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Millcreek Manor

5535 Peach Street, Erie, PA 16509
8148687395
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Overall CMS Rating

4.0/5

vs State Average: 3.0 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

5.0/5

Staffing Level

vs State Average: 3.3/5

3.0/5

Quality Measures

vs State Average: 3.5/5

1 penalties in last 3 years
Penalties
vs State Average: 1 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Nov 18, 2025 Ensure that residents are free from significant medication errors. D
Jul 30, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. B
Jul 30, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Mar 27, 2025 Ensure that residents are free from significant medication errors. D
Jan 24, 2025 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
Score
5.0
State Average
3.3
National Average
2.9
1.0 RN Hours / Resident / Day
4.2 Total Nurse Hours / Resident / Day
33.3% RN Turnover Rate
Score
3.0
State Average
3.5
National Average
3.6
4.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
137.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST MILLCREEK HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL BABIAK, JAIME
OPERATIONAL/MANAGERIAL CONTROL BEERBOWER, JOSHUA
CORPORATE DIRECTOR INMAN, STEVEN
CORPORATE DIRECTOR LIN, JAMES
Recent Penalties
Date Type Fine
Feb 2, 2024 Fine $100,240

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