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Millcreek Manor

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 50
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 12/01/2011

Date of last standard health inspection: 12/01/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in PA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in PA: 0 - 5
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 02/09/2012 00/06/2002 2 Few

Inspection, 00/01/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Be licensed under State and local laws. 00/01/2012 03/00/2001 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 00/01/2012 03/00/2001 2 Some
Provide housekeeping and maintenance services. 00/01/2012 03/00/2001 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/01/2012 03/00/2001 2 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 00/01/2012 03/00/2001 2 Few
Provide special eating equipment and utensils for each resident who needs them. 00/01/2012 03/00/2001 2 Few
Store, cook, and serve food in a safe and clean way. 00/01/2012 03/00/2001 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/01/2012 03/00/2001 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/01/2012 03/00/2001 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2012 03/00/2001 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assess in a timely manner the resident when the resident enters the nursing home. 00/01/2012 03/00/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 00/01/2012 03/00/2001 2 Few
Keep residents' personal and medical records private and confidential. 00/01/2012 03/00/2001 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/01/2012 03/00/2001 2 Few

Inspection, 00/02/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/02/2011 02/07/2011 2 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/02/2011 02/07/2011 2 Many
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 00/02/2011 01/05/2012 2 Few

Inspection, 01/05/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/05/2010 01/04/2012 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/05/2010 01/04/2012 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2010 01/04/2012 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/05/2010 01/04/2012 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2010 01/04/2012 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/05/2010 01/04/2012 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2010 01/04/2012 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/05/2010 01/04/2012 1 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in PA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 112 50
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 8 hours 16 minutes 2 hours 8 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 26 minutes 1 hour 1 minute
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 31 minutes 1 hour 6 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 8 hours 56 minutes 2 hours

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 11/02/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/02/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in PA: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in PA: 0 - 0

Inspection, 00/02/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/02/2011 02/05/2011 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/02/2011 02/05/2011 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/02/2011 02/05/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/02/2011 02/05/2011 2 Some
Properly installed electrical wiring and equipment. 00/02/2011 02/05/2011 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/02/2011 02/05/2011 2 Some
Properly constructed piped-in oxygen systems. 00/02/2011 02/05/2011 2 Few
Properly constructed and protected anesthetizing areas. 00/02/2011 02/05/2011 1 Many
No-smoking signs where oxygen is used. 00/02/2011 02/05/2011 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/02/2011 02/05/2011 1 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/02/2011 02/05/2011 2 Some

Inspection, 02/00/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/00/2010 01/08/2011 2 Some
Portable fire extinguishers. 02/00/2010 02/00/2010 1 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of highly flammable decorations. 02/00/2010 02/00/2010 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/00/2010 01/08/2011 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 02/00/2010 01/08/2011 2 Few

Inspection, 01/01/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 01/01/2010 01/06/2011 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 01/01/2010 01/06/2011 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/01/2010 01/06/2011 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/01/2010 01/06/2011 2 Few
Properly constructed piped-in oxygen systems. 01/01/2010 01/06/2011 2 Few
 

5515 Peach Street
Erie, PA 16509

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