Creekside Center For Rehabilitation And Nursing
CREEKSIDE CENTER FOR REHABILITATION AND NURSING in HAGERSTOWN, MD — inspection on October 17, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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.
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Creekside Center for Rehabilitation and Nursing
1183 Luther Drive Hagerstown, MD 21740
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Creekside Center for Rehabilitation and Nursing
1183 Luther Drive Hagerstown, MD 21740
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/17/2024 at 11:30 AM, the Administrator stated 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.
Facility ID: