Millcreek ManorCMS ratings, inspections and fines
- Address
- 5535 Peach Street, Erie, PA 16509
- CCN
- 396072
- Ownership type
- Non-profit, corporation
- Certified beds
- 144
- Chain
- LECOM Senior Living
- Residents per day
- 139
- CMS flags
- None in the CMS record
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 Millcreek Manor an overall rating of 4 of 5 stars. The last standard survey was on 23 Jan 2026. The latest survey cycle has 5 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 1 fine of $100,240 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 | Erie County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 18 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) | 23 Jan 2026 | 5 | 8 |
| Cycle 2 | 24 Jan 2025 | 7 | 8 |
| Cycle 3 | No date | 17 | 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 | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Mar 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 16 May 2026 |
| 29 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 May 2026 |
| 23 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 16 Mar 2026 |
| 23 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Mar 2026 |
| 18 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 5 Jan 2026 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Aug 2025 |
| 30 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 25 Aug 2025 |
| 27 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 22 Apr 2025 |
| 24 Jan 2025 | F0578 | 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. | D | Standard survey | 21 Feb 2025 |
| 24 Jan 2025 | 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. | D | Standard survey | 21 Feb 2025 |
| 24 Jan 2025 | 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 | 21 Feb 2025 |
| 5 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 7 Oct 2024 |
Survey cycle 3: 17 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 |
|---|---|---|---|---|---|
| 24 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 16 Aug 2024 |
| 23 Feb 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | 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 | 1 Apr 2024 |
| 23 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 1 Apr 2024 |
| 23 Feb 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. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 1 Apr 2024 |
| 2 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Mar 2024 |
| 2 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 4 Mar 2024 |
| 2 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Mar 2024 |
| 16 Oct 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 | Complaint investigation | 17 Nov 2023 |
| 16 Oct 2023 | 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. | E | Complaint investigation | 17 Nov 2023 |
| 16 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Nov 2023 |
| 16 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 17 Nov 2023 |
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 |
|---|---|---|---|
| 2 Feb 2024 | Fine | $100,240 |
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 | 4.07 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.93 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.99 | 0.91 | |
| Nurse aides | 2.16 | 2.19 | |
| All nurse staff, weekends | 3.56 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 40.0%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 19.4%
- Administrators who left in a year
- 1
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 | 10.6% | 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 | 2.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.4% | 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
- Non-profit, corporation
- Legal business name
- Millcreek Manor
- Chain
- LECOM Senior Living (5 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Millcreek Health System | 5% or greater direct ownership interest | 100% | 8 Nov 2003 |
| Millcreek Health System | Adp of the snf | 8 Nov 2003 |
The site shows organisations only. It does not show the names of persons.
Other homes in Erie County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Greenfield Healthcare and Rehabilitation Center | Erie | 1 of 5 | 21 | $15,935 | 27 Jan 2026 | |
| Forestview | Erie | 5 of 5 | 1 | $0 | 28 Aug 2025 | |
| LECOM at Presque Isle, Inc | Erie | 3 of 5 | 12 | $0 | 8 Jan 2026 | |
| Walnut Creek Nursing and Rehab | Erie | 2 of 5 | 12 | $0 | 14 May 2026 | |
| LECOM at Elmwood Gardens, LLC | Erie | 5 of 5 | 1 | $0 | 13 Feb 2026 | |
| Sarah Reed Senior Living | Erie | 5 of 5 | 0 | $0 | 4 Dec 2025 | |
| LECOM at Village Square, LLC | Erie | 4 of 5 | 3 | $10,033 | 18 Dec 2025 | |
| Nightingale Nursing and Rehab Center | Erie | 4 of 5 | 7 | $0 | 20 Feb 2026 | |
| Pennsylvania Soldiers and Sailors Home | Erie | 5 of 5 | 4 | $0 | 13 Mar 2026 | |
| LECOM at Asbury Ridge DBA Saint Mary's Asbury Ridg | Erie | 5 of 5 | 1 | $0 | 12 Sep 2025 | |
| Twinbrook Healthcare and Rehabilitation Center | Erie | 2 of 5 | 14 | $0 | 16 Apr 2026 | |
| Manchester Commons of Presbyterian Seniorcare | Erie | 5 of 5 | 8 | $0 | 2 Jul 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 Millcreek Manor (CCN 396072). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/millcreek-manor-erie-pa-396072/
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 Millcreek Manor last inspected?
- The latest inspection with a citation in the CMS record was on 29 Mar 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 24 Jan 2025.
- Who operates Millcreek Manor?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain LECOM Senior Living. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Millcreek Manor 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.