A list of the most recent deficiencies for Milford Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-26 | 2023-05-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-26 | 2023-05-18 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-04-26 | 2023-05-18 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-06-28 | 2022-08-10 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-06-28 | 2022-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-28 | 2022-08-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-28 | 2022-08-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-28 | 2022-08-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-28 | 2022-08-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-28 | 2022-08-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-28 | 2022-08-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-28 | 2022-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-28 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-28 | 2022-08-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-28 | 2022-08-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-28 | 2022-08-10 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-06-28 | 2022-08-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-28 | 2022-08-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-28 | 2022-08-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-28 | 2022-08-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-28 | 2022-08-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-28 | 2022-08-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-28 | 2022-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-28 | 2022-08-10 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-28 | 2022-08-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-01 | 2022-07-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-11 | 2021-08-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-11 | 2021-08-31 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-06-25 | 2019-08-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-25 | 2019-08-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-25 | 2019-08-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-25 | 2019-08-15 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-06-25 | 2019-08-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-25 | 2019-08-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-25 | 2019-08-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-25 | 2019-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-25 | 2019-08-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-25 | 2019-08-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-25 | 2019-08-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-06-25 | 2019-08-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-25 | 2019-08-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-06-25 | 2019-08-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-25 | 2019-08-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-06-25 | 2019-08-15 | N |
| Provide or obtain dental services for each resident. | Health | 2019-06-25 | 2019-08-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-25 | 2019-08-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-06-25 | 2019-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-25 | 2019-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-25 | 2019-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-25 | 2019-08-15 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-25 | 2019-08-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-08 | 2019-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-08 | 2019-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-15 | 2018-08-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-06-15 | 2018-07-20 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-06-15 | 2018-07-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-15 | 2018-07-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-06-15 | 2018-07-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-15 | 2018-07-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-06-15 | 2018-07-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-15 | 2018-07-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-15 | 2018-07-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-15 | 2018-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-15 | 2018-07-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-15 | 2018-07-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-15 | 2018-07-20 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-15 | 2018-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-15 | 2018-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-15 | 2018-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-15 | 2018-07-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-06-15 | 2018-07-20 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-06-15 | 2018-07-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-15 | 2018-07-20 | N |
| Post nurse staffing information every day. | Health | 2018-06-15 | 2018-07-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-15 | 2018-07-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-06-15 | 2018-07-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-06-15 | 2018-07-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-06-15 | 2018-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-07-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-15 | 2018-07-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-15 | 2018-07-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-15 | 2018-07-16 | N |
