Creekside Center for Rehabilitation and Nursing
1183 Luther Drive · Hagerstown, MD · 21740 · 3017901000
80 certified beds For profit - Limited Liability company Chain: Mordechai Weisz Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $111,536 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$111,536 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 2 · $111,536 |
Inspection citations (104 in the current record)
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Potential for harm · D February 6, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · E February 6, 2026
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.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D February 6, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2026
Ensure each resident receives an accurate assessment.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D February 6, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D February 6, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D February 6, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D February 6, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · D February 6, 2026
Ensure that residents are free from significant medication errors.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · F February 6, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 31, 2026 · Nutrition and Dietary
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Potential for harm · D February 6, 2026
Provide and implement an infection prevention and control program.
Corrected March 31, 2026 · Infection Control
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Potential for harm · D February 6, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 31, 2026 · Infection Control
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Potential for harm · D February 6, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 31, 2026 · Environmental
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Potential for harm · D February 6, 2026
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected March 31, 2026 · Nursing and Physician Services
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Potential for harm · D February 6, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D February 6, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 31, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 31, 2026 · Quality of Life and Care
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Immediate jeopardy · J December 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 24, 2025 · Quality of Life and Care
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Actual harm · G October 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 4, 2025 · Quality of Life and Care
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Potential for harm · E October 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 31, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 17, 2025 | Fine | $10,358 |
| August 5, 2024 | Fine | $101,178 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215113 · certified since April 3, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.