Spring Creek Rehabilitation and Nursing Center
1205 South 28th Street · Harrisburg, PA · 17111 · 7175657000
404 certified beds For profit - Limited Liability company
Why this verdict
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 2.80 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 2 · $17,128 |
Inspection citations (46 in the current record)
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Actual harm · G April 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 14, 2026 · Quality of Life and Care
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Actual harm · G July 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 5, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 13, 2025 · Resident Rights
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Potential for harm · D April 17, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025
Provide activities to meet all resident's needs.
Corrected May 13, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 13, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected May 13, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 13, 2025 · Nutrition and Dietary
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Potential for harm · E April 17, 2025
Provide and implement an infection prevention and control program.
Corrected May 13, 2025 · Infection Control
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Potential for harm · D April 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 13, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 13, 2025 · Quality of Life and Care
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Potential for harm · D March 21, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 3, 2025 · Nursing and Physician Services
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Potential for harm · D March 11, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 19, 2025 · Nutrition and Dietary
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Potential for harm · E February 26, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 18, 2025 · Nutrition and Dietary
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Actual harm · G October 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 8, 2024 · Quality of Life and Care
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Potential for harm · D October 15, 2024 · found via complaint
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.
Corrected October 9, 2024 · Pharmacy Service
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Potential for harm · D July 9, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 9, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 20, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
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.
Corrected June 20, 2024 · Resident Rights
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Potential for harm · E May 23, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 20, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
Ensure each resident receives an accurate assessment.
Corrected June 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 23, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 23, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 20, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 7, 2025 | Fine | $9,110 |
| October 15, 2024 | Fine | $8,018 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395074 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.