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 16 of 16 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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 September 30, 2021. Found during a standard inspection.

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

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, 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).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

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

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, 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 (December 10, 2021).

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

    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.

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

    Health citation F-0840, Administration Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

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

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, 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).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, 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).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

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

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.