INNERS CREEK SKILLED NURSING AND REHABILITATION CE
INNERS CREEK SKILLED NURSING AND REHABILITATION CE is a 202-bed nursing home in DALLASTOWN, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1979-10-17. It averages 184.6 residents a day.
What harm was found in the violations cited at INNERS CREEK SKILLED NURSING AND REHABILITATION CE?
CMS lists 62 health-inspection deficiencies for INNERS CREEK SKILLED NURSING AND REHABILITATION CE since 2022-12-08, 60 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-23 | F0812, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2026-04-23 | F0584 | 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. | D |
| 2026-01-02 | F0550, F0732, F0776, F0790 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Post nurse staffing information every day. / Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. / Provide routine and 24-hour emergency dental care for each resident. | D |
| 2025-09-16 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-08-07 | F0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2025-07-17 | F0600, F0609, F0689 | 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-06-09 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-06-09 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-05-07 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-05-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-12-23 | F0711, F0726 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| 2024-11-20 | F0776, F0777 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. / Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D |
| 2024-10-25 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K |
| 2024-10-25 | F0550, F0604, F0684, F0692, F0730, F0756, F0758, F0812, F0880, F0947 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure 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. / Provide enough food/fluids to maintain a resident's health. / Observe each nurse aide's job performance and give regular training. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-10-25 | F0584, F0625, F0686, F0755, F0761 | 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. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 |
| 2024-09-11 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-03-07 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2024-03-07 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-11-30 | F0838 | 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. | F |
| 2023-11-30 | F0550, F0657, F0686, F0730, F0758, F0812, F0849, F0947 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Observe each nurse aide's job performance and give regular training. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2023-11-30 | F0580, F0585, F0623, F0625, F0641, F0655, F0656, F0658, F0675, F0690, F0756 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / Honor each resident's preferences, choices, values and beliefs. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| 2023-11-30 | F0732 | Post nurse staffing information every day. | C |
| 2022-12-08 | F0641, F0657 | 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. | E |
Why was INNERS CREEK SKILLED NURSING AND REHABILITATION CE fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-09-16 | Fine | $14,352 |
| 2024-09-11 | Fine | $32,679 |
How is INNERS CREEK SKILLED NURSING AND REHABILITATION CE staffed relative to the PA average?
| Measure | This facility | PA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.37354 | 3.88823 |
| Total nursing staff turnover (%) | 54.0 | 44.5 |
| Average number of residents per day | 184.6 | 104.6 |
Who owns INNERS CREEK SKILLED NURSING AND REHABILITATION CE, and what chain is it in?
INNERS CREEK SKILLED NURSING AND REHABILITATION CE is registered with CMS as For profit - Corporation, operates under the legal business name 100 W QUEEN STREET OPERATIONS LLC and belongs to the GENESIS HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GENESIS PM PA OPERATIONS LLC | since 11/14/2022 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | FC-GEN OPERATIONS INVESTMENT LLC, GEN OPERATIONS I LLC, GEN OPERATIONS II LLC, GENESIS HEALTHCARE INC, GENESIS HEALTHCARE LLC, GENESIS HOLDINGS LLC, GHC HOLDINGS LLC, SUN HEALTHCARE GROUP INC | since 11/14/2022 |
| CORPORATE OFFICER | BERG, MICHAEL, BRIDGEFORD, LAURA, MENDELSON, AVI | since 06/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | MORRIS, DIANE, PATEL, PURVI, SPARVER, BRANDON | since 02/14/2025 |
| ADP OF THE SNF | PATEL, PURVI, SPARVER, BRANDON | since 02/14/2025 |
Were you or a family member harmed at INNERS CREEK SKILLED NURSING AND REHABILITATION CE?