Facility profile · CCN 345149
Mill Creek Center For Nursing And Rehabilitation
45 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $29,876.
Record summary
Federal record · Q1 202645
Total citations
29
Last 3 years
3
Actual harm+
2
Federal penalties
$29,876
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
45 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 14, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 14, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Apr 14, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Apr 14, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Apr 14, 2025 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Apr 14, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Apr 14, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 14, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 14, 2025 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Apr 14, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Apr 14, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard |
| Apr 14, 2025 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Apr 14, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Apr 14, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jan 7, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jan 7, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| May 29, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| May 29, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Nov 16, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint |
| Nov 16, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| Nov 16, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 16, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Nov 16, 2023 | F880 | Provide and implement an infection prevention and control program. | J | Standard |
| Nov 16, 2023 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Nov 16, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Nov 16, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Nov 16, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 28, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 28, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jun 23, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jun 23, 2022 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Jun 23, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 23, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 23, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jun 23, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jun 23, 2022 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | F | Standard |
| Jun 23, 2022 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Jun 23, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 23, 2022 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Jun 23, 2022 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Jun 23, 2022 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
| Jun 23, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard |
| Jun 23, 2022 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Jun 23, 2022 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Jun 23, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $29,876 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 29, 2024 | Fine | $16,452 | — |
| Sep 28, 2023 | Fine | $13,424 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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