Inners Creek Skilled Nursing and Rehabilitation CeCMS ratings, inspections and fines
- Address
- 100 West Queen Street, Dallastown, PA 17313
- CCN
- 395451
- Ownership type
- For-profit, corporation
- Certified beds
- 202
- Chain
- Genesis Healthcare
- Residents per day
- 185
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Inners Creek Skilled Nursing and Rehabilitation Ce an overall rating of 1 of 5 stars. The last standard survey was on 25 Oct 2024. The latest survey cycle has 25 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 2 fines with a total of $47,031 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | York County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 12 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 25 Oct 2024 | 25 | 8 |
| Cycle 2 | 30 Nov 2023 | 33 | 8 |
| Cycle 3 | No date | 4 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 25 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2026 | 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 | Complaint investigation | 4 May 2026 |
| 23 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 4 May 2026 |
| 23 Apr 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 4 May 2026 |
| 2 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 3 Feb 2026 |
| 2 Jan 2026 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 3 Feb 2026 |
| 2 Jan 2026 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 3 Feb 2026 |
| 2 Jan 2026 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint investigation | 3 Feb 2026 |
| 16 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 7 Oct 2025 |
| 7 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 5 Sep 2025 |
| 25 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | 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 | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0625 | 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. | D | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 3 Dec 2024 |
| 25 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0758 | 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. | E | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0761 | 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 | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Complaint investigation | 3 Dec 2024 |
| 25 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Dec 2024 |
| 25 Oct 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 3 Dec 2024 |
Survey cycle 2: 33 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Aug 2025 |
| 17 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Aug 2025 |
| 17 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Aug 2025 |
| 9 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 27 Jun 2025 |
| 9 Jun 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 29 Jun 2025 |
| 7 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 May 2025 |
| 2 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 May 2025 |
| 23 Dec 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint investigation | 23 Jan 2025 |
| 23 Dec 2024 | F0726 | 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 | Complaint investigation | 23 Jan 2025 |
| 20 Nov 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 3 Dec 2024 |
| 20 Nov 2024 | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 3 Dec 2024 |
| 11 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Oct 2024 |
| 30 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0585 | 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. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0625 | 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. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0758 | 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. | E | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | 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 | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0849 | 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. | E | Standard survey | 17 Jan 2024 |
| 30 Nov 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 17 Jan 2024 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Apr 2024 |
| 7 Mar 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 16 Apr 2024 |
| 8 Dec 2022 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 26 Dec 2022 |
| 8 Dec 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 26 Dec 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 16 Sep 2025 | Fine | $14,352 | |
| 11 Sep 2024 | Fine | $32,679 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.37 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.41 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.93 | 0.91 | |
| Nurse aides | 2.04 | 2.19 | |
| All nurse staff, weekends | 3.14 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 54.0%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 39.1%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.5% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.1% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- 100 W Queen Street Operations LLC
- Chain
- Genesis Healthcare (184 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Genesis PM PA Operations LLC | 5% or greater direct ownership interest | 100% | 14 Nov 2022 |
| FC-Gen Operations Investment LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| GHC Holdings LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | 14 Nov 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in York County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| York South Skilled Nursing and Rehabilitation Ctr | York | 2 of 5 | 13 | $0 | 8 May 2025 | |
| Misericordia Nursing & Rehabilitation Center | York | 5 of 5 | 2 | $0 | 18 Sep 2025 | |
| Rest Haven-York | York | 2 of 5 | 8 | $0 | 5 Feb 2026 | |
| Kingston Court Skilled Nursing and Rehabilitation | York | 1 of 5 | 8 | $91,960 | 11 Sep 2025 | |
| Pleasant Acres Rehabilitation and Nursing Center | York | 2 of 5 | 8 | $11,180 | 9 Apr 2026 | |
| Yorkview Nursing and Rehabilitation | York | 1 of 5 | 21 | $0 | 26 Jun 2026 | |
| Margaret E. Moul Home | York | 5 of 5 | 4 | $12,237 | 4 Sep 2025 | |
| Normandie Ridge | York | 5 of 5 | 2 | $0 | 26 Sep 2025 | |
| York North Skilled Nursing and Rehabilitation Ctr | York | 2 of 5 | 11 | $0 | 26 Mar 2026 | |
| Hanover Hall for Nursing and Rehabilitation | Hanover | 2 of 5 | 14 | $0 | 14 Jan 2026 | |
| Homewood Living Plum Creek, Inc | Hanover | 5 of 5 | 1 | $7,443 | 18 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Inners Creek Skilled Nursing and Rehabilitation Ce (CCN 395451). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/inners-creek-skilled-nursing-and-rehabilitation-ce-dallastown-pa-395451/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Inners Creek Skilled Nursing and Rehabilitation Ce last inspected?
- The latest inspection with a citation in the CMS record was on 23 Apr 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 30 Nov 2023.
- Who operates Inners Creek Skilled Nursing and Rehabilitation Ce?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Genesis Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Inners Creek Skilled Nursing and Rehabilitation Ce a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.