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Milford Rehabilitation and Healthcare Center

264 Route 6 & 209, Milford, PA 18337 · Pike County · (570) 491-4121

80 certified beds · For profit - Limited Liability company · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
Not rated
CMS note: Not enough data available to calculate a star rating.
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395466 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 14, 2026, inspectors cited 9 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 45 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $61,593 in the last three years; the largest was $61,593, and the latest is dated January 3, 2024.

36.1% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Akiko Ike, an affiliated group of 6 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.

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 45 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
20D
16E
6F
Potential for minimal harm
0A
2B
0C
May 14, 2026Standard inspection, Complaint inspection · 9 citations
  1. E
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized, person-centered care plan to address dementia-related behaviors and cognitive decline for one of 17 residents reviewed (Resident 36).
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on select facility policy, clinical record review, observations, and staff interview, it was determined the facility failed to implement infection prevention practices and adhere to the facility policy for identifying, treating and preventing the transmission of scabies for two of 17 residents reviewed (Resident 16 and Resident 72) and for implementing enhanced barrier precautions for one of 17 residents reviewed (Resident 16).
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on review of select facility policy, clinical records, and staff interview it was determined the facility failed to develop a comprehensive care plan to meet the individualized needs of two residents of 17 residents reviewed (Resident 13 and Resident 16)
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on review of select facility policy, clinical records, and staff interview, it was determined the facility failed to review and revise a comprehensive plan of care in response to a fall for one resident out of 17 residents reviewed (Resident 11).
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on a review of clinical records, and staff interviews, it was determined the facility failed to provide nursing services in accordance with professional standards of quality by failing to ensure prompt clinical evaluation and timely treatment of an injury for one of 17 sampled residents (Resident 13).
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on observations, review of facility policies, clinical records, facility-provided investigations, and staff interviews, it was determined the facility failed to provide adequate supervision and implement effective fall prevention interventions to prevent recurrent falls for one of 17 residents reviewed (Resident 4).
  7. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on select facility policy, clinical record review, and staff and resident interviews, it was determined the facility failed to monitor and manage hydration status in accordance with a physician ordered fluid restriction to ensure proper fluid balance for one of 17 residents reviewed (Resident 72).
  8. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on clinical record review and staff interview, it was determined the attending physician failed to act upon pharmacist identified irregularities in the medication regimen for one resident out of five residents reviewed for unnecessary medications (Resident 3).
  9. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on a review of select facility policies, observations, and staff interviews, it was determined the facility failed to implement and adhere to established procedures to ensure appropriate storage and compliance with use-by dates for multi-dose medications in one of two medication rooms (first-floor medication room)
February 20, 2026Complaint inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2026
    Inspectors wroteBased on clinical record review, facility policy review and staff interview, it was determined the facility failed to ensure that nursing services met professional standards of quality in accordance with 42 CFR S483.35 and Pennsylvania Code Title 49, Professional and Vocational Standards, State Board of Nursing, S21.11(c), by permitting registered nurses to access and administer intravenous (IV) medication through an implanted venous port (a surgically placed device located completely beneath the skin that connects directly to a large vein for long-term intravenous therapy) without documented evidence of specialized training and demonstrated clinical competency. This deficient practice occurred for one of six residents reviewed (Resident CR1).
July 1, 2025Standard inspection, Complaint inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 11, 2025
    Inspectors wroteBased on observation and staff interview, it was determined the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness in the dietary department.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 11, 2025
    Inspectors wroteBased on a review of clinical records, facility policy, and staff interviews, it was determined the facility failed to implement procedures to ensure the timely acquisition and administration of prescribed medications for one of 18 sampled residents (Resident 15).
  3. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 11, 2025
    Inspectors wroteBased on a review of clinical records, select facility policy and staff interview it was determined the facility failed to ensure the pharmacist conducted medication regimen reviews at least monthly for two residents out of five sampled.(Resident 48 and 42).
  4. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 11, 2025
    Inspectors wroteBased on clinical record review and staff interviews, it was determined the facility failed to ensure that residents' drug regimens were free from unnecessary medications by failing to discontinue an unnecessary antibiotic for one resident (Resident 22); failing to provide clinical justification for the use of duplicate antidepressant medications for one resident (Resident 42); and failing to ensure that one resident's (Resident 48) medication regimen was free from unnecessary psychoactive medication, including administering an as-needed antianxiety medication beyond 14 days without adequate clinical justification and without documentation of attempted non-pharmacological interventions, for three of eighteen sampled residents.
February 19, 2025Complaint inspection · 1 citation
  1. 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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on a review of grievances, select facility policy and resident and staff interviews it was determined the facility failed to demonstrate timely and adequate efforts to resolve resident grievances for one resident out of 5 sampled. (Resident 1)
August 15, 2024Standard inspection · 9 citations
  1. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to properly dispose of garbage and refuse.
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on clinical record review, observation, and staff interviews, it was determined the facility failed to ensure care and services are provided in accordance with professional standards of practice that will meet each resident's physical, mental, and psychosocial needs for one of 16 residents reviewed (Residents 51).
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on review of select facility policy and clinical records, and staff interview, it was determined the facility failed to timely notify the physician and the resident's representative of an incident with the potential to require physician intervention for one resident out of 16 sampled (Resident 115).
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on a review of clinical records, and staff interview, it was determined the facility failed to address a resident's skin condition on the comprehensive care plan for one out of 16 sampled residents (Resident 23).
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on review of clinical records, select facility reports, observations and staff interview it was determined the facility failed to consistently provide care and services to to prevent the development and/or worsening of pressure sores and promote healing for one resident out of 16 residents sampled (Resident 6).
  6. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on review of clinical records and select facility policy, staff and resident interviews it was determined the facility failed to ensure that a physician ordered intravenous (IV- medication is administered through needle or tube inserted into a vein) medication, an antibiotic, was timely administered as prescribed for one resident out of 16 sampled (Resident 115).
  7. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on observations, clinical record review and staff interview it was determined that the facility failed to ensure the ready availability of necessary emergency supplies for a resident receiving hemodialysis for one of 16 residents sampled. (Resident 6)
  8. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to ensure each resident received the necessary behavioral health care in a timely manner to attain or maintain the highest practicable mental and psychosocial well-being for one of 15 residents sampled (Resident 59).
  9. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on review of clinical records and staff interview it was determined that the facility failed to provide pharmacy services to assure timely receiving of a prescribed antibiotic medication for one resident out of 16 residents reviewed (Resident 115).
July 26, 2024Complaint inspection · 1 citation
  1. F
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on a review of the results of facility water testing for safe drinking water and interviews with laboratory staff and facility staff it was determined the facility failed to comply with requirements from the Environmental Protection Agency (EPA) and Pennsylvania Department of Agriculture and Pennsylvania Drinking Water Information System (PADWIS) in conjunction with the Title 25 Pa. Code Chapter 109 Subchapter C Monitoring Requirements relating to Title 40, Code of Federal regulations 40 CFR.
March 26, 2024Complaint inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on facility policy review, observations, and staff interviews, it was determined the facility failed to store food items under sanitary conditions in the facility's kitchen and two of two resident pantry areas (first and second floors).
  2. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on observation, review of clinical records, and resident and staff interviews it was determined the facility failed to provide physician ordered nutritional supplementation as prescribed to promote adequate nutritional status and paramaters of three out of 11 sampled residents sampled (Residents A4, A5, and A6 ).
  3. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on observation, review of select facility policy and staff interview it was determined the facility failed to store and maintain oxygen equipment in a safe, functional and sanitary manner on the second floor nursing unit and in the general storge area.
  4. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to ensure adherence to use by/expiration dates of pharmaceutical products in the facility's central supply room.
  5. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on review of clinical records and transfer notices and staff interview it was determined that the facility failed to provide written notices of facility initiated transfers to the resident and the residents' representative that were written in a language that was easily understood for three out of 11 residents reviewed (Residents CR1, A7, and A8).
March 5, 2024Complaint inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 26, 2024
    Inspectors wroteBased on review of clinical records, and staff interview, it was determined that the facility failed to timely notify a resident's representative of a significant change in condition and the need to potentially commence a new form of treatment for one resident out of 17 sampled (Resident 1).
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 26, 2024
    Inspectors wroteBased on review of clinical records and select facility policy, and staff interview it was determined that the facility failed to provide nursing services consistent with professional standards of quality by failing to ensure that licensed nurses accurately administered prescribed medications to one of 17 sampled residents (Resident 4).
  3. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on review of clinical records and written notices of facilit initiated transfers and staff interview it was determined that the facility failed to provide sufficiently detailed written notices of facility initiated transfers to the resident and the residents' representative for three out of three residents reviewed (Residents 1, 2, and 3) by failing to identify the reasons for the move in writing and in a language and manner they understand.
January 24, 2024Complaint inspection · 3 citations
  1. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2024
    Inspectors wroteBased on observation, resident and staff interviews, and information provided by the facility it was determined the facility failed to ensure that essential heating equipment was maintained in safe and functional operating condition affecting at least five resident rooms out of 40 resident rooms in the facility (room [ROOM NUMBER], 105, 107, 108 and 210) and failed to maintain resident care equipment, tubs and showers, in operating condition on one of two floors (first floor).
  2. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2024
    Inspectors wroteBased on resident and staff interview, it was determined that the facility failed to consistently maintain a safe environment for staff, residents and the public by failing to implement safe interim measures during a boiler malfunction resulting in the loss of heat in six resident rooms out of 40 resident rooms in the facility (Rooms 101,104, 105, 107, 108, and 210)
  3. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2024
    Inspectors wroteBased on observations, a review of clinical records and select facility documentation, and resident and staff interviews, it was determined the facility to consistently provide maintenance services to assure a clean, safe, orderly, and comfortable interior, including comfortable room temperatures, on two of two resident units (first and second floor) affecting six out of 40 resident rooms in the facility (Rooms 101,104, 105, 107, 108, and 210)
January 3, 2024Complaint inspection · 3 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2024
    Inspectors wroteBased on a review of clinical records and select incident reports, and staff interview it was determined that the facility failed to develop and implement effective fall prevention interventions for a resident with known unsafe behaviors to prevent a fall resulting in serious injury, a fractured clavicle, for one out 11 sampled residents (Resident 3).
  2. E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2024
    Inspectors wroteBased on a review of clinical records, the facility's abuse prohibition policy, select facility incident reports, and information submitted by the facility, and staff interview, it was determined that the facility failed to ensure that one resident out of 8 resident sampled was free from physical abuse (Resident 2).
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2024
    Inspectors wroteBased on observation and staff interview, it was determined that the facility's dietary services department failed to maintain acceptable sanitary practices when handling and preparing food and handling clean dishware/cookware to prevent the potential for contamination and microbial growth in food.
September 14, 2023Complaint inspection · 6 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to provide housekeeping and maintenance services necessary to maintain a clean and sanitary environment in resident areas on two of two resident units (First floor and Second floor nursing units)
  2. E
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on review of clinical records and staff interview it was determined that the facility failed to develop a comprehensive plan to address the behavioral health needs of two of 15 sampled residents (Residents 34, and 30).
  3. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation and staff interview, it was determined the facility failed to store patient care equipment in an orderly and sanitary manner to maintain the equipment in safe operating condition.
  4. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to maintain a safe and sanitary environment on the facility grounds.
  5. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on a review of clinical records, information submitted by the facility and the facility's abuse prohibition policy, and staff interview, it was determined that the facility failed to ensure that residents were free from sexual abuse as evidenced by one of 15 sampled residents (Resident 41)
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observations, a review of clinical records, select facility policy, resident incident/accident reports and information submitted by the facility and staff interviews, it was determined that the facility failed to provide adequate staff supervision and effective safety measures to prevent a resident's elopement one resident (Resident 34) and failed to maintain an environment free of accident hazards resulting in a fall for one resident (Resident 14) out of 15 reviewed.

Fire safety inspections

18 fire safety citations on file: 4 on May 14, 2026, 4 on July 1, 2025, 10 on August 15, 2024.

Every fire safety citation18 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 14, 2026 · Corrected (the home has a date of correction)
  2. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · May 14, 2026 · Corrected (the home has a date of correction)
  3. E
    Use approved construction type or materials.
    K 161 · May 14, 2026 · Corrected (the home has a date of correction)
  4. E
    Meet requirements for the use of electrical equipment.
    K 919 · May 14, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 1, 2025 · Corrected (the home has a date of correction)
  6. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 1, 2025 · Corrected (the home has a date of correction)
  7. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · July 1, 2025 · Corrected (the home has a date of correction)
  8. E
    Have simulated fire drills held at unexpected times.
    K 712 · July 1, 2025 · Corrected (the home has a date of correction)
  9. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · August 15, 2024 · Corrected (the home has a date of correction)
  10. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 15, 2024 · Corrected (the home has a date of correction)
  11. E
    Provide properly protected cooking facilities.
    K 324 · August 15, 2024 · Corrected (the home has a date of correction)
  12. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 15, 2024 · Corrected (the home has a date of correction)
  13. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 15, 2024 · Corrected (the home has a date of correction)
  14. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 15, 2024 · Corrected (the home has a date of correction)
  15. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 15, 2024 · Corrected (the home has a date of correction)
  16. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 15, 2024 · Corrected (the home has a date of correction)
  17. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · August 15, 2024 · Corrected (the home has a date of correction)
  18. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 15, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 3, 2024Fine $61,593
January 3, 2024Payment Denial 22 days from April 3, 2024

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.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)not reported3.893.86
Registered nursesnot reported0.790.69
All nursing staff on weekendsnot reported3.533.42
Nurse aidesnot reported
Licensed practical nursesnot reported
Nursing staff turnover (share who left in a year)36.1%44.5%45.8%
Registered nurse turnover37.5%39.9%42.9%
Administrators who left1

CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.

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 3.89 on weekdays and 3.26 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 3.71 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.710.793.893.26 0.0%0 of 9064
Oct to Dec 20253.770.804.013.14 0.0%0 of 9262
Jul to Sep 20253.800.754.013.28 0.0%0 of 9262
Apr to Jun 20254.020.784.153.69 0.0%0 of 9162
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% 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.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.316.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.83.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.51.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.217.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.24.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.217.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.722.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.19.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.21.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.21.8

Owners and operators

Legal business name: MILFORD NURSING AND REHABILITATION LLC. CMS links this home to Akiko Ike, a group of 6 nursing homes averaging 3.5 stars overall.

NameRoleTypeShareSince
Connery, DonnaW-2 managing employeeIndividual02/15/2022

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on May 14, 2026: "Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on May 14, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on February 19, 2025: "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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 14, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

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Common questions

What is Milford Rehabilitation and Healthcare Center's Medicare star rating?
CMS rates Milford Rehabilitation and Healthcare Center 2 out of 5 stars overall, with 2 for health inspections, no for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Milford Rehabilitation and Healthcare Center get at its last inspection?
9 health deficiencies at the standard inspection on May 14, 2026. The Pennsylvania average is 10.
Has Milford Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 1 fine totaling $61,593 in the last three years.
Does Milford Rehabilitation and Healthcare 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 Rehabilitation and Healthcare Center?
CMS lists 1 owner or manager, and links the home to Akiko Ike. Legal business name: MILFORD NURSING AND REHABILITATION LLC.

Sources

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