CREEKSIDE CENTER FOR REHABILITATION AND NURSING

Special Focus Facility candidate · Continuing care retirement community · CCN 215113 · CREEKSIDE SNF OPERATING COMPANY LLC · For profit - Limited Liability company · MORDECHAI WEISZ chain · 80 certified beds · Washington · MD


CREEKSIDE CENTER FOR REHABILITATION AND NURSING is a 80-bed nursing home in HAGERSTOWN, Maryland. CMS has certified it for Medicare and Medicaid since 1978-04-03. It averages 75.5 residents a day.

What harm was found in the violations cited at CREEKSIDE CENTER FOR REHABILITATION AND NURSING?

CMS lists 104 health-inspection deficiencies for CREEKSIDE CENTER FOR REHABILITATION AND NURSING since 2019-07-25, 77 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-02-06.

Survey dateTagDeficiencySeverity
2026-02-06F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-02-06F0578Honor 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.E
2026-02-06F0550, F0580, F0609, F0636, F0641, F0657, F0677, F0684, F0686, F0689, F0697, F0756, F0760, F0880, F0887, F0919, F0947Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2025-12-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-10-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-10-17F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E
2025-10-17F0610Respond appropriately to all alleged violations.D
2025-02-21F0880Provide and implement an infection prevention and control program.E
2025-02-21F0656, F0684, F0757Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2024-08-05F0604, F0684Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2024-08-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-08-05F0660, F0727, F0730, F0835, F0838, F0867, F0880, F0941, F0943, F0945, F0947, F0949Plan the resident's discharge to meet the resident's goals and needs. / 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. / Observe each nurse aide's job performance and give regular training. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.F
2024-08-05F0550, F0610, F0623, F0711, F0759Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Ensure medication error rates are not 5 percent or greater.E
2024-08-05F0558, F0565, F0572, F0578, F0580, F0602, F0609, F0622, F0625, F0637, F0656, F0658, F0677, F0686, F0688, F0692, F0695, F0697, F0698, F0710, F0712, F0732, F0740, F0744, F0755, F0756, F0757, F0842, F0868, F0883Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Give residents a notice of rights, rules, services and charges. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / 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. / Assess the resident when there is a significant change in condition / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Post nurse staffing information every day. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2019-07-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2019-07-25F0602, F0610, F0656, F0657, F0676, F0725, F0755, F0757, F0759, F0802, F0842, F0867Protect each resident from the wrongful use of the resident's belongings or money. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E
2019-07-25F0558, F0600, F0609, F0623, F0625, F0655, F0684, F0686, F0692, F0756, F0758, F0835Reasonably accommodate the needs and preferences of each resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.D
2019-07-25F0732Post nurse staffing information every day.C
2019-07-25F0565Honor the resident's right to organize and participate in resident/family groups in the facility.B

Why was CREEKSIDE CENTER FOR REHABILITATION AND NURSING fined 2 times?

DateTypeAmount
2025-10-17Fine$10,358
2024-08-05Fine$101,178

How is CREEKSIDE CENTER FOR REHABILITATION AND NURSING staffed relative to the MD average?

MeasureThis facilityMD average
Total nurse staffing hours per resident per day3.292153.87381
Total nursing staff turnover (%)64.740.2
Average number of residents per day75.5105.7

Who owns CREEKSIDE CENTER FOR REHABILITATION AND NURSING, and what chain is it in?

CREEKSIDE CENTER FOR REHABILITATION AND NURSING is registered with CMS as For profit - Limited Liability company, operates under the legal business name CREEKSIDE SNF OPERATING COMPANY LLC and belongs to the MORDECHAI WEISZ chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYELEBIARY, AHMED, WEISZ, MORDECHAIsince 10/01/2022
OPERATIONAL/MANAGERIAL CONTROLLIONS HEALTHCARE MANAGEMENT LLC, ELEBIARY, AHMED, TRUSLOW, CYNTHIAsince 12/01/2024
ADP OF THE SNFLIONS HEALTHCARE MANAGEMENT LLC, ELEBIARY, AHMED, TRUSLOW, CYNTHIA, WEISZ, MORDECHAIsince 04/03/2025

Were you or a family member harmed at CREEKSIDE CENTER FOR REHABILITATION AND NURSING?