Millcreek Manor

Certification

Medicare-certified.

Ratings

Inspection history (29)

Records from October 2023 to March 2026.

• March 29, 2026

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm.

• March 29, 2026

  Tag F0583

  Keep residents' personal and medical records private and confidential.

  Severity D: isolated, no actual harm, potential for more than minimal harm.

• January 23, 2026

  Tag F0842

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 16, 2026.

• January 23, 2026

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 16, 2026.

• November 18, 2025

  Tag F0760

  Ensure that residents are free from significant medication errors.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2026.

• July 30, 2025

  Tag F0842

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

  Severity B: pattern, no actual harm, potential for minimal harm. Corrected August 25, 2025.

• July 30, 2025

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 25, 2025.

• March 27, 2025

  Tag F0760

  Ensure that residents are free from significant medication errors.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 22, 2025.

• January 24, 2025

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 21, 2025.

• January 24, 2025

  Tag F0578

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 21, 2025.

• January 24, 2025

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 21, 2025.

• September 5, 2024

  Tag F0760

  Ensure that residents are free from significant medication errors.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 7, 2024.

• July 24, 2024

  Tag F0607

  Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2024.

• February 23, 2024

  Tag F0655

  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 1, 2024.

• February 23, 2024

  Tag F0637

  Assess the resident when there is a significant change in condition.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2024.

• February 23, 2024

  Tag F0656

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2024.

• February 23, 2024

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2024.

• February 23, 2024

  Tag F0689

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

  Severity J: isolated, immediate jeopardy. Corrected April 1, 2024.

• February 23, 2024

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2024.

• February 23, 2024

  Tag F0835

  Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2024.

Penalties (1)

Total fines: $100,240

• February 2, 2024 · Fine

  CMS recorded a civil money penalty of $100,240 against this nursing home on February 2, 2024.

Staffing

4.22 nurse hours per resident per day in Q2 2026, down from 4.41 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit