Home / Pennsylvania / Erie
Millcreek Manor
5535 Peach Street, Erie, PA 16509 · Erie County · (814) 868-7395
144 certified beds, about 139 residents a day · Non profit - Corporation · Medicare and Medicaid since 2000
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 396072 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 23, 2026, inspectors cited 2 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 29 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $100,240 in the last three years; the largest was $100,240, and the latest is dated February 2, 2024.
Nurses and nurse aides worked 4.07 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.
40.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Lecom Senior Living, an affiliated group of 5 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.
410/23
302/24
902/24
107/24
109/24
301/25
103/25
207/25
111/25
201/26
203/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 29 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
6E
0F
Potential for minimal harm
0A
1B
0C
March 29, 2026Complaint inspection · 2 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on review of facility policy and staff and resident interviews, it was determined that the facility failed to ensure resident's privacy rights by opening residents' mail/delivered packages without resident consent for one of one residents reviewed (Resident R1).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of clinical records, resident and staff interview, it was determined that the facility failed to ensure that physician's orders were followed for one of one residents reviewed (Resident R1).
January 23, 2026Standard inspection · 2 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider upon transfer to the hospital for four of eight residents reviewed for hospitalization (Residents R1, R56, R58, and Closed Record Resident CR149).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to maintain accurate and complete documentation for one of 28 residents reviewed (Closed Record Resident CR149).
November 18, 2025Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure that a resident was free from significant medication errors for one of seven residents reviewed (Resident R1).
July 30, 2025Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy and clinical records and staff interview, it was determined that the facility failed to follow physician's orders regarding the administration of insulin for one of five residents reviewed (Resident R1).
- B Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy and clinical records and staff interview, it was determined that the facility failed to maintain accurate and complete documentation related to physician notification for one of five residents reviewed (Resident R17).
March 27, 2025Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure that a resident was free from significant medication errors for one of ten residents reviewed (Resident R1).
January 24, 2025Standard inspection · 3 citations
- D 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.
Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure physician's orders and resident Physician Order for Life Sustaining Treatment (POLST- a legal document specifying the resident/responsible party choices regarding life-sustaining treatments) were consistent for one of 26 residents reviewed (Resident R121).
- 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 review of facility policy, clinical records, and staff interview, it was determined that the facility failed to provide evidence that non-pharmacological interventions (interventions attempted to calm a resident other than medication) were attempted prior to the administration of an as needed (PRN) psychotropic (mind altering) medication for one of five residents reviewed for unnecessary medications (Resident R58).
- D 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.
Inspectors wroteBased on review of facility policies, observations, and staff interviews, it was determined that the facility failed to store schedule II-V medications in a separately locked, permanently affixed compartment in one of four medication rooms reviewed (3 West) and the facility failed to appropriately discard outdated medications for one of four medication rooms reviewed (2 West).
September 5, 2024Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure that it was free from significant medication errors for one of five residents reviewed (Resident R1).
July 24, 2024Complaint inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to implement their established procedures for investigation and protection of residents in response to potential abuse for one of two residents reviewed (Resident R1).
February 23, 2024Standard inspection · 9 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policy, clinical and hospital records, and resident and staff interviews, it was determined that the facility failed to implement sufficient safety precautions to prevent a resident with a history of suicide attempt by overdose, from appropriating a significant number of prescription medications that resulted in an overdose of the prescription medications that were provided during medication administration by the facility for one (Resident R234) of three residents reviewed with a history of suicide attempts, and resulted in an Immediate Jeopardy situation.
- E Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, review of facility policy and clinical records and staff interview, it was determined that the facility failed to assess a resident for self-administration of medication for one of 25 residents reviewed (Resident R102).
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to provide a written summary of the baseline care plan and order summary to the resident and/or representative for four of 25 residents reviewed (Residents R10, R79, R124, and R117).
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, review of facility policy and clinical records and staff interview, it was determined that the facility failed to maintain accurate and complete documentation related to medication administration for one of 25 residents reviewed (Resident R102).
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on review of the Minimum Data Set (MDS-periodic assessment of resident care needs) User's Manual, clinical record, and staff interview, it was determined that the facility failed to complete a comprehensive assessment after a significant change in condition for one of five residents receiving hospice services (Resident R89).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of clinical records and facility documentation, and staff interview, it was determined that the facility failed to complete the Minimum Data Set (MDS-periodic assessment of resident care needs) to accurately reflect the resident's status at the time of the assessment for one of 25 residents reviewed (Resident R67).
- 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 review of facility policy and clinical records, it was determined that the facility failed to implement a person-centered care plan that included safety precautions for a resident with a history of suicide attempt by overdose, for one of 25 residents reviewed (Resident R234).
- 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 review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to provide a clinical rationale for the continued use of a PRN (as needed) psychotropic (affecting the mind) medication beyond 14 days for one of five residents reviewed (Resident R61).
- D Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on review of facility records and job descriptions, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed to effectively manage the facility to ensure adequate resident safety and supervision.
February 2, 2024Complaint inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policies and clinical records, and staff interviews, it was determined that the facility failed to follow physician's orders for two of three residents reviewed (Residents R4 and R7).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to ensure that it was free from significant medication errors for one of three residents reviewed (Resident R7).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy and clinical records and staff interview, it was determined that the facility failed to maintain accurate and complete documentation related to refusal of medications for one of three residents reviewed (Resident R4).
October 16, 2023Complaint inspection · 4 citations
- E 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.
Inspectors wroteBased on observations, and resident and staff interviews, it was determined that the facility failed to maintain a safe homelike environment for three of seven residents (Residents R1, R5, and R6).
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of clinical records, and staff interview, it was determined that the facility failed to have complete and accurate documentation in the treatment records regarding wound dressing changes for three of four residents reviewed with wounds (Residents R2, R3, and R4)
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review of facility policy, clinical record, and staff interview, it was determined that the facility failed to notify the resident's physician and emergency contact regarding a change in condition for one of ten residents reviewed (Resident R1).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to obtain physician's orders and failed to implement interventions related to a hypoglycemic (low blood sugar) episode for one of ten residents reviewed (Resident R1).
Fire safety inspections
8 fire safety citations on file: 3 on January 24, 2025, 5 on February 23, 2024.
Every fire safety citation8 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- B Have power receptacles that are properly grounded.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C Develop and maintain an Emergency Preparedness Program (EP).
- C Establish emergency prep training and testing.
- C Install emergency lighting that can last at least 1 1/2 hours.
- C Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 2, 2024 | Fine | $100,240 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.07 | 3.89 | 3.86 |
| Registered nurses | 0.93 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.56 | 3.53 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 40.0% | 44.5% | 45.8% |
| Registered nurse turnover | 19.4% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.55 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 4.28 on weekdays and 3.56 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 4.07 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 | 4.07 | 0.93 | 4.28 | 3.56 | 9.1% | 0 of 90 | 139 |
| Oct to Dec 2025 | 4.41 | 0.97 | 4.61 | 3.91 | 8.3% | 0 of 92 | 138 |
| Jul to Sep 2025 | 4.24 | 0.96 | 4.43 | 3.77 | 8.9% | 0 of 92 | 137 |
| Apr to Jun 2025 | 4.14 | 0.90 | 4.34 | 3.65 | 7.7% | 0 of 91 | 138 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Pennsylvania
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 10.6 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.0 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.3 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.6 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.5 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.2 | 1.8 |
Owners and operators
Legal business name: MILLCREEK MANOR. CMS links this home to Lecom Senior Living, a group of 5 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Millcreek Health System | 5% or greater direct ownership interest | Organization | 100% | 11/08/2003 |
| Inman, Steven | Corporate director | Individual | 09/01/2023 | |
| Lin, James | Corporate director | Individual | 07/01/2024 | |
| Babiak, Jaime | Operational/managerial control | Individual | 11/21/2022 | |
| Beerbower, Joshua | Operational/managerial control | Individual | 11/03/2023 | |
| Lin, James | Trustee of the SNF | Individual | 07/01/2024 | |
| Millcreek Health System | Adp of the SNF | Organization | 11/08/2003 | |
| Beerbower, Joshua | Adp of the SNF | Individual | 11/03/2023 | |
| Lin, James | Adp of the SNF | Individual | 04/28/2025 |
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 9 problems in this area, most recently on January 23, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on November 18, 2025: "Ensure that residents are free from significant medication errors."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 29, 2026: "Keep residents' personal and medical records private and confidential."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on March 29, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Greenfield Healthcare and Rehabilitation Center Erie, 0.3 mi · 1 of 5 stars · 54 citations
- Forestview Erie, 1 mi · 5 of 5 stars · 3 citations
- Lecom at Presque Isle, Inc Erie, 1.1 mi · 3 of 5 stars · 17 citations
- Walnut Creek Nursing and Rehab Erie, 1.3 mi · 2 of 5 stars · 19 citations
- Lecom at Elmwood Gardens, LLC Erie, 2 mi · 5 of 5 stars · 7 citations
- Sarah Reed Senior Living Erie, 2.9 mi · 5 of 5 stars · 10 citations
- Lecom at Village Square, LLC Erie, 2.9 mi · 4 of 5 stars · 17 citations
- Nightingale Nursing and Rehab Center Erie, 3.5 mi · 3 of 5 stars · 12 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 Millcreek Manor's Medicare star rating?
- CMS rates Millcreek Manor 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Millcreek Manor get at its last inspection?
- 2 health deficiencies at the standard inspection on January 23, 2026. The Pennsylvania average is 10.
- Has Millcreek Manor been fined?
- Yes. CMS lists 1 fine totaling $100,240 in the last three years.
- Does Millcreek Manor 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 Millcreek Manor?
- CMS lists 9 owners and managers, and links the home to Lecom Senior Living. Legal business name: MILLCREEK MANOR.
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.