Deficiency Records for Milford Healthcare and Rehabilitation Center
Updated as of January 01, 2023
This is not the most recent data for Milford Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Milford Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-06 | 2022-12-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-06 | 2022-12-02 | 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 | 2022-10-06 | 2022-12-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-06 | 2022-12-02 | 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 | 2022-10-06 | 2022-12-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-06 | 2022-12-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-06 | 2022-12-02 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-10-06 | 2022-12-02 | 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 | 2022-10-06 | 2022-12-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-06 | 2022-12-02 | 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 | 2022-10-06 | 2022-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-06 | 2022-12-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-06 | 2022-12-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-06 | 2022-12-02 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-10-06 | 2022-12-02 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-10-06 | 2022-12-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-10-06 | 2022-12-02 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-10-06 | 2022-12-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-10-06 | 2022-12-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-10-06 | 2022-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-06 | 2022-12-02 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-06 | 2022-12-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-06 | 2022-12-02 | N |
| Report COVID19 data to residents and families. | Health | 2022-10-06 | 2022-12-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-06 | 2022-12-02 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-10-06 | 2022-12-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-06 | 2022-11-04 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-20 | 2022-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-20 | 2022-11-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-20 | 2022-11-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-20 | 2022-11-03 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-26 | 2022-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-05-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-12 | 2022-01-11 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-11-22 | 2022-01-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-22 | 2022-01-11 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-11-22 | 2022-01-11 | N |
| 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 | 2021-11-22 | 2022-01-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-11-22 | 2022-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-22 | 2022-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-22 | 2022-01-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-22 | 2022-01-11 | N |
| Post nurse staffing information every day. | Health | 2021-11-22 | 2022-01-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-22 | 2022-01-11 | 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 | 2021-11-22 | 2022-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-22 | 2022-01-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-22 | 2022-01-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-11-22 | 2022-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2022-01-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-22 | 2022-01-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-11-22 | 2022-01-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-22 | 2022-01-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-30 | 2022-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2022-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-30 | 2022-01-07 | 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 | 2021-10-12 | 2021-11-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-12 | 2021-11-22 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-10-12 | 2021-11-22 | Y |
| Report COVID19 data to residents and families. | Health | 2021-10-12 | 2021-11-22 | Y |
| Keep all essential equipment working safely. | Health | 2021-10-12 | 2021-11-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-12 | 2021-11-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-02 | 2021-06-29 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-01-28 | 2021-03-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-01-28 | 2021-03-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-01-28 | 2021-03-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-01-28 | 2021-03-02 | 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 | 2021-01-14 | 2021-02-23 | 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 | 2021-01-14 | 2021-02-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-01-14 | 2021-02-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-19 | 2020-03-17 | Y |
