Creekside Center for Rehabilitation and Nursing

Nursing Home · Hagerstown, MD

CMS overall rating 1/5 SFF candidate For profit - Limited Liability company

CMS certification number215113
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

1183 Luther Drive
Hagerstown, MD 21740
Washington County
Phone
(301) 790-1000
ZIP code
21740 – all care providers

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Facility details

Certified beds
80
Residents per day
75.5 (94% occupied)
Ownership
For profit - Limited Liability company
Legal name
Creekside SNF Operating Company LLC
Chain
Mordechai Weisz (7 facilities, avg 2.4★)
Medicare certified since
April 3, 1978
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.2
Quality measures★★★★★ 4/5
State avg 3.9
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.29 (state 3.87 · U.S. 3.86)
Registered nurses (RN)
0.71 (state 0.84 · U.S. 0.69)
Licensed practical nurses
0.73 (state 0.91 · U.S. 0.86)
Nurse aides
1.86 (state 2.12 · U.S. 2.32)
Weekend total
2.94 (state 3.47 · U.S. 3.42)
Nursing staff turnover
64.7 (state 40.2 · U.S. 45.8)%
RN turnover
62.5 (state 38.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 6, 2026
Health deficiencies (last cycle)
23.0 (state 17.5 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
69 health · 11 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 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.
F0887 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-06 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2025-12-23 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-11-24
2025-10-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-02-04
2025-10-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-03
2025-10-17 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-03
2025-02-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2025-02-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2025-02-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2025-02-21 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2024-08-05 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-11-22
2024-08-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-11-22
2024-08-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-11-22
2024-08-05 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08
2024-08-05 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F0838 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08
2024-08-05 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
F0945 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08
2024-08-05 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-08-05 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08
2024-08-05 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-05 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08
2024-08-05 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08
2024-08-05 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08
2024-08-05 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08
2024-08-05 Give residents a notice of rights, rules, services and charges.
F0572 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-08

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $111,536 in fines.

DateTypeAmount
2025-10-17Fine$10,358
2024-08-05Fine$101,178

Ownership & management

NameRoleSince
Elebiary, Ahmed (individual)Administrator · NOT APPLICABLE
Lions Healthcare Management LLC (organization)Administrator · NOT APPLICABLE
Truslow, Cynthia (individual)Administrator · NOT APPLICABLE
Weisz, Mordechai (individual)Administrator · NOT APPLICABLE
Elebiary, Ahmed (individual)Managing Control - Governing Body · NOT APPLICABLE
Weisz, Mordechai (individual)Managing Control - Governing Body · NOT APPLICABLE
Elebiary, Ahmed (individual)Operational/managerial Control · NOT APPLICABLE
Lions Healthcare Management LLC (organization)Operational/managerial Control · NOT APPLICABLE
Truslow, Cynthia (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Creekside Center for Rehabilitation and Nursing?

Creekside Center for Rehabilitation and Nursing has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Maryland.

How many beds does Creekside Center for Rehabilitation and Nursing have?

It has 80 certified beds and cares for about 76 residents per day.

Has Creekside Center for Rehabilitation and Nursing been fined?

Yes. CMS lists 2 penalties totaling $111,536 in the last three years.

Who owns Creekside Center for Rehabilitation and Nursing?

It is part of Mordechai Weisz and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Creekside Center for Rehabilitation and Nursing?

(301) 790-1000. The facility is located at 1183 Luther Drive, Hagerstown, MD 21740.

Other nursing homes in Hagerstown

Compare all nursing homes in Hagerstown, MD →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.