Sugar Creek Care Center: Bathing, Activity Failures - PA
The resident, identified in inspection records only as Resident R4, told inspectors on November 5, 2025, that she does not always receive her bath on the days she has asked for, Mondays and Thursdays. When inspectors spoke with her that afternoon, her hair was greasy.
She was not alone. The facility's own records confirmed that baths and showers were not provided on scheduled days or according to personal preferences for four residents, R1, R2, R3, and R4, for a period running from October 9 through November 7, nearly a month.
The Nursing Home Administrator acknowledged it directly. During an interview on November 7, she confirmed that showers are supposed to be given according to each resident's preference and are encouraged twice a week. She then confirmed that this had not happened for any of the four residents across that entire stretch of time.
The inspection, a complaint survey completed November 13, 2025, also found that residents had been cut off from two of the things they said they valued most: eating together and gathering in groups.
Six residents, R1, R4, R6, R7, R8, and R9, told inspectors on November 5 that they enjoy their meals in the dining room. They said they enjoy group activities. Both had been taken away. The dining room was closed. Group activities had stopped.
Inspectors watched the facility for six hours that day, from 9:30 in the morning until 3:30 in the afternoon. They saw residents in therapy. They saw residents walking the halls and talking with staff. They did not see a single resident participating in individual activities, in socially distanced activities, or eating a meal in the dining room with any accommodation for the situation.
The administrator and the Director of Nursing explained the restrictions during an interview that afternoon. COVID was in the building, they said. The dining room closure and the end of group activities were the response.
A facility line listing report reviewed on November 12 showed no new positive residents since November 4. The spread, inspectors noted, had slowed.
The inspection report does not say when the dining room closed or when group activities stopped. It does not say how long residents had been eating alone in their rooms before inspectors arrived. It does not say whether anyone had assessed whether the restrictions still made sense once transmission slowed, or whether anyone had arranged any alternative for residents sitting in their rooms with nothing organized for them.
What it says is that inspectors watched for six hours and saw nothing.
The deficiency was cited at a level of minimal harm or potential for actual harm, and noted as affecting some residents. Sugar Creek Care Center is located at 351 Causeway Drive in Franklin.
For Resident R4, the question of when she would next have clean hair still depended, as of the day inspectors found her, on whether staff decided they had time.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Sugar Creek Care Center from 2025-11-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 22, 2026 · Our methodology
SUGAR CREEK CARE CENTER in FRANKLIN, PA was cited for violations during a health inspection on November 13, 2025.
When inspectors spoke with her that afternoon, her hair was greasy.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.