Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Walnut Creek Nursing And Rehab during CMS and state inspections, most recent first.
Three residents' MDS assessments were found to be inaccurately coded, with two residents not marked as receiving hospice services despite clinical records and physician orders, and another resident's discharge status incorrectly documented as home/community instead of a short-term general hospital. These errors were confirmed by the RNAC through record review and staff interviews.
The facility did not consistently record dishwashing machine temperatures as required, and treatment ice packs were improperly stored next to food items in a unit freezer. The Dietary Manager and an LPN confirmed these lapses in food safety practices.
A medication cart was observed unlocked and unattended in a resident-accessible hallway, contrary to facility policy. An LPN confirmed the cart should have been locked before being left unattended.
A resident's clinical record inaccurately included a diagnosis of Schizophrenia, which was added and maintained in multiple physician-signed reports and MDS assessments despite a lack of supporting evidence in preadmission screenings and neuropsychological evaluations. The DON later confirmed the diagnosis was a clerical error and not reflective of the resident's medical history.
A facility failed to protect a resident's privacy during medication administration. An RN left a computer open on a medication cart in the hallway, displaying resident information visible to passersby. The RN confirmed the oversight, acknowledging that resident information should be covered when not in view.
The facility failed to properly store and dispose of medications, as evidenced by outdated Insulin Lantus and Iron Gluconate found in medication carts. Staff confirmed these medications should have been discarded. Additionally, an RN left a medication cart unlocked and unattended, contrary to facility policy.
The facility failed to maintain complete and accurate documentation for bathing and meal intake for 13 of 14 residents reviewed. The clinical records lacked documentation for scheduled showers and meal intakes, as required by facility policies. The Nursing Home Administrator confirmed the incomplete documentation during an interview.
Inaccurate MDS Coding for Hospice and Discharge Status
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments accurately reflected the clinical status and services received by three residents. For two residents with significant medical conditions, including malignant neoplasm of the prostate, depression, senile degeneration of the brain, and coagulation factor deficiency, the MDS assessments did not indicate that they were receiving hospice services, despite physician orders and clinical records confirming hospice care during the required fourteen-day look-back period. The Registered Nurse Assessment Coordinator (RNAC) confirmed that the hospice status was not properly coded on the MDS for these residents. Additionally, another resident with diagnoses including aspiration pneumonia and benign prostatic hyperplasia was transferred to the emergency room, but the Discharge Return Anticipated MDS was inaccurately coded as discharge to home/community instead of to a short-term general hospital. The RNAC acknowledged this coding error during an interview. These inaccuracies were identified through review of clinical records, MDS documentation, and staff interviews.
Failure to Maintain Food Safety Standards in Kitchen and Unit Freezer
Penalty
Summary
The facility failed to maintain proper food service safety standards by not recording dishwashing machine wash and rinse temperatures for each cycle as required by facility policy and manufacturer recommendations. Review of the dishwasher temperature log showed missing entries for multiple dates, and the Dietary Manager confirmed that temperatures were not being consistently recorded. Additionally, in one of the unit freezers, ice packs used for resident treatments were stored next to food items such as popsicles and ice cream cups. An LPN confirmed that these treatment ice packs should not be stored with food in the resident freezer.
Unattended Unlocked Medication Cart
Penalty
Summary
A deficiency was identified when a medication cart in Neighborhood Three was found unlocked and unattended in a hallway accessible to residents. Facility policy requires that medication carts remain locked when not attended, and this policy was not followed. Observation confirmed the cart was left unsecured, and during an interview, an LPN acknowledged that the cart should have been locked before leaving it unattended. No information was provided regarding any residents' medical history or condition at the time of the deficiency.
Inaccurate Medical Record Due to Erroneous Schizophrenia Diagnosis
Penalty
Summary
The facility failed to maintain complete and accurate medical records for one resident. The clinical record for this resident included a diagnosis of Schizophrenia, which was added on a specific date and continued to appear in subsequent physician-signed diagnosis reports and order summaries. However, a review of the resident's preadmission screening, neuropsychology assessments, and psychiatric evaluation did not provide evidence of a history of Schizophrenia prior to admission. Despite this, the diagnosis was repeatedly coded as active in multiple Minimum Data Set (MDS) assessments. A departmental progress note documented that, after discussions with the resident, their physician, and family, it was determined that the Schizophrenia diagnosis was a clerical error and that the resident did not have a history of this condition. The Director of Nursing confirmed that there was no evidence supporting the diagnosis in the clinical record, indicating that the inclusion of Schizophrenia was inaccurate and not based on the resident's actual medical history.
Failure to Protect Resident Privacy During Medication Administration
Penalty
Summary
The facility failed to maintain resident privacy during medication administration for one resident. The facility's policy on confidentiality and personal privacy, dated January 5, 2024, mandates safeguarding the personal privacy and confidentiality of all resident records, with access limited to authorized staff. On June 26, 2024, at 8:01 a.m., a Registered Nurse (RN) prepared medications for a resident using a medication cart parked in the hallway. The computer on the cart was left open, displaying resident and medication information visible to passersby. The RN then entered the resident's room to administer the medication, leaving the computer unattended and visible in the hallway. During an interview, the RN confirmed the failure to cover or protect the resident's information, acknowledging that such information should be covered when not in view.
Medication Storage and Disposal Deficiencies
Penalty
Summary
The facility failed to ensure proper medication storage and disposal practices, as evidenced by observations and staff interviews. During a review of the Neighborhood 400 medication cart, an open Insulin Lantus vial was found with an open date exceeding the 28-day usage guideline, and an open bottle of Iron Gluconate was discovered with a best-by date that had already passed. Similarly, the Neighborhood 300 medication cart contained an open bottle of Iron Gluconate beyond its best-by date. Staff interviews confirmed these findings, acknowledging that the medications should have been discarded according to the facility's policy and manufacturer's guidelines. Additionally, the facility did not maintain secure medication storage practices. During a medication administration observation, an RN left a medication cart unlocked and unattended while a resident was nearby. The RN confirmed that the cart was out of view and should have been locked, as per the facility's policy. These actions and inactions demonstrate a failure to prevent unauthorized access to medications and to appropriately manage outdated medications, as required by the facility's policies and professional guidelines.
Failure to Maintain Accurate Documentation for Bathing and Meal Intake
Penalty
Summary
The facility failed to maintain complete and accurate documentation for bathing and meal intake for 13 of 14 residents reviewed. The facility's policies required staff to document the date and time of showers or baths, reasons for refusals, and interventions taken, as well as the amount of meal intake and reasons for refusals. However, the clinical records for the residents lacked this documentation on multiple occasions over a 30-day period. For instance, Resident R1's clinical record did not include documentation for five of eight scheduled showers and multiple meal intakes, including 14 breakfast meals, 15 lunch meals, and two supper meals. Similarly, Resident R2's record lacked documentation for three of nine scheduled showers and three supper meals. This pattern of missing documentation was consistent across the records of the other residents reviewed, including Residents R4, R5, R6, R7, R12, R13, R14, R15, R16, R17, and R18. The Nursing Home Administrator confirmed during an interview that the documentation for showers, baths, and meal intake was incomplete for these residents. This failure to document as per the facility's policies indicates a significant lapse in maintaining accurate and complete medical records, which is essential for ensuring the well-being and proper care of the residents.
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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.
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Nursing homes near Erie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lecom At Presque Isle, Inc | 0.9 mi | — | 17 | 0 |
| Forestview | 1.2 mi | — | 0 | 0 |
| Millcreek Manor | 1.3 mi | — | 5 | 0 |
| Greenfield Healthcare And Rehabilitation Center | 1.6 mi | — | 23 | 0 |
| Lecom At Elmwood Gardens, Llc | 2.3 mi | — | 1 | 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 August 2026) and official state health department websites.