Inners Creek Skilled Nursing And Rehabilitation Ce

Based on observation and staff interview, it was determined that the facility failed to post the current daily nurse staffing information that included the facility name, current date, resident census, and the total number of direct care hours for licensed and unlicensed nursing staff, for one posted nurse staffing document observed (facility lobby). An observation of the facility's nurse staffing information, on December 29, 2025, at approximately 8:30 AM, revealed the most recent posting with information dated December 27, 2025.An interview with the Administrator in Training (Employee 1), on December 29, 2025, at 9:41 AM, confirmed that the posted information should have been updated by the night shift staff and weekend staff.

The interview revealed the posted information would be updated immediately to reflect the current date and other required information.28 Pa.

Code 201.14 (a) Responsibility of licensee

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/02/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Inners Creek Skilled Nursing and Rehabilitation Ce

100 West Queen Street Dallastown, PA 17313

SUMMARY STATEMENT OF DEFICIENCIES

Based on document review, clinical review, and staff interview, it was determined that the facility failed to obtain diagnostic services to meet the needs of its residents and ensure those services are obtained promptly for one of two residents reviewed for falls (Resident 1).Findings Include:Review of Resident 1's clinical record revealed diagnoses that included Right Femur Fracture and Alzheimer's Disease (a progressive brain disease, the most common cause of dementia, that gradually destroys memory, thinking, and reasoning skills, leading to severe memory loss, confusion, and difficulty with daily tasks, behavior changes, and eventual inability to carry out even simple activities).Review of Resident 1's falls, during December 2025, revealed a fall dated December 7, 2025.

According to the incident report, staff documented the following immediate action: the Certified Registered Nurse Practitioner (CRNP) notified and ordered STAT x-ray R [hip] .

The time noted of the notification to the CRNP was documented as 9:20 PM.In medical terms, STAT is defined as immediately or right away.

Review of the document, titled Preventive Diagnostics, dated the following day, December 8, 2025, revealed the facility's contracted mobile X-Ray provider performed the X-ray on Resident 1 at 12:09 PM.The X-ray read right subcapital hip fracture is noted.

Osteopenia [reduced bone mass] noted.

Fracture as noted of unknown chronicity.Electronic mail correspondence, with the Director of Nursing, on December 31, 2025, at 1:05 PM, revealed The x-ray was entered incorrectly. It was entered as one-time only instead of stat.

The X-ray company states that the turnaround time for stat requests is four hours. We have notified all providers that in-house stat X-rays will not be done related to the turnaround time, and if it is necessary to obtain the X-ray stat, the resident will need to be sent to the hospital.28 Pa.

Code 211.12 (d) (5) Nursing services

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/02/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Inners Creek Skilled Nursing and Rehabilitation Ce

100 West Queen Street Dallastown, PA 17313

SUMMARY STATEMENT OF DEFICIENCIES

Based on a clinical record, policy review, and staff interview, it was determined that the facility failed to ensure that residents received routine dental services for one of six resident records reviewed (Resident 4).Findings Include:

Review of the facility's policy, titled Dental Services, revised on September 15, 2025, reads, in part, Centers [facility] will provide or obtain from an outside resource routine and emergency dental services, including 24-hour emergency dental care, to meet the needs of each patient.The policy continued, Routine dental services means an annual inspection of the oral cavity for signs of disease, diagnosis of dental disease, dental radiographs as needed, dental cleaning, fillings (new and repairs), minor partial or full denture adjustments, smoothing of broken teeth, and limited prosthodontic procedures, e.g., taking impressions for dentures and fitting dentures.Review of Resident 4's clinical record revealed diagnoses that included hypertension (elevated blood pressure) and chronic pain, with an admission date to the facility of November 1, 2022.Review of Resident 4's interdisciplinary plan of care revealed documentation that included an identified problem for a potential for dental or oral cavity health problem d/t [due to] aging teeth.Continued review of Resident 4's clinical record revealed no dental consultations for access to routine and/or emergent dental care since the admission date in 2022.Electronic Mail correspondence with the Administrator in Training (Employee 1) and the Director of Nursing on December 30, 2025, at 1:35 PM, confirmed Resident 4 had not been seen by a dentist for routine care, and the facility is attempting to seek means to have the Resident signed up for routine and/or emergent dental services.28 Pa.

Code 201.18 (a) Management28 Pa.

Code 211.12 (d) (5) Nursing services

Facility ID: