Millcreek Manor
5535 Peach Street, Erie, PA 16509 · Erie County · 144 certified beds · avg 139 residents/day · certified since Jul 24, 2000
Part of chain: LECOM SENIOR LIVING (5 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 23, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 1, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (29)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 29, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Mar 29, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jan 23, 2026 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 30, 2025 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 5, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jul 24, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Feb 23, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 23, 2024 | E · Potential for harm, repeated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 23, 2024 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 23, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 16, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Oct 16, 2023 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 16, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 16, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 14 | 1 | J ▲ |
| 2025 | 7 | 0 | D |
| 2026 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $100,240.
| Date | Type | Amount / length |
|---|---|---|
| Feb 2, 2024 | Fine | $100,240 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.40 | 3.94 | 3.95 | top 25% in Pennsylvania; top 26% in the U.S. |
| Registered Nurse hours | 1.00 | 0.80 | 0.69 | top 20% in Pennsylvania; top 16% in the U.S. |
| Weekend total nurse staffing | 3.84 | 3.58 | 3.50 | top 29% in Pennsylvania; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.72 | 0.56 | 0.48 | top 21% in Pennsylvania; top 15% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 44.5 | 45.8 | top 36% in Pennsylvania; top 36% in the U.S. |
| RN turnover (%) | 19.4 | 39.9 | 42.9 | top 14% in Pennsylvania; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.07, RN 0.93, weekend 3.56. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Millcreek Health System | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/08/2003 |
| Babiak, Jaime | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/21/2022 |
| Beerbower, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/03/2023 |
| Beerbower, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 11/03/2023 |
| Inman, Steven | Individual | Corporate Director | NOT APPLICABLE | 09/01/2023 |
| Lin, James | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Lin, James | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2024 |
| Lin, James | Individual | ADP of the SNF | NOT APPLICABLE | 04/28/2025 |
| Millcreek Health System | Organization | ADP of the SNF | NOT APPLICABLE | 11/08/2003 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Greenfield Healthcare and Rehabilitation Center | 0.3 mi | Erie, PA | ★☆☆☆☆ | 1/5 | abuse |
| Forestview | 1.0 mi | Erie, PA | ★★★★★ | 5/5 | |
| Lecom at Presque Isle, INC | 1.1 mi | Erie, PA | ★★★☆☆ | 3/5 | |
| Walnut Creek Nursing and Rehab | 1.3 mi | Erie, PA | ★★☆☆☆ | 2/5 | abuse |
| Lecom at Elmwood Gardens, LLC | 2.0 mi | Erie, PA | ★★★★★ | 5/5 | |
| Sarah Reed Senior Living | 2.9 mi | Erie, PA | ★★★★★ | 5/5 | |
| Lecom at Village Square, LLC | 2.9 mi | Erie, PA | ★★★★☆ | 4/5 | |
| Nightingale Nursing and Rehab Center | 3.5 mi | Erie, PA | ★★★★☆ | 4/5 | |
| Pennsylvania Soldiers and Sailors Home | 4.5 mi | Erie, PA | ★★★★★ | 4/5 | |
| Lecom at Asbury Ridge DBA Saint Mary's Asbury Ridg | 4.6 mi | Erie, PA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 396072.