Home / Pennsylvania / Hanover
Homewood Living Plum Creek, Inc
425 Westminster Avenue, Hanover, PA 17331 · York County · (717) 637-4166
120 certified beds, about 101 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395898 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 18, 2025, inspectors cited 1 health deficiency (the Pennsylvania average is 10, the national average 9.2).
None of its 9 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.14 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
26.5% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Homewood Retirement Centers, an affiliated group of 4 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
December 18, 2025Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, facility policy review, and staff interviews, it was determined that the facility failed to ensure staff implement infection control policies to prevent the spread of infection for one resident observed on contact precautions (Resident 24) Findings Include: Review of facility policy, titled Isolation-Categories of Transmission-Based Precautions, revised September 2022, revealed in a section labeled, Contact Precautions, instructions for staff and visitors to wear gloves and a disposable gown with entering a resident's room on contact precautions. Review of Resident 24's clinical record revealed diagnoses of Chloridoids difficile (C-diff, a bacterium that causes an infection of the colon) and sepsis (a dangerous reaction to an infection. It causes extensive inflammation throughout your body that can lead to tissue damage, organ failure and even death). [...]
January 23, 2025Standard inspection · 5 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observations, clinical record review, and staff interview, it was determined that the facility failed to implement infection control practices to help prevent the development and transmission of infectious diseases for two of two residents on droplet precautions (Resident 46 and 68).
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on facility policy review, observations, clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure the right to receive services with reasonable accommodation of resident needs for one of 22 residents reviewed (Resident 4), and failed to ensure that resident needs were accommodated regarding call bell accessibility for one of 22 residents reviewed (Residents 87).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident assessment accurately reflected the resident's status for one of 25 residents reviewed (Resident 49). Findings Include: Review of Resident 49's clinical record revealed diagnoses that included cerebral infarction (occurs when blood flow to the brain is interrupted, causing brain tissue to die) and gastro-esophageal reflux disease (a chronic condition where stomach contents flow back up into the esophagus, causing irritation and various symptoms). Review of Resident 49's quarterly MDS (Minimum Data Set is part of federally mandated process for clinical assessment of all Medicare and Medicaid certified nursing homes) dated November 8, 2024, revealed in Section I6100. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, clinical record review, and resident and staff interviews, it was determined that the facility failed to implement resident-directed care and treatment consistent with the resident's physician orders and care plan for one of 22 residents reviewed (Resident 41).
- D 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.
Inspectors wroteBased on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure PRN (as needed) orders for anti-psychotic drugs are limited to 14 days for one of five residents reviewed for unnecessary medications (Resident 4).
February 15, 2024Standard inspection · 3 citations
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument User Manual, clinical record review, and staff interviews, it was determined that the facility failed to complete required Minimum Data Set (MDS) assessments for three of 24 residents reviewed (Residents 9, 27, and 71).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to ensure that the resident assessment accurately reflected the resident's status for two of 23 residents reviewed (Residents 14 and 40).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure that a comprehensive, person-centered care plan was developed for two of 23 residents reviewed (Residents 18 and 51).
Fire safety inspections
7 fire safety citations on file: 1 on January 23, 2025, 2 on February 15, 2024, 4 on March 16, 2023.
Every fire safety citation7 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Use approved construction type or materials.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Ensure proper usage of power strips and extension cords.
- C Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.14 | 3.89 | 3.86 |
| Registered nurses | 0.72 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.74 | 3.53 | 3.42 |
| Nurse aides | 2.50 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 26.5% | 44.5% | 45.8% |
| Registered nurse turnover | 38.9% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.30 on weekdays and 3.74 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.16 in April to June 2025 to 4.14 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.14 | 0.72 | 4.30 | 3.74 | 0.0% | 0 of 90 | 101 |
| Oct to Dec 2025 | 4.36 | 0.77 | 4.53 | 3.93 | 0.0% | 0 of 92 | 96 |
| Jul to Sep 2025 | 4.14 | 0.75 | 4.28 | 3.81 | 0.0% | 0 of 92 | 96 |
| Apr to Jun 2025 | 4.16 | 0.76 | 4.32 | 3.76 | 0.0% | 0 of 91 | 93 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 33.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.1 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.6 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.7 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.3 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.0 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.2 | 1.8 |
Owners and operators
Legal business name: HOMEWOOD AT HANOVER, PA INC. CMS links this home to Homewood Retirement Centers, a group of 4 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Becker, Douglas | Corporate director | Individual | 01/01/2025 | |
| Bittinger, Allen | Corporate director | Individual | 01/01/2015 | |
| Crampton, Wendy | Corporate director | Individual | 03/01/2019 | |
| Livelsberger, John | Corporate director | Individual | 01/01/2025 | |
| McKonly, Steven | Corporate director | Individual | 01/01/2025 | |
| Miller, Richard | Corporate director | Individual | 01/15/2021 | |
| Rothrock, Thad | Corporate director | Individual | 03/01/2019 | |
| Bradley, Buffy | Operational/managerial control | Individual | 10/16/2000 | |
| Coleman, Karen | Operational/managerial control | Individual | 01/01/2022 | |
| Peck, Michael | Operational/managerial control | Individual | 01/01/2024 | |
| Coleman, Karen | Adp of the SNF | Individual | 01/01/2022 | |
| Peck, Michael | Adp of the SNF | Individual | 04/08/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on January 23, 2025: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 18, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on January 23, 2025: "Reasonably accommodate the needs and preferences of each resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 23, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Other nursing homes nearby
- Hanover Hall for Nursing and Rehabilitation Hanover, 0.7 mi · 2 of 5 stars · 49 citations
- Concordia at Spiritrust Utz Terrace Hanover, 3.9 mi · 5 of 5 stars · 10 citations
- Cross Keys Village-Brethren Home Community, the New Oxford, 8.4 mi · 4 of 5 stars · 5 citations
- Autumn Lake Healthcare at Long View Manchester, 10 mi · 4 of 5 stars · 30 citations
- Gettysburg Center Gettysburg, 12.3 mi · 1 of 5 stars · 36 citations
- Concordia at Spiritrust Gettysburg Gettysburg, 12.9 mi · 5 of 5 stars · 17 citations
- Lorien Taneytown, Inc Taneytown, 13.3 mi · 3 of 5 stars · 37 citations
- Transitions Healthcare Gettysburg Gettysburg, 13.3 mi · 3 of 5 stars · 26 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Homewood Living Plum Creek, Inc's Medicare star rating?
- CMS rates Homewood Living Plum Creek, Inc 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Homewood Living Plum Creek, Inc get at its last inspection?
- 1 health deficiency at the standard inspection on December 18, 2025. The Pennsylvania average is 10.
- Has Homewood Living Plum Creek, Inc been fined?
- CMS lists no fines in the last three years.
- Does Homewood Living Plum Creek, Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Homewood Living Plum Creek, Inc?
- CMS lists 12 owners and managers, and links the home to Homewood Retirement Centers. Legal business name: HOMEWOOD AT HANOVER, PA INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.