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Mill Manor Care Center

983 Exchange St., Vermilion, OH 44089 · Erie County · (440) 967-6614

33 certified beds, about 30 residents a day · For profit - Individual · Medicare and Medicaid since 1995

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366031 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 14, 2026, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 13 health citations since April 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.35 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.

17.2% of nursing staff left within the year CMS measured (Ohio average 48.7%).

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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
2E
0F
Potential for minimal harm
0A
0B
0C
January 14, 2026Standard inspection · 2 citations
  1. E
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure residents receiving psychotropic medications were adequately monitored for effectiveness and adverse reactions. This affected five (#1, #3, #11, #19, and #22) of five residents reviewed for unnecessary medications. The facility census was 23. Findings Include: 1. Review of the medical record for Resident #1 revealed an admission date of 06/03/25 and a discharge date of 11/20/25. Diagnoses included type two diabetes mellitus, hypertension, gastro-esophageal reflux disease, Parkinson's disease, major depressive disorder, and anxiety. Review of Resident #1's Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13, indicating the resident was cognitively intact. [...]
  2. 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) February 27, 2026
    Inspectors wroteBased on medical record review and staff interview, the facility failed to implement physician order changes identified during a medication regimen review (MRR). This affected one (#19) of five residents reviewed for unnecessary medications. The facility census was 23.
July 6, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · 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) August 23, 2024
    Inspectors wroteBased on record review, staff interview, review of the Ohio Department of Health's (state survey agency) enhanced information dissemination collection (EIDC) system (computer database used by nursing facilities to report allegations of abuse, neglect and exploitation), and policy review the facility failed to ensure an allegation of alleged physical abuse was reported to the state survey agency (The Ohio Department of Health) as required. This affected one (Resident #28) of three residents reviewed for abuse. The facility census was 26. Findings Include Resident #28 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, anxiety disorder, and dementia. [...]
  2. D
    Respond appropriately to all alleged violations.
    F610 · 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) August 23, 2024
    Inspectors wroteBased on record review and staff interview the facility failed to ensure it completed a thorough investigation related to an allegation of physical abuse by staff to a resident. This affected one (Resident #28) of three residents reviewed for abuse. The facility census was 26. Findings Include Resident #28 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, anxiety disorder, and dementia. Review of the most recent Minimum Data Set (3.0) assessment dated [DATE] revealed Resident #28 was severely cognitively impaired and required extensive assistance for two staff persons for completing her activities of daily living. Review of the incident report dated 05/25/24 revealed State Tested Nursing Assistant (STNA) #900 stated at about 11:40 P.M. on 05/24/24 she was sitting and doing daily charting when she heard screaming coming from Resident #28's room. [...]
March 7, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on medical record review, staff interview, review of the hospice contract, and review of the facility policy, the facility failed to ensure pain medications were available for a resident experiencing pain and discomfort at the end of life. This affected one (Resident #32) of three residents reviewed for pain management. The facility census was 28.
September 7, 2023Standard 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 · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on medical record review, observation, resident interview, and staff interview, the facility failed to provide the residents with a reasonably quiet and peaceful environment. This affected one resident (#6) and had the potential to affect 10 residents residing on the 100-hall. The facility census was 30.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on staff interview and record review, the facility failed to accurately code the Minimum Data Set (MDS) 3.0 assessments for the residents. This affected three (Residents #07, #12, and #23) of five residents reviewed for accuracy of assessments. The facility census was 30.
  3. 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) October 27, 2023
    Inspectors wroteBased on medical record review, observations, and staff interviews, the facility failed to ensure a resident's compression stockings and a hand splint were implemented per physician order. This affected one (Resident #20) of one resident reviewed for physician-ordered devices. The facility census was 30.
  4. 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 · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to ensure fall prevention interventions were in place per physician's order. This affected two (Residents #23 and #234) of three residents reviewed for fall interventions. The facility census was 30.
  5. D
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on record review, observations, and staff interview, the facility failed to ensure a resident's head of bed was elevated per physician order during tube feeding administration. This affected one (#22) of one resident reviewed for tube feeding (TF). The facility identified one resident receiving TF. The facility census was 30.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on observations, staff interview, and review of the facility policy, the facility failed to ensure staff performed hand hygiene after care was provided to Resident #03. This affected one resident (#03) of four residents reviewed for appropriate hand hygiene. The facility census was 30.
April 15, 2021Standard inspection · 2 citations
  1. 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) May 1, 2021
    Inspectors wroteBased on medical record review and staff interviews, the facility failed to ensure a Resident's blood pressure was consistently monitored as ordered. This affected one Resident (#22) of five reviewed for adequate monitoring. The facility census was 28.
  2. 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) May 1, 2021
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure ordered medications were documented as administered. This affected one Resident (#4) of five reviewed for medication review. The facility census was 28.

Fire safety inspections

12 fire safety citations on file: 3 on January 14, 2026, 7 on September 7, 2023, 2 on April 15, 2021.

Every fire safety citation12 citations
  1. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 14, 2026 · Corrected (the home has a date of correction)
  2. F
    Ensure proper usage of power strips and extension cords.
    K 920 · January 14, 2026 · Corrected (the home has a date of correction)
  3. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 14, 2026 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 7, 2023 · Corrected (the home has a date of correction)
  5. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 7, 2023 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 7, 2023 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 7, 2023 · Corrected (the home has a date of correction)
  8. 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 · September 7, 2023 · Corrected (the home has a date of correction)
  9. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 7, 2023 · Corrected (the home has a date of correction)
  10. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 7, 2023 · Corrected (the home has a date of correction)
  11. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · April 15, 2021 · Corrected (the home has a date of correction)
  12. E
    Have proper medical gas storage and administration areas.
    K 923 · April 15, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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 homeOhioUnited States
All nursing staff (RN, LPN and aides)3.353.693.86
Registered nurses0.740.640.69
All nursing staff on weekends3.053.283.42
Nurse aides1.94
Licensed practical nurses0.67
Nursing staff turnover (share who left in a year)17.2%48.7%45.8%
Registered nurse turnover0.0%43.9%42.9%
Administrators who left0

CMS expects 3.69 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 3.47 on weekdays and 3.05 on weekends, 12% 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 4.25 in April to June 2025 to 3.35 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.743.473.05 0.0%0 of 9030
Oct to Dec 20253.400.773.513.11 0.0%0 of 9229
Jul to Sep 20253.820.853.963.45 0.0%0 of 9226
Apr to Jun 20254.250.974.463.73 0.0%0 of 9123
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% 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 homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
0.05.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.96.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.03.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.98.815.4

Owners and operators

Legal business name: QUANTUM HEALTHCARE, INC..

NameRoleTypeShareSince
Rankin, Steven5% or greater direct ownership interestIndividual50%11/01/2004
Rankin, Wendy5% or greater direct ownership interestIndividual50%11/01/2004
Rankin, StevenOperational/managerial controlIndividual11/01/2004
Rankin, StevenAdp of the SNFIndividual11/01/2004
Rankin, WendyAdp of the SNFIndividual11/01/2004
Recko, CraigAdp of the SNFIndividual09/09/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on September 7, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on January 14, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on January 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."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 7, 2023: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Ohio average of 3.28.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Mill Manor Care Center's Medicare star rating?
CMS rates Mill Manor Care Center 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Mill Manor Care Center get at its last inspection?
2 health deficiencies at the standard inspection on January 14, 2026. The Ohio average is 10.5.
Has Mill Manor Care Center been fined?
CMS lists no fines in the last three years.
Does Mill Manor Care 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 Mill Manor Care Center?
CMS lists 6 owners and managers. Legal business name: QUANTUM HEALTHCARE, INC..

Sources

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