Millcreek Manor

Nursing Home · Erie, PA

CMS overall rating 4/5 Non profit - Corporation

CMS certification number396072

Contact & location

5535 Peach Street
Erie, PA 16509
Erie County
Phone
(814) 868-7395
ZIP code
16509 – all care providers

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Facility details

Certified beds
144
Residents per day
139.0 (97% occupied)
Ownership
Non profit - Corporation
Chain
Lecom Senior Living (5 facilities, avg 4.2★)
Medicare certified since
July 24, 2000
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.0
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.0
Quality measures★★★★★ 3/5
State avg 3.6
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 2/5

Staffing

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

Total nurse staffing
4.07 (state 3.89 · U.S. 3.86)
Registered nurses (RN)
0.93 (state 0.79 · U.S. 0.69)
Licensed practical nurses
0.99 (state 0.91 · U.S. 0.86)
Nurse aides
2.16 (state 2.19 · U.S. 2.32)
Weekend total
3.56 (state 3.53 · U.S. 3.42)
Nursing staff turnover
40.0 (state 44.5 · U.S. 45.8)%
RN turnover
19.4 (state 39.9 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
January 23, 2026
Health deficiencies (last cycle)
5.0 (state 10.1 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
29 health · 8 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-29 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-16
2026-03-29 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 2026-05-16
2026-01-23 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-16
2026-01-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-16
2025-11-18 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-05
2025-07-30 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 2025-08-25
2025-07-30 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-08-25
2025-03-27 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-22
2025-01-24 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-01-24 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-01-24 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2024-09-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-07-24 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-16
2024-02-23 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		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-04-01
2024-02-23 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-01
2024-02-23 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-01
2024-02-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-01
2024-02-23 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-01
2024-02-23 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 2024-04-01
2024-02-23 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-01
2024-02-23 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-01
2024-02-23 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-01
2024-02-02 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 2024-03-04
2024-02-02 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-04
2024-02-02 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-04
2023-10-16 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-10-16 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-10-16 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 2023-11-17
2023-10-16 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 2023-11-17

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

1 penalty in the last three years, including $100,240 in fines.

DateTypeAmount
2024-02-02Fine$100,240

Ownership & management

NameRoleSince
Millcreek Health System (organization)5%+ Direct Ownership Interest · 100%
Beerbower, Joshua (individual)Administrator · NOT APPLICABLE
Lin, James (individual)Administrator · NOT APPLICABLE
Millcreek Health System (organization)Administrator · NOT APPLICABLE
Inman, Steven (individual)Corporate Director · NOT APPLICABLE
Lin, James (individual)Corporate Director · NOT APPLICABLE
Babiak, Jaime (individual)Operational/managerial Control · NOT APPLICABLE
Beerbower, Joshua (individual)Operational/managerial Control · NOT APPLICABLE
Lin, James (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Millcreek Manor?

Millcreek Manor has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Pennsylvania.

How many beds does Millcreek Manor have?

It has 144 certified beds and cares for about 139 residents per day.

Has Millcreek Manor been fined?

Yes. CMS lists 1 penalty totaling $100,240 in the last three years.

Who owns Millcreek Manor?

It is part of Lecom Senior Living and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Millcreek Manor?

(814) 868-7395. The facility is located at 5535 Peach Street, Erie, PA 16509.

Other nursing homes in Erie

Compare all nursing homes in Erie, PA →

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