Milford Center
700 Marvel Road, Milford, DE 19963 · Sussex County · (302) 422-3303
136 certified beds, about 89 residents a day · For profit - Corporation · Medicare and Medicaid since 1969
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 085010 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 9, 2026, inspectors cited 9 health deficiencies (the Delaware average is 10.9, the national average 9.2).
Of 60 health citations since January 2024, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 3 fines totaling $176,862 in the last three years; the largest was $104,696, and the latest is dated June 26, 2025.
Nurses and nurse aides worked 3.95 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 0.85 of those hours.
42.0% of nursing staff left within the year CMS measured (Delaware average 41.3%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
401/24
1502/24
405/24
1611/24
106/25
811/25
312/25
903/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 60 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
48D
7E
1F
Potential for minimal harm
0A
0B
0C
March 9, 2026Standard inspection · 9 citations
- D 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.
Inspectors wroteBased on interview and record review, it was determined that for one (R7) out of two residents reviewed for Advance Directives, the facility failed to offer an opportunity to formulate an advance directive.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interview and record review, it was determined that for one (R8) out of five residents sampled for medication review, the facility failed to ensure that the resident was free from unnecessary meds.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, it was determined that for one resident (R42) out of 37 residents in the investigative sample, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the resident's dental, vision, and hearing status.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, it was determined that for one (R8) out of 37 residents in the investigative sample, the facility failed to develop a comprehensive care plan with measurable goals and person centered interventions.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and interview, it was determined that for one (R42) out of twenty-seven residents in the investigative sample, the facility failed to ensure services were provided in accordance with professional standards of quality by allowing a Licensed Practical Nurse (LPN) to complete admission assessments that are required to be completed by a Registered Nurse (RN) under the Delaware Board of Nursing scope of practice.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on record review and interview, it was determined that for one (R42) out of one sampled resident reviewed for hearing/vision, it was determined that the facility failed to ensure that R42 received proper treatment and assistive device to maintain hearing and vision abilities.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R64) out of two residents reviewed for pressure injury, the facility failed to follow a physician's order for dressing change.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review it was determined that for two (R6 and R72) out of five residents reviewed for unnecessary medications, the facility failed to ensure a clinical rationale was documented for not completing a gradual dose reduction (GDR) of an anti-psychotic medication and failed to respond to a Medication Regimen Review (MRR) pharmacy recommendation promptly.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview, and record review, it was determined that for two residents (R24 and R42) out of two residents reviewed for dental services, the facility failed to assist residents in obtaining routine dental services.
December 3, 2025Complaint inspection · 3 citations
- D 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.
Inspectors wroteBased on record review, interviews and review of other facility documentation as indicated, it was determined that for one (R1) out of three sampled residents the facility failed to ensure that grievances received by the facility included prompt efforts to resolve problems. In addition, the facility failed to ensure that a written decision was issued to the complainant.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, it was determined that for one (R1) out of three residents sampled for care plan review, the facility failed to revise the person - centered care plan interventions to address R1's refusal to obtain his daily weights.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to maintain a complete and accurate record for one (R1) of three sampled residents.
November 17, 2025Standard inspection, Complaint inspection · 8 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, it was determined that for five (R4, R12, R38, R66 and R87) out of six residents reviewed for respiratory care, the facility failed to ensure residents' respiratory equipment (Bi-PAP mask and IVAPS mask) were stored in a protective plastic bag, the oxygen tubing was labeled and the filter on the oxygen concentrator was cleaned.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure food and beverages were stored, prepared, and served in a manner that prevents food borne illness to the residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, it was determined that for one (R87) out of thirty (30) residents reviewed in the investigative sample, the facility failed to develop a care plan to address the administration of oxygen via nasal cannula and the use of an incentive spirometer.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, it was determined that for one (R69) out of seven residents reviewed for ADLs, the facility failed to provide nail care for a dependent resident.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview and record review it was determined that for one (R69) out of seven residents reviewed for activities of daily living (ADLs), the facility failed to ensure that R69 received the treatment/services to prevent further decline in ROM. The facility lacked evidence that the palm device was applied to the left palm.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview and record review it was determined that for one (R20) out of one resident reviewed for bowel and bladder, the facility failed to provide services to maintain or restore bladder continence.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R10) out of three residents sampled for dental services, the facility failed to assist R10 in obtaining routine dental services.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, it was determined that for one (R2) out of thirty sampled residents, the facility failed to ensure the clinical record contained accurate documentation.
June 26, 2025Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review and review of other facility documentation it was determined that for one (R1) out of three residents reviewed for accidents and supervision the facility failed to provide adequate supervision and assistive devices to prevent elopement. This put R1 in immediate jeopardy and at risk of a serious adverse outcome. R1 was able to elope from the facility on 6/13/25 through an unsecured sliding door in the conference room. R1 wandered across a busy roadway approximately 0.6 miles away from the facility and was found asleep on the grass. R1 was missing for 1 hour and 23 minutes. An immediate jeopardy (IJ) was identified starting on 6/13/25. Due to the facility ' s corrective measures following the incident, this is being cited as immediate jeopardy, past non-compliance with an abatement date of 6/17/25.
November 25, 2024Standard inspection, Complaint inspection · 16 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, it was determined that for one (R89) out of two residents reviewed for falls, the facility failed to assess for and implement interventions to reduce R89's risk for falling. R89 sustained twelve falls which included two falls resulting in head trauma that required transfer to an acute care hospital.
- E Respond appropriately to all alleged violations.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, it was determined that for one (R6) out of forty-six (46) residents in the investigative sample, the facility failed to ensure the clinical record contained accurate documentation.
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, record review and interview, it was determined that for three (R89, 411, and 412) out of three residents reviewed for hydration, the facility failed to ensure that R411 and R412 were offered sufficient fluid intake to maintain proper hydration and health. R411 was emergently sent to hospital and was diagnosed with a BUN of 32, and acute kidney Injury. R412 received an order for IV (intravenous) hydration for a sodium level of 156, the facility failed to insert the IV and R412 sodium level rose to 161. R412 was emergently sent to the hospital 36 hours later with facial droop and lethargy. For R89, the facility failed to follow a physician's order and evaluate R89's weight when R89 had a significant weight loss.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure food was stored, prepared, and served in a manner that prevents food borne illness to the residents.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, it was determined that for six (R5, R61, R65, R83, R89, and R91) out of thirty-one sampled residents, the facility failed to have input from all required interdisciplinary team (IDT) members at the residents' care plan meetings and to ensure that care plan meetings occurred every three months. For R33, R34 and R38 the facility failed to revise the care plan to reflect resident's current needs.
- E Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview and record review it was determined that for four (R6, R43, R89 and R91) out of four residents reviewed for urinary incontinence, the facility failed to assess and provide care and services to maintain/restore bowel and bladder continence.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, it was determined that for one (R38) out of two residents reviewed for dialysis, the facility failed to ensure that the provider was consulted when R38 refused dialysis services.
- D 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.
Inspectors wroteBased on interview, record review and review of other facility documentation, it was determined that for one (R50) out of one reviewed for grievances, the facility failed to ensure that resident concerns received by the facility included prompt efforts to resolve the resident's problems.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, it was determined that for one (R261) out of four residents reviewed for allegation of neglect, the facility failed to immediately report an allegation of neglect within the required timeframe. A five day follow-up report wasn't submitted following the allegation until fifteen days later.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, it was determined that for two (R38 and R66) out of two residents reviewed for PASARR, the facility failed to ensure that a referral for PASARR screening was completed.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review it was determined that for three (R6, R12, and R34) out of twelve residents reviewed for activities of daily living (ADL's), the facility failed to provide care and services for dependent residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review, it was determined that for two (R6 and R5) out of four residents reviewed for pressure ulcers, the facility failed to provided necessary treatment to promote healing of a current pressure ulcer. Cross refer to F842 1. Review of R6's clinical record revealed: 3/25/22 - R6 was admitted to the facility. 3/16/23 - A care plan for R6 was initiated for having skin breakdown related to decreased activity, reluctance to offload heels in bed, impaired cognition and comorbidities. Interventions included but not limited to providing preventative skin care as ordered, encouraging resident to turn and reposition and to check skin every two hours. 7/7/24 - A care plan for R6 was initiated for having a documented pressure ulcer. [...]
- D 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.
Inspectors wroteBased on record review and interview, it was determined that for one (R89) out of five residents reviewed for unnecessary medications, the facility lacked evidence of side effect monitoring for psychotropic medications.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on record review and interview, it was determined, for one (R50) out of four residents sampled for laboratory services, the facility failed to promptly notify the ordering medical practitioner of laboratory results.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R13) out of three residents sampled for dental services, the facility failed to assist the resident in obtaining routine dental services.
May 22, 2024Complaint inspection · 4 citations
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review, it was determined that for three (R1, R3 and R5) out of three sampled residents reviewed for pressure ulcer (PU), the facility failed to ensure monitoring for the development of new pressure ulcers and monitoring of existing pressure ulcers was completed.
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on record review and interview, it was determined that for one (R1) out of three residents reviewed for pressure ulcers the facility failed to implement the grievance process.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview it was determined that for one (R1) out of three residents reviewed for pressure ulcers the facility failed to accurately completed the admission MDS assessment.
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on interview, record review and review of other related documentation, it was determined that for one (R1) out of three residents reviewed for discharge, the facility failed to implement a discharge planning process that included education/training on mechanical lift transfers and pressure ulcer care to R1's caregiver because R1 was unable to perform these task independently.
February 27, 2024Complaint inspection · 15 citations
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, and record review, it was determined that for one (R1) out of three residents reviewed for medications, the facility failed to ensure that R1 was ordered and received necessary insulin for a diagnosis of insulin dependent diabetes upon her admission to the facility from 2/14/24 to 2/19/24. The facility's failure placed R1 in a severe adverse outcome, hyperglycemia, and diabetic ketoacidosis. Due to this significant medication error R1 became unresponsive and was emergently transferred to a hospital and received emergent treatment for hyperglycemia, diabetic ketoacidosis, and acute kidney injury resulting in harm to the resident. Based on interviews and review of the facility documentation and other sources, an Immediate Jeopardy (IJ) was called on 2/23/24 at 1:14 PM. The IJ was abated on 2/23/24 at 3:50 PM.
- D 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.
Inspectors wroteBased on interview and record review, it was determined that for three (R1, R2, and R3) out of three residents reviewed for Advance Directives, the facility failed to provide evidence that R1, R2 and R3 were offered an opportunity to formulate an Advance Directive.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview it was determined that for one (R16) out of three residents reviewed for falls, the facility failed to ensure accuracy of the MDS assessment.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation and interview, it was determined that for one (R17) out of one resident reviewed for ADLs, the facility failed to ensure ADLs were provided to dependent residents.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, it was determined that for one (R1) out of three residents reviewed for hydration, the facility failed to ensure a resident at risk for dehydration R1 was monitored for hydration.
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on interview and record review, it was determined that for one (R1) out of three residents reviewed for physician's services, the facility failed to ensure that R1's order for insulin was accurately reviewed and documented to ensure that R1 received the insulin as ordered.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure that a performance review was completed at least every 12 months for five (E16, E17, E18, E19 and E20) out of five sampled employees.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, it was determined that for one (R1) out of three residents reviewed for pharmacy services, the facility failed to ensure that R1's order for insulin was accurately and comprehensively reviewed to ensure that R1 received the insulin as ordered. A facility document dated 10/1/17, revised on 2/13/18, 10/1/18, and 11/8/23, and titled, admission Medication Regimen Review, documented, The Consultant Pharmacist will conduct a comprehensive review of each patient's medication therapy .this will include but not limited to current medication regimen, medication history, admission, and discharge information . Review of R1's records revealed: 2/14/24 9:11 PM - R1 was admitted to the facility with diagnoses including insulin dependent diabetes mellitus with hyperglycemia. [...]
- D Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure that the required training on effective communications for direct care staff was completed for two (E10 and E21) out of four sampled employees.
- D Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure that the required training on resident rights was completed for three (E10, E21 and E22) out of four sampled employees.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure that the required training on abuse, neglect and exploitation was completed for three (E10, E21 and E22) out of four sampled employees.
- D Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure that the required training on QAPI (quality assurance and performance improvement) was completed for two (E10 and E23) out of four sampled employees.
- D Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure that the required training on infection control program was completed for one (E10) out of four sampled employees.
- D Provide training in compliance and ethics.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure that the required yearly training on compliance and ethics program was completed for three (E10, E21 and E22) out of four sampled employees.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on record review and interview, it was determined that for four (E16, E17, E18 and E20) out of five sample Certified Nursing Assistants (CNAs) reviewed, the facility failed to ensure that these employees had the mandatory twelve hours of annual in-service training.
January 5, 2024Complaint inspection · 4 citations
- E 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.
Inspectors wroteBased on observation and interview, it was determined that for one unit out of three units, the facility failed to maintain a clean, comfortable, and homelike environment. The facility failed to provide acceptable water temperatures to provide bathing. Additionally the facility failed to provide adequate lighting in a resident room.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review and interviews, it was determined that for one (R107) out of five residents sampled for medication review. The facility failed to notify R107's representative of a change to R107's treatment plan involving medication.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, it was determined that for one (R107) out of five residents for medication review, the facility discontinued R107's routine anti-anxiety medication in error. In addition, it was determined that for one (R114) out of two residents reviewed for Urinary Cather/UTI, the facility failed to follow the plan of care.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on record review and interview, it was determined that for three (E8, E10 and E11) out of five Certified Nursing Assistants (CNA) reviewed, the facility failed to ensure that these employees had the mandatory twelve hours of annual in-service training.
Fire safety inspections
1 fire safety citation on file: 1 on January 5, 2024.
Every fire safety citation1 citation
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 26, 2025 | Fine | $14,508 |
| November 25, 2024 | Fine | $104,696 |
| February 27, 2024 | Fine | $57,658 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Delaware | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.95 | 4.35 | 3.86 |
| Registered nurses | 0.85 | 0.97 | 0.69 |
| All nursing staff on weekends | 3.58 | 3.89 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 42.0% | 41.3% | 45.8% |
| Registered nurse turnover | 38.9% | 41.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.76 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.10 on weekdays and 3.58 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.95 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.95 | 0.85 | 4.10 | 3.58 | 8.1% | 0 of 90 | 89 |
| Oct to Dec 2025 | 3.83 | 0.82 | 3.99 | 3.44 | 7.9% | 0 of 92 | 84 |
| Jul to Sep 2025 | 3.72 | 0.75 | 3.87 | 3.36 | 6.4% | 0 of 92 | 90 |
| Apr to Jun 2025 | 3.67 | 0.72 | 3.80 | 3.35 | 13.8% | 0 of 91 | 87 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Delaware, Jan to Mar 2026 | 4.05 | 0.79 | 4.21 | 3.67 | 5.7% | 0% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Delaware | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.2 | 12.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.5 | 13.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.1 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.9 | 23.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.8 | 11.6 | 12.0 |
Owners and operators
Legal business name: 700 MARVEL ROAD OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Genesis De Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2011 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Operations LLC | 5% or greater indirect ownership interest | Organization | 04/01/2011 | |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | Organization | 04/01/2011 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 02/02/2015 | |
| Berg, Michael | Corporate officer | Individual | 03/02/2015 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 04/01/2024 | |
| Radcliffe, Stacey | Operational/managerial control | Individual | 07/17/2024 | |
| Genesis Operations LLC | Adp of the SNF | Organization | 01/27/2025 | |
| Montigney, Paul | Adp of the SNF | Individual | 01/27/2025 | |
| Radcliffe, Stacey | Adp of the SNF | Individual | 01/28/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 19 problems in this area, most recently on March 9, 2026: "Assist a resident in gaining access to vision and hearing services."
- When is the care plan meeting, and can family attend it?Inspectors cited 13 problems in this area, most recently on March 9, 2026: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on March 9, 2026: "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."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on March 9, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.58 hours per resident per day, below the Delaware average of 3.89.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Polaris Healthcare and Rehabilitation Center Milford, 0.4 mi · 2 of 5 stars · 67 citations
- Delaware Veterans Home Milford, 2.1 mi · 4 of 5 stars · 21 citations
- Delaware Bay Rehabilitation and Healthcare Center Georgetown, 15 mi · 2 of 5 stars · 38 citations
- Bay Terrace Rehabilitation and Health Center Dover, 17.6 mi · 3 of 5 stars · 38 citations
- Center at Eden Hill, LLC Dover, 17.8 mi · 5 of 5 stars · 21 citations
- Excelcare at Lewes LLC Lewes, 17.9 mi · 2 of 5 stars · 46 citations
- Cadia Rehabilitation Capitol Dover, 19 mi · 3 of 5 stars · 31 citations
- The Moorings at Lewes Lewes, 19.3 mi · 5 of 5 stars · 2 citations
Delaware contacts for a concern about a nursing home
These are the official offices in Delaware. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Delaware Division of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Delaware Long-Term Care Ombudsman Program, 1-855-773-1002. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Delaware Licensed Nursing Homes, survey reports, where Delaware publishes its own records on licensed homes.
Common questions
- What is Milford Center's Medicare star rating?
- CMS rates Milford Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Milford Center get at its last inspection?
- 9 health deficiencies at the standard inspection on March 9, 2026. The Delaware average is 10.9.
- Has Milford Center been fined?
- Yes. CMS lists 3 fines totaling $176,862 in the last three years.
- Does Milford Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Milford Center?
- CMS lists 18 owners and managers, and links the home to Genesis Healthcare. Legal business name: 700 MARVEL ROAD OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.