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Complaint Investigation

Sugar Creek Care Center

March 26, 2026 · Franklin, PA · 351 Causeway Drive
Citations 1
CMS Rating 2/5
Beds 148
Provider ID 395777
Healthcare Facility
Sugar Creek Care Center
Franklin, PA  ·  View full profile →
Inspection Summary

SUGAR CREEK CARE CENTER in FRANKLIN, PA — inspection on March 26, 2026.

Found 1 citation. 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.

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Inspection Findings

FF0842
Resident Assessment and Care Planning Deficiencies

Review of Resident R1's clinical record revealed an admission date of 1/14/15, with diagnoses that included diabetes (a health condition that is caused by the body's inability to produce enough insulin), and hypothyroidism (a condition when the thyroid produces low amounts of thyroid hormones).

Review of Resident R1's shower task (an area in point of care where the nursing assistants document showers) for the months of February 2026, and March 2026, lacked documentation that a shower was provided on 2/6/26, 2/20/26, 2/24/26, 3/10/26, 3/13/26, and 3/17/26.

Review of Resident R2's clinical record revealed an admission date of 2/16/26, with diagnoses that included diabetes, and hypertension (high blood pressure).

Review of Resident R2's shower task for the months of February 2026, and March 2026, lacked documentation that a shower was provided on 2/16/26, 2/19/26, 2/23/26, 3/2/26, 3/5/26, and 3/9/26.

Review of Resident R3's clinical record revealed an admission date of 9/26/25, with diagnoses that include hypertension and gastro esophageal reflux disease (a condition when stomach acid repeatedly flows back up into your throat).

Review of Resident R3's shower task for the months of February 2026, and March 2026, lacked documentation that a shower was provided on 2/11/26, 2/14/26, 2/18/26, 2/21/26, 2/25/26, 3/4/26, 3/11/26, 3/14/26, and 3/18/26.

Review of Resident R4's clinical record revealed an admission date of 1/30/26, with diagnoses that included Parkinson's (a progressive disorder that affects movement), overactive bladder, and diabetes.

Review of Resident R4's shower task for the month of February 2026, lacked documentation that a shower was provided on 2/3/26, 2/6/26, 2/10/26, 2/13/26, 2/17/26, 2/20/26, and 2/24/26.

During an interview on 3/20/26, at 10:23 a.m. the Director of Nursing (DON) confirmed that Resident's R1, R2, R3, and R4's clinical record did not have complete documentation regarding showers.

The DON also confirmed that showers should be done as scheduled in the resident's task and documented when completed. 28 Pa.

Code 211.5(f)(ix) Medical Records 28 Pa.

Code 211.12(d)(1)(5) Nursing Services Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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 FRANKLIN, PA, (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 SUGAR CREEK CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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