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Nursing HomeMedicaid Investigative

Spring Creek Rehabilitation and Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1205 South 28th Street, Harrisburg, PA 17111404 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 481 Google reviews

5
4
3
2
1
Spring Creek Rehabilitation and Nursing Center Nursing Home in Harrisburg, PA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (13 vs median 8.0)

Below average in PA · Below recommended RN staffing · $21,445 in fines

Source: Medicare data

What this means for your family

This facility offers a strong rehabilitation program with dedicated therapists, which may be beneficial for short-term recovery. However, families must be prepared to act as active advocates, as multiple reviewers noted issues with call-button response times and communication. We strongly recommend visiting unannounced and labeling all personal belongings to prevent loss.

Google Reviews

Google Reviews

481 reviews on Google
Spring Creek Rehabilitation and Nursing Center receives highly polarized feedback, with some families praising the dedicated physical therapy team and friendly staff, while others report severe concerns regarding cleanliness and neglect. While many visitors find the environment pleasant and the staff attentive, a significant number of reviewers cite issues with persistent odors, slow response times to call buttons, and inconsistent care standards. Families should be prepared to be highly involved in advocating for their loved ones, as communication with medical staff can be difficult.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean3.0Activities7.0Meds3.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Friendly and welcoming front-desk staff
  • Courteous and caring nursing aides
  • Clean and well-decorated common areas

Concerns

  • Persistent urine odors and lack of cleanliness in patient rooms (mentioned by 12 reviewers)
  • Slow or non-existent response to call buttons (mentioned by 7 reviewers)
  • Difficulty communicating with medical staff or doctors (mentioned by 6 reviewers)
  • Poor food quality and cold meals (mentioned by 6 reviewers)
  • Lost or missing personal clothing and items (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.82024(74)3.92025(104)4.42026(48)

Distribution · 226 analyzed

5
130
4
39
3
17
2
6
1
34

How They Respond to Reviews

17%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the high volume of residents at this facility, what specific protocols are in place to ensure call buttons are answered promptly and that residents receive timely assistance?
  • 2I noticed some concerns regarding room maintenance; could you walk me through your daily housekeeping schedule and how you ensure consistent cleanliness in private living areas?
  • 3Since physical and occupational therapy are known strengths here, how do you integrate those services into the daily routine for residents who aren't currently in active rehab?
  • 4What is your process for keeping families updated on medical changes, and how can we best coordinate with the nursing staff if we have questions about our loved one's care plan?
  • 5We understand that laundry can sometimes be a challenge in a large facility; what systems do you have in place to track personal clothing and prevent items from being misplaced?
  • 6Could you share how the kitchen team manages meal quality and temperature, and are there options for residents if they find the standard menu options don't meet their dietary preferences?

Personalized based on this facility's data


Key Review Excerpts

Your physical therapist Seph and Jalen have been wonderful as well as very patient with Chuck who is bedfast. They are getting him up in a sitting position and patiently working with him tirelessly to help him gain strength.

Long-term resident's family · 2025★★★★★

My friend passed away peacefully (he was 89). His last years at Spring Creek had him socializing and enjoying his day hours doing things other than just watching TV.

Friend of resident · 2025★★★★

The aids will just sit in the hall and listen. I am CONSTANTLY ignored during feeding times after being moved to a different floor, them forgetting to bring me meals 3 entire ti

Rehab patient · 2024☆☆☆☆
Source: 481 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
77%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
PA
87.1%
Dauphin
77.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
15.3%
PA
18.4%
Dauphin
20.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
12.1%
PA
8.3%
Dauphin
15.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
14.4%
PA
17.5%
Dauphin
16.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
95.5%
PA
93.5%
Dauphin
92.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
15.5%
PA
17.7%
Dauphin
20.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.4%
Better than Avg
Here
86.4%
US
79.8%
PA
68.7%
Dauphin
53.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.7%
Better than Avg
Here
85.7%
US
81.8%
PA
69.2%
Dauphin
52.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
US
1.6%
PA
1.4%
Dauphin
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
2penalties
Above state avg (10.1)
21 complaint-triggered
$21,445 in fines

Families have filed multiple complaints leading to 23 deficiencies, with recurring issues in safety hazards, treatment care, and food service quality. The facility shows persistent problems across surveys including building safety violations, medication management issues, and inadequate nursing staffing. While all deficiencies report correction dates, the pattern of repeated violations in core care areas suggests ongoing systemic challenges that warrant careful consideration.

Apr 9, 2026Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 17, 2025Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jul 7, 2025Complaint
1
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Apr 17, 2025Routine
20
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0347Potential for harm · PatternCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0531Potential for harm · PatternCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0541Potential for harm · PatternCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0100Minimal · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0293Minimal · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0761Minimal · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Apr 17, 2025Complaint
2
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Mar 21, 2025Complaint
1
0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Federal Penalties

Fine

Jul 7, 2025

$9,110

Fine

Oct 15, 2024

$8,018

Ownership & Operations

Who Operates This Facility

Owner / Operator

Spring Creek Rehabilitation and Nursing Center

Organization Type

for profit

Ownership & Management

Owners

Rosenzweig, Steven

Owner

100%

Key personnel

Abdul, MohamedManagerRosenzweig, StevenManagerAbdul, MohamedAdp of the SnfPearlstein, RobertAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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