All citations for Millcreek Rehabilitation and Nursing

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Millcreek Rehabilitation and Nursing

Last standard health inspection on record

March 31, 2025

Showing 1 to 25 of 45 citations

  1. Immediate jeopardy to resident health or safety

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  2. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  3. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  4. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of January 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  5. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  6. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  7. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2023).

  8. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2023).

  9. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  10. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  11. No harm, with potential for more than minimal harm

    Keep complete, dated laboratory records in the resident's record.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0775, Administration Deficiencies. Inspection of March 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  12. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  14. No harm, with potential for more than minimal harm

    Put firmly secured handrails on each side of hallways.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0924, Environmental Deficiencies. Inspection of March 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  15. No harm, with potential for more than minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of March 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  16. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2021).

  17. No harm, with potential for more than minimal harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

  18. No harm, with potential for more than minimal harm

    Assure that each resident’s assessment is updated at least once every 3 months.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

  19. No harm, with potential for more than minimal harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2021).

  20. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

  21. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2021).

  23. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2021).

  24. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

  25. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 7, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.