Elder Care Record

Maryland › Washington County › Hagerstown

Creekside Center For Rehabilitation and Nursing

1183 Luther Drive, Hagerstown, MD 21740

CCN 215113 · For-profit, limited liability company · 80 certified beds

Special Focus Facility candidateContinuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Creekside Center For Rehabilitation and Nursing is a For-profit, limited liability company nursing home in Hagerstown, Maryland, certified for 80 beds and caring for about 76 residents a day.

CMS gives it 1 of 5 stars overall, below the Maryland median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.

Inspectors recorded 104 health deficiencies across the three most recent survey cycles (23, 54, 27 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 130.0 per 100 beds, more than the state median of 43.7.

CMS lists 2 penalties in the period covered: fines totalling $112K.

Reported nurse staffing is 3.3 hours per resident per day (0.7 RN), close to the Maryland median of 3.6; nursing staff turnover is 64.7%.

CMS flags that the facility is a Special Focus Facility candidate.

104health deficiencies, 3 survey cycles6 at actual harm or worse
$112Kfines listed by CMS2 penalties in period
3.3nurse hours per resident per daystate median 3.6
94%occupancy (residents ÷ beds)76 residents a day

Compared with county, state and nation

MeasureThis facilityWashington Co. medianMaryland medianUS average
Overall star rating1333.0
Health citations, 3 cycles104744528.7
Citations per 100 beds130.062.143.726.8
Total nurse hours per resident day3.33.93.63.9
RN hours per resident day0.70.80.70.7
Nursing staff turnover64.7%44.4%41.5%45.8%
Fines listed$111,536$24,060$0—

County and state figures are medians across facilities (10 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)23
Cycle 254
Cycle 327

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Feb 2026, 5 Aug 2024.

Severity mix: J ×4 G ×2 D ×63 E ×20 F ×13 B ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
6 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey31 Mar 2026
6 Feb 2026F0578Honor 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.EStandard survey31 Mar 2026
6 Feb 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey31 Mar 2026
6 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation31 Mar 2026
6 Feb 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation31 Mar 2026
6 Feb 2026F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey31 Mar 2026
6 Feb 2026F0641Ensure each resident receives an accurate assessment.DStandard survey31 Mar 2026
6 Feb 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey31 Mar 2026
6 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation31 Mar 2026
6 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey31 Mar 2026
6 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey31 Mar 2026
6 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey31 Mar 2026
6 Feb 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey31 Mar 2026
6 Feb 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey31 Mar 2026
6 Feb 2026F0760Ensure that residents are free from significant medication errors.DStandard survey31 Mar 2026
6 Feb 2026F0880Provide and implement an infection prevention and control program.DStandard survey31 Mar 2026
6 Feb 2026F0887Educate 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.DStandard survey31 Mar 2026
6 Feb 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey31 Mar 2026
6 Feb 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey31 Mar 2026
23 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation24 Nov 2025
17 Oct 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation4 Feb 2025
17 Oct 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation3 Dec 2025
17 Oct 2025F0610Respond appropriately to all alleged violations.DComplaint investigation3 Dec 2025
21 Feb 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation31 Mar 2025
21 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation31 Mar 2025
21 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation31 Mar 2025
21 Feb 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation31 Mar 2025
5 Aug 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.JComplaint investigation22 Nov 2024
5 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation22 Nov 2024
5 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation22 Nov 2024
5 Aug 2024F0660Plan the resident's discharge to meet the resident's goals and needs.FComplaint investigation22 Nov 2024
5 Aug 2024F0727Have 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.FStandard survey8 Oct 2024
5 Aug 2024F0730Observe each nurse aide's job performance and give regular training.FStandard survey22 Nov 2024
5 Aug 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey22 Nov 2024
5 Aug 2024F0838Conduct 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.FComplaint investigation22 Nov 2024
5 Aug 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey22 Nov 2024
5 Aug 2024F0880Provide and implement an infection prevention and control program.FStandard survey22 Nov 2024
5 Aug 2024F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FStandard survey22 Nov 2024
5 Aug 2024F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard survey8 Oct 2024
5 Aug 2024F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.FStandard survey8 Oct 2024
5 Aug 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey22 Nov 2024
5 Aug 2024F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.FStandard survey22 Nov 2024
5 Aug 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey7 Oct 2024
5 Aug 2024F0610Respond appropriately to all alleged violations.EComplaint investigation8 Oct 2024
5 Aug 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey22 Nov 2024
5 Aug 2024F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint investigation8 Oct 2024
5 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey8 Oct 2024
5 Aug 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey8 Oct 2024
5 Aug 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey8 Oct 2024
5 Aug 2024F0572Give residents a notice of rights, rules, services and charges.DStandard survey8 Oct 2024
5 Aug 2024F0578Honor 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.DStandard survey22 Nov 2024
5 Aug 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation8 Oct 2024
5 Aug 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DStandard survey8 Oct 2024
5 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey8 Oct 2024
5 Aug 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation22 Nov 2024
5 Aug 2024F0625Notify 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.DStandard survey22 Nov 2024
5 Aug 2024F0637Assess the resident when there is a significant change in conditionDStandard survey8 Oct 2024
5 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation8 Oct 2024
5 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation22 Nov 2024
5 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation8 Oct 2024
5 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation8 Oct 2024
5 Aug 2024F0688Provide 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.DStandard survey8 Oct 2024
5 Aug 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation8 Oct 2024
5 Aug 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation8 Oct 2024
5 Aug 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation8 Oct 2024
5 Aug 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey8 Oct 2024
5 Aug 2024F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey8 Oct 2024
5 Aug 2024F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint investigation22 Nov 2024
5 Aug 2024F0732Post nurse staffing information every day.DStandard survey8 Oct 2024
5 Aug 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey8 Oct 2024
5 Aug 2024F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint investigation8 Oct 2024
5 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey8 Oct 2024
5 Aug 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey8 Oct 2024
5 Aug 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey8 Oct 2024
5 Aug 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey8 Oct 2024
5 Aug 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey8 Oct 2024
5 Aug 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey8 Oct 2024
25 Jul 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey25 Sep 2019
25 Jul 2019F0602Protect each resident from the wrongful use of the resident's belongings or money.EStandard survey25 Sep 2019
25 Jul 2019F0610Respond appropriately to all alleged violations.EStandard survey25 Sep 2019
25 Jul 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey25 Sep 2019
25 Jul 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey19 Nov 2019
25 Jul 2019F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard survey25 Sep 2019
25 Jul 2019F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey19 Nov 2019
25 Jul 2019F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey25 Sep 2019
25 Jul 2019F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey19 Nov 2019
25 Jul 2019F0759Ensure medication error rates are not 5 percent or greater.EStandard survey19 Nov 2019
25 Jul 2019F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey25 Sep 2019
25 Jul 2019F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey19 Nov 2019
25 Jul 2019F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey25 Sep 2019
25 Jul 2019F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey25 Sep 2019
25 Jul 2019F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey25 Sep 2019
25 Jul 2019F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey25 Sep 2019
25 Jul 2019F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey25 Sep 2019
25 Jul 2019F0625Notify 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.DStandard survey25 Sep 2019
25 Jul 2019F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey25 Sep 2019
25 Jul 2019F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Sep 2019
25 Jul 2019F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey25 Sep 2019
25 Jul 2019F0692Provide enough food/fluids to maintain a resident's health.DStandard survey25 Sep 2019
25 Jul 2019F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey25 Sep 2019
25 Jul 2019F0758Implement 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.DStandard survey25 Sep 2019
25 Jul 2019F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard survey25 Sep 2019
25 Jul 2019F0732Post nurse staffing information every day.CStandard survey19 Nov 2019
25 Jul 2019F0565Honor the resident's right to organize and participate in resident/family groups in the facility.BStandard survey25 Sep 2019

Penalties

DateTypeAmountDetail
17 Oct 2025Fine$10,358
5 Aug 2024Fine$101,178

Staffing

Total nursing3.29 h
Nurse aides1.86 h
LPN0.73 h
RN0.71 h
Weekend total2.94 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 64.7%, RNs 62.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.8%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.7%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.5%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay30.1%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.5%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.7%11.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. CMS groups this facility with 7 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Creekside Snf Operating Company Llc.

OrganisationRole in the CMS recordInterestSince
Lions Healthcare Management LLCOperational/managerial controlNOT APPLICABLE12/01/2024
Lions Healthcare Management LLCAdp of the snfNOT APPLICABLE04/03/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Washington County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Fahrney-Keedy Memorial HomeBoonsboro1065542927.4—26 Mar 2026
Western Md Hospital CenterHagerstown635353758.7$24K2 Dec 2025
Coffman Nursing HomeHagerstown593344576.3—23 Jul 2025
Homewood Living WilliamsportWilliamsport823343036.6$42K9 Jan 2026
South Mountain Rehab CenterBoonsboro1573323924.8—22 Apr 2026
Hagerstown Healthcare Centerabuse iconHagerstown1402238762.1$24K16 Jun 2026
Complete Care At HagerstownHagerstown6011281135.0$43K2 Apr 2026
Julia Manor Nursing and Rehabilitation Centerabuse iconHagerstown1301137456.9—1 May 2026

All 10 facilities in Washington County

Questions and answers

How many deficiencies has Creekside Center For Rehabilitation and Nursing been cited for?

104 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Creekside Center For Rehabilitation and Nursing been fined?

Yes. CMS lists fines totalling $112K in the period covered.

How does staffing at Creekside Center For Rehabilitation and Nursing compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Creekside Center For Rehabilitation and Nursing?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Lions Healthcare Management LLC. Individual owners and managers are not listed on this site.

When was Creekside Center For Rehabilitation and Nursing last inspected?

The most recent survey or investigation in the CMS record is dated 6 Feb 2026; the most recent standard health survey was 6 Feb 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.