Nursing homes › Pennsylvania › Millcreek Manor
5535 Peach Street, Erie, PA 16509 · 8148687395 · 144 certified beds
Per CMS filings, this facility is affiliated with Lecom Senior Living, a group operating 6 facilities in 1 states. Group record: average rating 3.8/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $141,064 in federal fines. This facility rates above its group average (3.8/5).
Total nurse staffing: 4.07 (Pennsylvania median: 3.63). RN hours: 0.93. Weekend total: 3.56. Nursing staff turnover: 40%.
All-time on record: 29 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-29 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-05-16 |
| 2026-03-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-05-16 |
| 2026-01-23 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2026-03-16 |
| 2026-01-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-03-16 |
| 2025-11-18 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-01-05 |
| 2025-07-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-08-25 |
| 2025-07-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | complaint | corrected 2025-08-25 |
| 2025-03-27 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-04-22 |
| 2025-01-24 | 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. | D | Health | corrected 2025-02-21 |
| 2025-01-24 | 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 limited. | D | Health | corrected 2025-02-21 |
| 2025-01-24 | 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. | D | Health | corrected 2025-02-21 |
| 2024-09-05 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-10-07 |
| 2024-07-24 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-08-16 |
| 2024-02-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2024-04-01 |
| 2024-02-23 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Health | corrected 2024-04-01 |
| 2024-02-23 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2024-04-01 |
| 2024-02-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2024-04-01 |
| 2024-02-23 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-04-01 |
| 2024-02-23 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-04-01 |
| 2024-02-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-04-01 |
| 2024-02-23 | 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 limited. | D | Health | corrected 2024-04-01 |
| 2024-02-23 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Health | corrected 2024-04-01 |
| 2024-02-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-03-04 |
| 2024-02-02 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-03-04 |
| 2024-02-02 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-03-04 |
| 2023-10-16 | 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. | E | complaint | corrected 2023-11-17 |
| 2023-10-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2023-11-17 |
| 2023-10-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-11-17 |
| 2023-10-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-11-17 |
| Date | Type | Amount |
|---|---|---|
| 2024-02-02 | Fine | $100,240 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MILLCREEK HEALTH SYSTEM | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/08/2003 |
| INMAN, STEVEN | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2023 |
| LIN, JAMES | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2024 |
| BABIAK, JAIME | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/21/2022 |
| BEERBOWER, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/03/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 396072. Corrections: data@carerecords.org.