C

Millcreek Manor

5535 PEACH STREET, ERIE, PA 16509
Score: 61 / 100

With a score of 61 out of 100, Millcreek Manor earns a C grade — placing it near the middle of Pennsylvania nursing facilities. Families should review the detailed metrics below when considering this Erie location.

Millcreek Manor provides above-average staffing with 4.24 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent CMS inspections identified 27 deficiencies at Millcreek Manor, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.24 3.8 Above Average
Registered Nurses (RN) 0.96 0.7 Above Average
Licensed Practical Nurses (LPN) 0.91 0.7 Above Average
Certified Nursing Assistants (CNA) 2.37 2.4 Average
Weekend Total Nursing 3.77 3.8 Average
Weekend RN Hours 0.75 0.7 Average

🔍 Inspection & Deficiency History

27
Total Deficiencies
Jan 22, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 25 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0628 Severity E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Jan 22, 2026 · Resident Rights Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Jan 22, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Nov 17, 2025 · Pharmacy Service Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jul 29, 2025 · Quality of Life and Care Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Mar 26, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.6% 4.5% Worse
Falls with major injury 4.2% 3.0% Worse
On antipsychotic medication 12.8% 14.5% Better
Urinary tract infections 2.0% 2.5% Better
ADL decline (daily activities) 10.2% 14.0% Better
Excessive weight loss 9.4% 7.5% Worse
New/worsened incontinence 29.9% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $100,240

How This Grade Was Calculated

This facility's grade of C is based on a score of 61 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
144
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 22, 2026
Deficiencies (Cycle 1)
6