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INNERS CREEK SKILLED NURSING AND REHABILITATION CE

Open-data reference.

INNERS CREEK SKILLED NURSING AND REHABILITATION CE is a for profit - corporation facility in DALLASTOWN, PA with 202 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $33K.

100 WEST QUEEN STREET, DALLASTOWN, PA 17313

Phone: 7172461671

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
395451
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
202
Residents
192
In Hospital
No
County
York
Last Inspection
Oct 25, 2024
Abuse citation on record

Staffing Data

RN Hours
0.44 (nat'l avg: 0.68)
LPN Hours
0.87
CNA Hours
1.91
Total Nursing Hours
3.22 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
52.6%
RN Turnover
34.8%

What the CMS Record Reveals About INNERS CREEK SKILLED NURSING AND REHABILITATION CE

INNERS CREEK SKILLED NURSING AND REHABILITATION CE operates 202 certified beds in DALLASTOWN, PA with approximately 192 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $33K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.22 total nursing hours per resident day (national average 3.89), with RN coverage at 0.44 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, INNERS CREEK SKILLED NURSING AND REHABILITATION CE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 52.6%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Jan 2, 2026 Tag: 0790

Provide routine and 24-hour emergency dental care for each resident.

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Jan 2, 2026 Tag: 0776

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Category: Administration Deficiencies

D — Isolated - Minimal harm Jan 2, 2026 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

D — Isolated - Minimal harm Jan 2, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

G — Isolated - Actual harm Sep 16, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 7, 2025

E — Pattern - Minimal harm Aug 7, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2025

D — Isolated - Minimal harm Jul 17, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 21, 2025

D — Isolated - Minimal harm Jul 17, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 21, 2025

D — Isolated - Minimal harm Jul 17, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 21, 2025

E — Pattern - Minimal harm Jun 9, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 29, 2025

D — Isolated - Minimal harm Jun 9, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jun 27, 2025

D — Isolated - Minimal harm May 7, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm May 2, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Dec 23, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 23, 2025

D — Isolated - Minimal harm Dec 23, 2024 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 23, 2025

D — Isolated - Minimal harm Nov 20, 2024 Tag: 0777

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Dec 3, 2024

D — Isolated - Minimal harm Nov 20, 2024 Tag: 0776

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Category: Administration Deficiencies

Corrected: Dec 3, 2024

K — Pattern - Jeopardy Oct 25, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 3, 2024

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Dec 3, 2024

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 3, 2024

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 3, 2024

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 3, 2024

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Dec 3, 2024

E — Pattern - Minimal harm Oct 25, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 3, 2024

D — Isolated - Minimal harm Sep 11, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 30, 2024

E — Pattern - Minimal harm Mar 7, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 16, 2024

D — Isolated - Minimal harm Mar 7, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 16, 2024

E — Pattern - Minimal harm Nov 30, 2023 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 17, 2024

E — Pattern - Minimal harm Nov 30, 2023 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Jan 17, 2024

F — Widespread - Minimal harm Nov 30, 2023 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Jan 17, 2024

E — Pattern - Minimal harm Nov 30, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 17, 2024

E — Pattern - Minimal harm Nov 30, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 17, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jan 17, 2024

C — Widespread - No harm Nov 30, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 17, 2024

E — Pattern - Minimal harm Nov 30, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 17, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 17, 2024

E — Pattern - Minimal harm Nov 30, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 17, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0675

Honor each resident's preferences, choices, values and beliefs.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 17, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 17, 2024

E — Pattern - Minimal harm Nov 30, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 17, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 17, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 6.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 87.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 74.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 71.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 46.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 30.0% Yes

Penalty History 1 penalties totaling $33K

Date Type Amount
Sep 11, 2024 Fine $33K

Frequently Asked Questions

What is the overall CMS rating for INNERS CREEK SKILLED NURSING AND REHABILITATION CE?
INNERS CREEK SKILLED NURSING AND REHABILITATION CE has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at INNERS CREEK SKILLED NURSING AND REHABILITATION CE?
INNERS CREEK SKILLED NURSING AND REHABILITATION CE reports 3.22 total nursing hours per resident day (national average: 3.89). RN hours are 0.44 per resident day (national average: 0.68). Nursing staff turnover is 52.6%.
How many beds does INNERS CREEK SKILLED NURSING AND REHABILITATION CE have?
INNERS CREEK SKILLED NURSING AND REHABILITATION CE has 202 certified beds with approximately 192 residents. The facility is located at 100 WEST QUEEN STREET, DALLASTOWN, PA 17313.
Does INNERS CREEK SKILLED NURSING AND REHABILITATION CE have any deficiencies on record?
Yes, INNERS CREEK SKILLED NURSING AND REHABILITATION CE has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has INNERS CREEK SKILLED NURSING AND REHABILITATION CE received any fines or penalties?
Yes, INNERS CREEK SKILLED NURSING AND REHABILITATION CE has received 1 penalties totaling $33K.
Who owns INNERS CREEK SKILLED NURSING AND REHABILITATION CE?
INNERS CREEK SKILLED NURSING AND REHABILITATION CE is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was INNERS CREEK SKILLED NURSING AND REHABILITATION CE last inspected?
The most recent health inspection for INNERS CREEK SKILLED NURSING AND REHABILITATION CE was on Oct 25, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for INNERS CREEK SKILLED NURSING AND REHABILITATION CE?
INNERS CREEK SKILLED NURSING AND REHABILITATION CE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial