered