Millcreek Manor

CCN 396072 · MILLCREEK MANOR · Non profit - Corporation · LECOM SENIOR LIVING chain · 144 certified beds · Erie · PA


Millcreek Manor is a 144-bed nursing home in ERIE, Pennsylvania. CMS has certified it for Medicare and Medicaid since 2000-07-24. It averages 139.0 residents a day.

What harm was found in the violations cited at Millcreek Manor?

CMS lists 29 health-inspection deficiencies for Millcreek Manor, all 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 2026-03-29.

Survey dateTagDeficiencySeverity
2026-03-29F0583, F0684Keep residents' personal and medical records private and confidential. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2026-01-23F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E
2026-01-23F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-11-18F0760Ensure that residents are free from significant medication errors.D
2025-07-30F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-07-30F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2025-03-27F0760Ensure that residents are free from significant medication errors.D
2025-01-24F0578, F0758, F0761Honor 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. / 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. / 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
2024-09-05F0760Ensure that residents are free from significant medication errors.D
2024-07-24F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2024-02-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-02-23F0554, F0655, F0842Allow residents to self-administer drugs if determined clinically appropriate. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-02-23F0637, F0641, F0656, F0758, F0835Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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
2024-02-02F0684, F0760, F0842Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-10-16F0584, F0842Honor 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2023-10-16F0580, F0684Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D

Why was Millcreek Manor fined?

DateTypeAmount
2024-02-02Fine$100,240

How is Millcreek Manor staffed?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day4.073593.88823
Total nursing staff turnover (%)40.044.5
Average number of residents per day139.0104.6

Who owns Millcreek Manor, and what chain is it in?

Millcreek Manor is registered with CMS as Non profit - Corporation, operates under the legal business name MILLCREEK MANOR and belongs to the LECOM SENIOR LIVING chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMILLCREEK HEALTH SYSTEMsince 11/08/2003
CORPORATE DIRECTORINMAN, STEVEN, LIN, JAMESsince 07/01/2024
OPERATIONAL/MANAGERIAL CONTROLBABIAK, JAIME, BEERBOWER, JOSHUAsince 11/03/2023
TRUSTEE OF THE SNFLIN, JAMESsince 07/01/2024
ADP OF THE SNFMILLCREEK HEALTH SYSTEM, BEERBOWER, JOSHUA, LIN, JAMESsince 04/28/2025

Were you or a family member harmed at Millcreek Manor?