Health inspection·January 2, 2026

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on observations, policy review, and resident and staff interviews, it was determined that the facility failed to ensure each resident is treated with respect, care, and dignity in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality, for one of eight residents observed (Resident 6). Findings Include:Review of the facility's policy, titled Resident Rights Under Federal Law, reviewed June 12, 2025, read, in part, that the purpose of the policy is To treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of their self-esteem and self-worth. The policy continued, To protect and promote the rights of the resident.Review of Resident 6's clinical record revealed diagnoses that included congestive heart failure (a chronic condition where the heart muscle weakens or stiffens, making it unable to pump enough oxygen-rich blood to meet the body's demands, leading to fluid buildup [congestion] in the lungs, legs, and other organs, causing symptoms like shortness of breath, swelling, and fatigue) and community-acquired pneumonia ( a lung infection caught outside hospitals, causing symptoms like cough [with phlegm], fever, chills, and shortness of breath, trigged by bacteria, viruses or fungi. It's a common and serious illness, especially for the elderly, and treatment often involves antibiotics, though viral causes may need supportive care.)Resident 6 was being admitted to the facility, on December 29, 2025, at 12:43 PM. Observation revealed a transportation team attempting to admit Resident 6 into a room already occupied by Resident 8.The observation prompted the Licensed Practical Nurse (Employee 3) to immediately yell, She can't go in there because she's Black. Employee 3 attempted to make telephone contact with the admissions team regarding the placement of Resident 6 in the room with Resident 8.Resident 6 was removed from the room by the transport team and presented to the nurses' station desk via stretcher. The transport person informed the staff that Resident 8 began yelling and called Resident 6 a n***** (a derogatory racial slur most often levied towards Black Americans).Resident 6 was transferred by the transport team to another area and room within the facility with the assistance and interventions of Employee 3.An interview with Employee 3, on December 29, 2025, at approximately 12:50 PM, revealed that staff have knowledge that Resident 8 is described as racist and that the staff intervene to prevent incidents or disruptions based on that knowledge. The interview also revealed that the staff are typically notified prior of admissions and would have informed staff not to admit Resident 6 to Resident 8's occupied room. An interview with Resident 6 on December 29, 2025, at 12:57 PM, revealed that Resident 8 indeed called her the racial slur, and Resident 6 stated, That was the last thing I expected. The interview revealed Resident 6 planned on participating in rehabilitation care and services, with a goal to return home with her daughter as soon as possible.An interview with the Director of Nursing and the Administrator in Training (Employee 6) on December 29, 2025, at approximately 1:40 PM, revealed that the Director of Admissions (Employee 5) was not present for work on that date. The interview revealed the facility will (continued on next page) 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 REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 5 Event ID: 395451 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395451 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/02/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Inners Creek Skilled Nursing and Rehabilitation Ce 100 West Queen Street Dallastown, PA 17313 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)