Facility profile · CCN 465185
Millcreek Rehabilitation And Nursing Llc
27 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $25,441.
Record summary
Federal record · Q1 202627
Total citations
15
Last 3 years
3
Actual harm+
1
Federal penalties
$25,441
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
27 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Mar 31, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 31, 2025 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Mar 31, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Mar 31, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Mar 31, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Mar 31, 2025 | F924 | Put firmly secured handrails on each side of hallways. | E | Standard |
| Mar 31, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 31, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Mar 31, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Mar 31, 2025 | F775 | Keep complete, dated laboratory records in the resident's record. | E | Standard |
| Mar 31, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Mar 31, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 31, 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 | Standard |
| Jun 15, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint |
| Jun 15, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 30, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 30, 2021 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Standard |
| Sep 30, 2021 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Sep 30, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 30, 2021 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Sep 30, 2021 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Sep 30, 2021 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Sep 30, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 30, 2021 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard |
| Sep 30, 2021 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Sep 30, 2021 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Sep 30, 2021 | 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. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $25,441 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 31, 2025 | Fine | $25,441 | — |
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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