Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Homewood Living Plum Creek, Inc during CMS and state inspections, most recent first.
A resident with C-diff and sepsis was placed on contact precautions, requiring staff to wear gloves and a gown when entering the room. A housekeeper entered the room wearing only gloves and a mask, not a gown, and did not perform hand hygiene after leaving the room before continuing to clean other areas. This failure to follow infection control protocols was confirmed through observation and staff interview.
The facility failed to implement proper infection control practices for two residents on droplet precautions. A nurse aide did not wear eye protection when entering a resident's room, and another aide improperly disposed of a face shield outside a resident's room. The DON acknowledged these lapses, which violated the facility's infection control policy.
A facility failed to accommodate the needs of a resident with dementia by turning off her call light without addressing her request for restroom assistance. Additionally, another resident with vision impairments had her call bell out of reach, contrary to her care plan. The DON confirmed these deficiencies.
A facility failed to ensure accurate resident assessment when a resident's MDS inaccurately indicated treatment for PTSD, despite no medical record or care plan supporting this. The DON confirmed the error, noting the resident had no PTSD history.
A resident with CHF and edema had a physician order for Tubi grips to be applied twice daily, but observations revealed they were not in place despite visible edema. The Treatment Administration Record inaccurately indicated compliance with the order. Interviews revealed the resident had not worn the Tubi grips for over a month due to weight loss and improved edema, and the order was changed to 'as needed'. The DON acknowledged the documentation error.
A facility failed to limit PRN orders for antipsychotic medications to 14 days, as required by policy. A resident with dementia, major depressive disorder, and anxiety disorder had a PRN order for Seroquel without a stop date, which was not reviewed within the mandated timeframe. The DON acknowledged the oversight, confirming non-compliance with the regulation.
The facility failed to include the facility name in the daily nurse staffing postings, as observed on two separate occasions. This omission was confirmed through staff interviews, and a corrected posting was later provided by the DON.
The facility failed to maintain its automatic sprinkler system, affecting one of seven smoke compartments. Observations revealed missing escutcheons on sprinkler heads in the Care South Country Kitchen and outside a resident room, confirmed by the Administrator.
Failure to Follow Contact Precaution Protocols for Resident with C-diff
Penalty
Summary
The facility failed to ensure that staff implemented infection control policies for a resident on contact precautions. Facility policy required staff and visitors to wear gloves and a disposable gown when entering the room of a resident on contact precautions. A resident with diagnoses of Clostridioides difficile (C-diff) and sepsis was placed on contact precautions per physician order and care plan. On observation, a housekeeper entered the resident's room wearing only disposable gloves and a surgical mask, but not a protective gown, despite signage on the door indicating the requirement for both gloves and gown. After leaving the resident's room, the housekeeper removed her gloves and put on a new pair without washing her hands, then proceeded to clean the hallway and other resident rooms. The housekeeper stated she was aware of the contact precautions but believed only gloves and a mask were required. The deficiency was identified through observation, policy review, and staff interview, confirming that infection control protocols were not followed as required for residents on contact precautions.
Infection Control Lapses in Droplet Precautions
Penalty
Summary
The facility failed to implement proper infection control practices for two residents on droplet precautions. The facility's infection control policy, last reviewed in April 2024, outlines the need to prevent and control the spread of communicable diseases and establish guidelines for transmission-based precautions. However, observations revealed that these guidelines were not followed. Specifically, a nurse aide did not wear eye protection when entering the room of a resident diagnosed with influenza, congestive heart failure, and chronic kidney disease. Another nurse aide improperly disposed of a face shield outside the room of a resident with similar diagnoses, contrary to the facility's policy that requires PPE disposal bins to be inside the resident's room. The Director of Nursing acknowledged during an interview that the PPE disposal bin should have been inside the resident's room and that staff should wear PPE appropriately. The facility's failure to adhere to its infection control policy was observed during the delivery of lunch trays to the residents, highlighting lapses in the implementation of droplet precautions. These deficiencies were noted under the regulations 28 Pa Code 201.18(b)(1) Management and 28 Pa Code 211.12(d)(1)(5) Nursing Services.
Plan Of Correction
Preparation and evaluation of the enclosed plan of correction set forth in these documents does not constitute admission or agreement by the provider of the truth of the facts alleged or concluded set forth in the statement of deficiencies. The plan of correction is prepared and or executed solely because it is required by the provision of Federal and State law. F-0880 Infection Prevention and Control 1. Resident #46 - Re-Education provided to the staff member on proper donning of PPE for Droplet precautions by Infection Preventionist. Resident #68 - Re-Education provided to the staff member on proper doffing of PPE for Droplet precautions by Infection Preventionist. 2. All resident rooms on precautions were checked to ensure PPE donning and doffing set up was done per facility policy and staff were following the correct procedures. No other discrepancies found. Donning and Doffing was reviewed with staff by Infection Preventionist on 1/23/25. 3. Policy on Infection Control will be reviewed and revised as necessary by DON. Re-education will be provided to the Healthcare staff on Infection Control and proper donning and doffing of PPE via Relias with education completed by 2/21/25. 4. QA Coordinator will audit for proper donning and doffing of PPE. 5 donning or doffing audits will be done weekly X2 weeks, bi-weekly x2 weeks then monthly x2. Any immediate concern will be brought to DON for immediate attention and re-education. Audits will be reviewed at QA Meetings. All Corrective actions will be completed by 2/25/25.
Failure to Accommodate Resident Needs and Ensure Call Bell Accessibility
Penalty
Summary
The facility failed to reasonably accommodate the needs of Resident 4, who had dementia, major depressive disorder, and anxiety disorder. On January 21, 2025, Resident 4 activated her call light to request assistance to use the restroom. A Registered Nurse (Employee 1) entered the room to administer medication, was informed by Resident 4 of her need, and turned off the call light without ensuring the need was met. Employee 1 claimed to have notified a Nurse Aide (Employee 3) via communication devices, but Employee 3 was occupied with an emergent situation and delayed in assisting Resident 4. The Director of Nursing (DON) confirmed the delay and the inappropriate deactivation of the call light before Resident 4's needs were addressed. Additionally, the facility did not ensure call bell accessibility for Resident 87, who had macular degeneration, age-related nuclear cataract, and hypertension. During an observation, Resident 87 was found eating breakfast in bed with her call bell out of reach on a recliner. Her care plan, which included an intervention to keep frequently used items within reach due to a history of falls, was not followed. The DON acknowledged that the call bell should have been within Resident 87's reach.
Plan Of Correction
Preparation and evaluation of the enclosed plan of correction set forth in these documents does not constitute admission or agreement by the provider of the truth of the facts alleged or concluded set forth in the statement of deficiencies. The plan of correction is prepared and or executed solely because it is required by the provision of Federal and State law. F-0558- Reasonable Accommodations Needs/Preferences 1. Resident #4 - DON provided education that in the future, the aide should notify her team leader that she was in another emergent situation so another person could respond to the residents' needs. Resident #87 re-education given to the aide to ensure the call light was always within reach for resident. 2. All other resident rooms were checked on both units on 1/23/2024 and all call lights were within reach and no other concerns were identified with residents receiving services with reasonable accommodations of resident needs and preferences. 3. Policy for Call Lights- Answering has been reviewed and revised by the DON. Education provided via Relias computer education system to Healthcare staff on the revised policy to include not turning off the call light until the resident needs have been met, call lights should be within reach at all times and the importance of residents receiving services with reasonable accommodations of resident needs and preferences. This education will be completed by 2/21/2025. 4. Audits will be completed by the QA coordinator monitoring for residents receiving services with reasonable accommodations of resident needs and preferences/call lights within reach/call lights turned off when resident needs met. Audits will be done weekly X2 weeks, bi-weekly x2 weeks then monthly x2. Any immediate concern will be brought to DON for immediate attention and re-education. Audits will be reviewed at QA Meetings. All corrective actions will be completed by 2/25/25.
Inaccurate Resident Assessment in MDS
Penalty
Summary
The facility failed to ensure that the resident assessment accurately reflected the resident's status for one of the residents reviewed. Specifically, the clinical record review and staff interview revealed that a resident, diagnosed with cerebral infarction and gastro-esophageal reflux disease, was inaccurately assessed in the Minimum Data Set (MDS) as having been treated for Post Traumatic Stress Disorder (PTSD) in the previous seven days. However, the resident's electronic medical record did not show any treatment for PTSD, nor was there a care plan addressing PTSD. The Director of Nursing confirmed that the MDS was marked in error and that the resident did not have a history of PTSD.
Plan Of Correction
Preparation and evaluation of the enclosed plan of correction set forth in these documents does not constitute admission or agreement by the provider of the truth of the facts alleged or concluded set forth in the statement of deficiencies. The plan of correction is prepared and or executed solely because it is required by the provision of Federal and State law. F-0641- Accuracy of Assessments 1. Resident #49 MDS was modified on 1/22/25 removing that the resident had been treated for PTSD in section I6100. DON did a written education for the LPNAC that entered this incorrectly. 2. All assessments completed in the past 14 days were audited for accuracy in section 16100 with no other errors identified. 3. Policies for Resident Assessments and comprehensive Assessments has been reviewed and will be revised as needed by the DON. Re-education provided to the MDS team by the DON on 1/31/2025 on accuracy of assessments per the RAI manual. Ongoing MDS training courses will be scheduled for the MDS team as offered and appropriate. 4. MDS's completed by the LPNAC will be audited by RNAC for accuracy. Audits will be completed on random sections of the MDS completed by the LPNAC. 5 assessments will be audited bi-weekly X2, then monthly x3 in coordination with residents MDS schedule. MDS will be modified if any errors identified. Any error identified will be brought to DON attention immediately. Audits will be reviewed at QA Meetings. All corrective actions will be completed by 2/25/25.
Failure to Implement Resident-Directed Care and Treatment
Penalty
Summary
The facility failed to implement resident-directed care and treatment consistent with the physician orders and care plan for a resident diagnosed with congestive heart failure, localized edema, and muscle weakness. The resident had a physician order for Tubi grips to be applied to the bilateral lower extremities twice a day to manage edema, starting from September 20, 2024. However, observations on January 21 and 22, 2025, revealed that the resident was not wearing the Tubi grips, despite having visible edema in the lower extremities. The Treatment Administration Record inaccurately indicated that the Tubi grips were in place on these dates. Interviews with the resident and the Director of Nursing revealed that the resident had not worn the Tubi grips for over a month due to significant weight loss and improvement in edema. The Director of Nursing confirmed that the physician order was changed to 'as needed' on January 22, 2025, but acknowledged that the order should not have been signed off as if the Tubi grips were in place when they were not. This discrepancy highlights a failure in accurately documenting and implementing the resident's care plan as per the physician's orders.
Plan Of Correction
Preparation and evaluation of the enclosed plan of correction set forth in these documents does not constitute admission or agreement by the provider of the truth of the facts alleged or concluded set forth in the statement of deficiencies. The plan of correction is prepared and or executed solely because it is required by the provision of Federal and State law. F-0684-Quality of Care 1. Resident 41's Physician orders/eTAR was reviewed and discussed with physician and resident. Physician changed order to PRN on 1/22/25. 2. All Resident treatment orders were reviewed to ensure the facility had implemented resident-directed care and treatment consistent with Physician's orders. No other discrepancies were identified. 3. Policies on Care Plans-Comprehensive Person-Centered and Nursing Documentation were reviewed and will have necessary revisions made by DON. Re-education provided to the Licensed nurses via Relias. Re-education to include reviewing the policies-Nursing Documentation and Care Plans-Comprehensive Person-Centered with a focus to include that residents receive any treatment ordered by the physician or the physician must be updated per policy of refusals or unnecessary treatment. Education will be completed by 2/21/25. 4. Treatments and Resident observations will be audited by QA Coordinator to ensure they are following the resident care plan and physician orders. Monitoring will include nurse observation to ensure treatment or appliance is in place. 5. Audits will be done weekly X2 weeks, bi-weekly x2 weeks then monthly x2. Any immediate concern will be brought to DON for immediate attention and re-education. Audits will be reviewed at QA Meetings. All corrective actions will be completed by 2/25/25.
Failure to Limit PRN Antipsychotic Medication Orders to 14 Days
Penalty
Summary
The facility failed to ensure that PRN orders for antipsychotic medications were limited to 14 days, as required by their policy and regulations. Specifically, Resident 4 had a PRN order for Seroquel, an antipsychotic medication, which was prescribed without a stop date, starting on December 31, 2024. This order was not renewed or evaluated for appropriateness within the 14-day period, as mandated by the facility's policy. The Director of Nursing acknowledged the oversight during an interview, confirming that the facility should comply with the regulation requiring a 14-day stop date for PRN antipsychotic medications. Resident 4's clinical record indicated diagnoses of dementia, major depressive disorder, and anxiety disorder, which are conditions that may require careful management of medications. Despite an assessment by a practitioner on January 13, 2025, which included a plan to continue medications as recommended by psychiatric services, the PRN order for Seroquel was not updated or reviewed within the required timeframe. This oversight was identified during a survey, highlighting a deficiency in the facility's adherence to its own policy and regulatory requirements.
Plan Of Correction
Preparation and evaluation of the enclosed plan of correction set forth in these documents does not constitute admission or agreement by the provider of the truth of the facts alleged or concluded set forth in the statement of deficiencies. The plan of correction is prepared and or executed solely because it is required by the provision of Federal and State law. F-0758- Free from Unnecessary Psychotropic meds/PRN use 1. Resident #4 PRN order for antipsychotic medication was reviewed with physician and discontinued on 1/23/25. 2. All PRN psychotropic orders were reviewed to ensure the order had an appropriate stop date per regulatory compliance. No other discrepancies found. 3. Policies for Psychotropic and Anti-psychotic Medications reviewed and any necessary revisions made by DON. Re-education to all Licensed Nurses on Psychotropic Medication use including every PRN order having a 14 day stop date will be provided via Relias to be completed by 2/21/2025. 4. QA Coordinator will review all new PRN psychotropic orders for a 14 day stop date. Audits will be done weekly X2 weeks, bi-weekly x2 weeks then monthly x2. Any immediate concern will be brought to DON for immediate attention and re-education. Audits will be reviewed at QA Meetings. All corrective actions will be completed by 2/25/25.
Omission of Facility Name in Daily Nurse Staffing Postings
Penalty
Summary
The facility failed to include all required data in the daily nurse staffing postings, specifically omitting the facility name. This deficiency was identified during observations of the Daily Nursing Staff Postings on January 21, 2025, at 10:27 AM, and on January 22, 2025, at 9:35 AM. The absence of the facility name in the postings was confirmed through staff interviews. Subsequently, the Director of Nursing provided a corrected copy of the posting via email on January 22, 2025, at 4:03 PM.
Sprinkler System Deficiency Due to Missing Escutcheons
Penalty
Summary
The facility failed to maintain the hardware components of its automatic sprinkler protection system, affecting one of seven smoke compartments. During an observation on January 7, 2025, at 11:15 AM, it was noted that the sprinkler head closest to the corridor door in the Care South Country Kitchen was missing an escutcheon. This deficiency was confirmed through an interview with the Administrator at the same time. Additionally, another observation at 11:33 AM on the same day revealed that the sprinkler head located in the corridor outside Resident Room C-148 was also missing an escutcheon, which was again confirmed by the Administrator.
Plan Of Correction
The enclosed plan of correction set forth in these documents does not constitute admission or agreement by the provider of the truth of the facts alleged or concluded set forth in the statement of deficiencies. The plan of correction is prepared and or executed solely because it is required by the provision of Federal and State law. 1. What systematic changes will be put in place to ensure that the deficiency does not recur, and how the corrective action(s) will be monitored. The sprinkler head escutcheon was placed onto the sprinkler heads located closest to the corridor door, within the Care South Country Kitchen and in the corridor outside Resident Room C-148 on 1.7.2025. Maintenance Director completed a full inspection and did not identify any further sprinkler/escutcheon concerns. Education was provided on 1.7.25 - 1.17.25 by NHA and Maintenance Director on the proper maintenance and importance of the sprinkler system specifically the escutcheons being intact at all times. 2. What quality assurance program will be put into place, and the dates when corrective actions will be complete. Action plan #455 was initiated. Audits will be done monthly X3 then quarterly by the Maintenance Director. The Maintenance Director will then report the findings to the QA Committee quarterly to ensure compliance with this regulation. The corrective action will be completed by 2.7.25.
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What surveyors actually found near you
We read the 226 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
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Nursing homes near Hanover
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hanover Hall For Nursing And Rehabilitation | 0.7 mi | ★★★★★ | 14 | 0 |
| Concordia At Spiritrust Utz Terrace | 3.9 mi | ★★★★★ | 4 | 0 |
| Cross Keys Village-brethren Home Community, The | 8.4 mi | ★★★★★ | 0 | 0 |
| Autumn Lake Healthcare At Long View | 10 mi | ★★★★★ | 13 | 0 |
| Gettysburg Center | 12.3 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.