INNERS CREEK SKILLED NURSING AND REHABILITATION CE
100 WEST QUEEN STREET, DALLASTOWN, PA 17313 · CCN 395451
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 202
- Avg residents/day
- 191.8
- Phone
- 7172461671
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-25 | 29 | 10.1 | 9.5 | +18.9 worse |
| 2 | 2023-11-30 | 28 | 10.9 | 9.8 | +17.1 worse |
| 3 | 2022-12-08 | 2 | 10.5 | 9.3 | -8.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 7 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 3 |
| Resident rights | 5 |
| Nutrition and dietary | 3 |
| Pharmacy service | 4 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.22 | 52.6% |
| RN staffing (reported) | 0.44 | 34.8% |
| Total nurse staffing (adjusted) | 3.36 | — |
Fines & penalties
- Total fines
- $32,679
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- GENESIS HEALTHCARE
- Facilities in chain
- 193
- Chain avg overall
- 2.40 / 5
Inspection citations (59)1 immediate jeopardy1 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-02 · Health · corrected 2026-02-03
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2026-01-02 · Health · corrected 2026-02-03
Potential for more than minimal harm
- DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2026-01-02 · Health · corrected 2026-02-03
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2026-01-02 · Health · corrected 2026-02-03
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-16 · Health · corrected 2025-10-07
Actual harm
- EF0692Provide enough food/fluids to maintain a resident's health.2025-08-07 · Health · corrected 2025-09-05
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-17 · Health · corrected 2025-08-21
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-17 · Health · corrected 2025-08-21
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-17 · Health · corrected 2025-08-21
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-09 · Health · corrected 2025-06-27
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-06-09 · Health · corrected 2025-06-29
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-07 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-02 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-12-23 · Health · corrected 2025-01-23
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-12-23 · Health · corrected 2025-01-23
Potential for more than minimal harm
- DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-11-20 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.2024-11-20 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0584Honor 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.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- 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.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0758Implement 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.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0761Ensure 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.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- KF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-10-25 · Health · corrected 2024-12-03
Immediate jeopardy
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-10-25 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-11 · Health · corrected 2024-10-30
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-07 · Health · corrected 2024-04-16
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-07 · Health · corrected 2024-04-16
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- 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.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0675Honor each resident's preferences, choices, values and beliefs.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-11-30 · Health · corrected 2024-01-17
Potential for minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0758Implement 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.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- 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.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2022-12-08 · Health · corrected 2022-12-26
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-08 · Health · corrected 2022-12-26
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GENESIS PM PA OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-14 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| GHC HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| SUNDANCE REHABILITATION HOLDCO INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| WELLTOWER OP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| ZAC PROPERTIES XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-14 |
| MORRIS, DIANE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-01 |
| PATEL, PURVI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-14 |
| SPARVER, BRANDON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-11 |
| BERG, MICHAEL | Individual | CORPORATE OFFICER | — | 2022-11-14 |
| BRIDGEFORD, LAURA | Individual | CORPORATE OFFICER | — | 2024-06-01 |
| MENDELSON, AVI | Individual | CORPORATE OFFICER | — | 2024-06-01 |
Other facilities in DALLASTOWN
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.