Independent · Federal inspection records, searchable
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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.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
45
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
SurveyF-TagViolationSeveritySource
Apr 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 14, 2025F584Honor 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.DComplaint
Apr 14, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 14, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Apr 14, 2025F791Provide or obtain dental services for each resident.DStandard
Apr 14, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 14, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 14, 2025F637Assess the resident when there is a significant change in conditionDStandard
Apr 14, 2025F583Keep residents' personal and medical records private and confidential.DStandard
Apr 14, 2025F578Honor 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.EStandard
Apr 14, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Apr 14, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 14, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Jan 7, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Jan 7, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
May 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Nov 16, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Nov 16, 2023F759Ensure medication error rates are not 5 percent or greater.EComplaint
Nov 16, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Nov 16, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 16, 2023F880Provide and implement an infection prevention and control program.JStandard
Nov 16, 2023F761Ensure 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.EStandard
Nov 16, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Nov 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 16, 2023F641Ensure each resident receives an accurate assessment.DStandard
Sep 28, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 28, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 23, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 23, 2022F814Dispose of garbage and refuse properly.FStandard
Jun 23, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 23, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 23, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 23, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 23, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFStandard
Jun 23, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jun 23, 2022F641Ensure each resident receives an accurate assessment.DStandard
Jun 23, 2022F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jun 23, 2022F584Honor 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.DStandard
Jun 23, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard
Jun 23, 2022F578Honor 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.EStandard
Jun 23, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jun 23, 2022F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Jun 23, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $29,876 .

DateTypeFinePayment denial
May 29, 2024Fine$16,452
Sep 28, 2023Fine$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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