Creekside Center For Rehabilitation And Nursing
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm
Review of the facility's abuse investigation revealed that on 9/13/25, at 2:44 pm, the Administrator was made aware of a juvenile visitor was in the dinning room during bingo and become angry and started throwing objects and turning over tables. Resident #19 was in the activities room and was hit by one of the objects thrown. Resident #19 did not sustain any injuries from the object. Further review of the investigation revealed the state agency was not notified of the allegation of abuse until 9/16/25 at 1:51 pm.
Residents Affected - Some
The Facility Reported Incident Initial Report Form dated 9/13/25 revealed the facility became aware of the allegation of abuse on 9/13/25 at 2:30 pm and the Administrator was notified on 9/13/25 at 2:43 pm of the incident that occurred on 9/13/25 at 2:30 pm. The date and time the Administrator was notified was documented as 9/13/25 at 2:43 pm and the initial report was submitted to the state agency by the Director of Nursing on 9/16/25 at 1:51 pm.
The Administrator was interviewed on 10/17/25 at 10:51 am who revealed she was the Abuse Coordinator for the facility. She stated the facility was responsible to report the abuse allegation to the state agency within two hours of notification. The Administrator stated the facility was responsible to report the allegation of abuse for Resident #19 immediately.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Creekside Center for Rehabilitation and Nursing
1183 Luther Drive Hagerstown, MD 21740
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm
Administrator stated the ADON should have obtained statements from all staff that worked on the day of the abuse allegation and maintained those statements in the investigation file. The Administrator confirmed the facility had no further information regarding the abuse investigation other than what was previously provided.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Creekside Center for Rehabilitation and Nursing
1183 Luther Drive Hagerstown, MD 21740
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
falling off the bed again, AD6 will email the height and weight of a resident to CSD5 and HM38 so they can have a bariatric mattress and bed available upon admission. She further stated the supply department would keep a spreadsheet on what residents are on bariatric mattresses and beds upon admission.
During an interview on 10/17/2024 at 11:30 AM, the Administrator stated Resident R23 should have been using a bariatric mattress and bariatric bed to prevent a fall from happening in January 2025. She added that the facility had implemented a plan of action which included AD6 sending an email to CSD5 and HM38 so bariatric beds will be available upon admission of residents to the facility. The Administrator added that the supply department would keep a spreadsheet on what residents are on bariatric beds and they will keep a spreadsheet with admission and discharges.
Event ID:
Facility ID:
If continuation sheet
CREEKSIDE CENTER FOR REHABILITATION AND NURSING in HAGERSTOWN, MD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HAGERSTOWN, MD, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CREEKSIDE CENTER FOR REHABILITATION AND NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.