Millcreek Manor
5535 PEACH STREET, ERIE, PA 16509 · CCN 396072
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 144
- Avg residents/day
- 137.3
- Phone
- 8148687395
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 | 2026-01-23 | 6 | 10.1 | 9.5 | -4.1 better |
| 2 | 2025-01-24 | 5 | 10.9 | 9.8 | -5.9 better |
| 3 | 2024-02-23 | 16 | 10.5 | 9.3 | +5.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.24 | 45.1% |
| RN staffing (reported) | 0.96 | 33.3% |
| Total nurse staffing (adjusted) | 4.84 | — |
Fines & penalties
- Total fines
- $100,240
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (27)1 immediate jeopardy
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-23 · Health
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-23 · Health
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-11-18 · Health · corrected 2026-01-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-30 · Health · corrected 2025-08-25
Potential for minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-03-27 · Health · corrected 2025-04-22
Potential for more than minimal harm
- 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.2025-01-24 · Health · corrected 2025-02-21
Potential for more than minimal harm
- 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.2025-01-24 · Health · corrected 2025-02-21
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.2025-01-24 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-09-05 · Health · corrected 2024-10-07
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-24 · Health · corrected 2024-08-16
Potential for more than minimal harm
- EF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-23 · Health · corrected 2024-04-01
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.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-23 · Health · corrected 2024-04-01
Immediate jeopardy
- 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.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-02 · Health · corrected 2024-03-04
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-02-02 · Health · corrected 2024-03-04
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-02 · Health · corrected 2024-03-04
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.2023-10-16 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0584Honor 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.2023-10-16 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-16 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-16 · Health · corrected 2023-11-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MILLCREEK HEALTH SYSTEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-11-08 |
| BABIAK, JAIME | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-21 |
| BEERBOWER, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-03 |
| INMAN, STEVEN | Individual | CORPORATE DIRECTOR | — | 2023-09-01 |
| LIN, JAMES | Individual | CORPORATE DIRECTOR | — | 2024-07-01 |
Other facilities in ERIE
| Name | Overall | Beds |
|---|---|---|
| FORESTVIEW | ★★★★★ | 80 |
| MANCHESTER COMMONS OF PRESBYTERIAN SENIORCARE | ★★★★★ | 78 |
| LECOM AT ELMWOOD GARDENS, LLC | ★★★★★ | 51 |
| SARAH REED SENIOR LIVING | ★★★★★ | 106 |
| LECOM at Asbury Ridge dba Saint Mary's Asbury Ridg | ★★★★★ | 80 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.