CareSentinel

Federal Nursing-Home Survey Record

CREEKSIDE CENTER FOR REHABILITATION AND NURSING

CCN 215113 · 1183 LUTHER DRIVE, HAGERSTOWN, MD, 21740 · Operated within the MORDECHAI WEISZ chain

Does CREEKSIDE CENTER FOR REHABILITATION AND NURSING have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), CREEKSIDE CENTER FOR REHABILITATION AND NURSING (CCN 215113), in HAGERSTOWN, MD, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 23 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2026-02-06. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $117,113 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$117,113

CMS has $117,113 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-02-06
CURRENT CYCLE
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2026-02-06
CURRENT CYCLE
F578S/S E

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.

2026-02-06
CURRENT CYCLE
F947S/S D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2026-02-06
CURRENT CYCLE
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2026-02-06
CURRENT CYCLE
F887S/S D

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

2026-02-06
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2026-02-06
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2026-02-06
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2026-02-06
CURRENT CYCLE
F760S/S D

Ensure that residents are free from significant medication errors.

2026-02-06
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2026-02-06
CURRENT CYCLE
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2026-02-06
CURRENT CYCLE
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2026-02-06
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2026-02-06
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-02-06
CURRENT CYCLE
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2026-02-06
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2026-02-06
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2026-02-06
CURRENT CYCLE
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2026-02-06
CURRENT CYCLE
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-12-23
CURRENT CYCLE
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-10-17
CURRENT CYCLE
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-10-17
CURRENT CYCLE
F609S/S E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-10-17
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-02-21
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2025-02-21
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-02-21
HISTORICAL
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2025-02-21
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-08-05
HISTORICAL
F604S/S J

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

2024-08-05
HISTORICAL
F684S/S J

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-05
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-08-05
HISTORICAL
F949S/S F

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

2024-08-05
HISTORICAL
F660S/S F

Plan the resident's discharge to meet the resident's goals and needs.

2024-08-05
HISTORICAL
F727S/S F

Have 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
HISTORICAL
F730S/S F

Observe each nurse aide's job performance and give regular training.

2024-08-05
HISTORICAL
F835S/S F

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2024-08-05
HISTORICAL
F838S/S F

Conduct 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
HISTORICAL
F867S/S F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-08-05
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2024-08-05
HISTORICAL
F941S/S F

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2024-08-05
HISTORICAL
F943S/S F

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2024-08-05
HISTORICAL
F945S/S F

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

2024-08-05
HISTORICAL
F947S/S F

Ensure 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
HISTORICAL
F623S/S E

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-08-05
HISTORICAL
F610S/S E

Respond appropriately to all alleged violations.

2024-08-05
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2024-08-05
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-08-05
HISTORICAL
F711S/S E

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

2024-08-05
HISTORICAL
F625S/S D

Notify 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
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-08-05
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-08-05
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2024-08-05
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2024-08-05
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-08-05
HISTORICAL
F602S/S D

Protect each resident from the wrongful use of the resident's belongings or money.

2024-08-05
HISTORICAL
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2024-08-05
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-08-05
HISTORICAL
F710S/S D

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

2024-08-05
HISTORICAL
F712S/S D

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

2024-08-05
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-08-05
HISTORICAL
F565S/S D

Honor the resident's right to organize and participate in resident/family groups in the facility.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at CREEKSIDE CENTER FOR REHABILITATION AND NURSING?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…