Starfile / Maryland

CREEKSIDE CENTER FOR REHABILITATION AND NURSING

1183 LUTHER DRIVE, HAGERSTOWN, MD 21740 · CCN 215113

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Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$101,178

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

MORDECHAI WEISZ

Facilities in chain

7

Chain avg overall

2.60 / 5

Inspection citations (109)4 immediate jeopardy2 actual harm

1. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-23 · Health · corrected 2025-11-24

   Immediate jeopardy

2. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-10-17 · Health · corrected 2025-12-03

   Potential for more than minimal harm

3. DF0610Respond appropriately to all alleged violations.2025-10-17 · Health · corrected 2025-12-03

   Potential for more than minimal harm

4. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-17 · Health · corrected 2025-02-04

   Actual harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-21 · Health · corrected 2025-03-31

   Potential for more than minimal harm

6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-21 · Health · corrected 2025-03-31

   Potential for more than minimal harm

7. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-21 · Health · corrected 2025-03-31

   Potential for more than minimal harm

8. EF0880Provide and implement an infection prevention and control program.2025-02-21 · Health · corrected 2025-03-31

   Potential for more than minimal harm

9. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-05 · Health · corrected 2024-10-07

   Potential for more than minimal harm

10. DF0558Reasonably accommodate the needs and preferences of each resident.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

11. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

12. DF0572Give residents a notice of rights, rules, services and charges.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

13. DF0578Honor 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.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

15. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

16. JF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-08-05 · Health · corrected 2024-11-22

    Immediate jeopardy

17. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

18. EF0610Respond appropriately to all alleged violations.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

19. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

20. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

21. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

22. DF0637Assess the resident when there is a significant change in condition2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

25. FF0660Plan the resident's discharge to meet the resident's goals and needs.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

26. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

27. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-05 · Health · corrected 2024-11-22

    Immediate jeopardy

28. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

29. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

30. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-05 · Health · corrected 2024-11-22

    Actual harm

31. DF0692Provide enough food/fluids to maintain a resident's health.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

33. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

34. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

35. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

36. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

37. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

38. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

39. FF0730Observe each nurse aide's job performance and give regular training.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

40. DF0732Post nurse staffing information every day.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

41. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

42. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

43. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

44. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

45. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

46. EF0759Ensure medication error rates are not 5 percent or greater.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

47. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

48. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

49. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

50. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

51. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

52. FF0880Provide and implement an infection prevention and control program.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

53. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

54. FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

55. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

56. FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-08-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

57. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

58. FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-08-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

59. DF0558Reasonably accommodate the needs and preferences of each resident.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

60. BF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2019-07-25 · Health · corrected 2019-09-25

    Potential for minimal harm

61. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

62. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

63. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

64. EF0610Respond appropriately to all alleged violations.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

65. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

66. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

67. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

68. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

69. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-07-25 · Health · corrected 2019-11-19

    Potential for more than minimal harm

70. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

71. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

72. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

73. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-07-25 · Health · corrected 2019-09-25

    Immediate jeopardy

74. DF0692Provide enough food/fluids to maintain a resident's health.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

75. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-07-25 · Health · corrected 2019-11-19

    Potential for more than minimal harm

76. CF0732Post nurse staffing information every day.2019-07-25 · Health · corrected 2019-11-19

    Potential for minimal harm

77. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

78. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

79. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-07-25 · Health · corrected 2019-11-19

    Potential for more than minimal harm

80. DF0758Implement 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 limited.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

81. EF0759Ensure medication error rates are not 5 percent or greater.2019-07-25 · Health · corrected 2019-11-19

    Potential for more than minimal harm

82. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

83. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

84. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-07-25 · Health · corrected 2019-11-19

    Potential for more than minimal harm

85. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2019-07-25 · Health · corrected 2019-09-25

    Potential for more than minimal harm

86. DF0558Reasonably accommodate the needs and preferences of each resident.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

87. CF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2018-02-05 · Health · corrected 2018-03-28

    Potential for minimal harm

88. DF0578Honor 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.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

89. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

90. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

91. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

92. EF0641Ensure each resident receives an accurate assessment.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

93. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

94. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

95. DF0675Honor each resident's preferences, choices, values and beliefs.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

96. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

97. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

98. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

99. EF0730Observe each nurse aide's job performance and give regular training.2018-02-05 · Health · corrected 2018-03-28

    Potential for more than minimal harm

100. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

101. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

102. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

103. DF0758Implement 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 limited.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

104. EF0759Ensure medication error rates are not 5 percent or greater.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

105. EF0761Ensure 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.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

106. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

107. DF0790Provide routine and 24-hour emergency dental care for each resident.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

108. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

109. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2018-02-05 · Health · corrected 2018-03-28

     Potential for more than minimal harm

Ownership

Other facilities in HAGERSTOWN

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.