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Milton Home, the

206 E Marion St., South Bend, IN 46601 · St. Joseph County · (574) 233-0165

34 certified beds, about 29 residents a day · Non profit - Corporation · Medicare and Medicaid since 2005

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 155738 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 5, 2026, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 15 health citations since October 2023 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 4.44 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.

45.2% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Sterling Healthcare, an affiliated group of 5 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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
0E
2F
Potential for minimal harm
0A
0B
0C
January 5, 2026Standard inspection · 2 citations
  1. 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) February 4, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to provide ongoing Pre and Post Dialysis Evaluations for 1 of 1 residents reviewed for Dialysis management. (Resident 1)
  2. 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) February 4, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure resident medications were secured for 1 of 1 resident room reviewed for unsecured medications.
November 7, 2025Complaint inspection · 1 citation
  1. 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) December 12, 2025
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure a resident's wheelchair was correctly secured in the facility van during transportation for 1 of 3 residents reviewed for accidents. (Resident B) This deficient practice resulted in the resident's wheelchair tipping during transportation requiring an evaluation by an acute care center emergency room and treatment for a skin tear to the elbow and an abrasion to the head.
October 18, 2024Standard inspection · 6 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 · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to prepare food under sanitary conditions related to a dirty range and oven in 1 of 1 kitchen reviewed. This had the potential to affect 24 of the 24 residents who received their meals from the kitchen.
  2. 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) November 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop a person-centered care plan regarding refusal of showers for 1 of 16 residents whose care plans were reviewed. (Resident 16)
  3. 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) November 18, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure care plan conferences were completed every quarter for 1 of 4 residents reviewed for care plan conferences. (Resident 16)
  4. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident was provided 1:1 activities per the plan of care for 1 of 1 resident reviewed for activities. (Resident 6)
  5. 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) November 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to adequately label an over the counter medication stored in a medication cart for 1 of 1 medication cart reviewed. (First Floor Medication Cart) The facility also failed to monitor and maintain proper temperatures of a refrigerator where medications were stored for 1 of 2 medication refrigerators reviewed. (First Floor Medication Refrigerator)
  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) November 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to distribute medication in a sanitary manner during 2 of 4 medication administration observations. (RN 2 & RN 3)
December 14, 2023Complaint inspection · 2 citations
  1. 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) January 9, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 1 of 6 residents reviewed were free from abuse. (Resident C)
  2. 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) January 9, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure an incident of abuse, involving Resident C, was reported timely.
October 30, 2023Standard 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 · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation and interview, the facility failed to store and dispose expired foods for 1 of 1 dietary area observed. This deficient practice had the potential to affect 30 residents of 30 residents who received their meals in the dietary area.
  2. D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to provide quarterly statements to 3 of 9 residents with resident trust funds. (Residents 10, 20 and 13)
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a SNF-ABN (Skilled Nursing Facility-Advanced Beneficiary Notice) Form was provided following the end of Medicare skilled services for 1 of 1 resident who discharged from Medicare services and remained in the facility. (Resident 55)
  4. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure food was served at a palatable temperature for 3 of 15 residents reviewed. (Residents 10, 17 and 20)

Fire safety inspections

24 fire safety citations on file: 3 on January 5, 2026, 11 on October 18, 2024, 10 on October 30, 2023.

Every fire safety citation24 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 5, 2026 · Corrected (the home has a date of correction)
  2. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 5, 2026 · Corrected (the home has a date of correction)
  3. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 5, 2026 · Corrected (the home has a date of correction)
  4. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · October 18, 2024 · Corrected (the home has a date of correction)
  5. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · October 18, 2024 · Corrected (the home has a date of correction)
  6. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · October 18, 2024 · Corrected (the home has a date of correction)
  7. F
    Develop a communication plan.
    E 29 · October 18, 2024 · Corrected (the home has a date of correction)
  8. F
    Establish emergency prep training and testing.
    E 36 · October 18, 2024 · Corrected (the home has a date of correction)
  9. F
    Have properly located and lighted "Exit" signs.
    K 293 · October 18, 2024 · Corrected (the home has a date of correction)
  10. F
    Meet other general requirements that are deficient.
    K 300 · October 18, 2024 · Corrected (the home has a date of correction)
  11. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 18, 2024 · Corrected (the home has a date of correction)
  12. E
    Have exits that are accessible at all times.
    K 271 · October 18, 2024 · Corrected (the home has a date of correction)
  13. E
    Provide properly protected cooking facilities.
    K 324 · October 18, 2024 · Corrected (the home has a date of correction)
  14. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 18, 2024 · Corrected (the home has a date of correction)
  15. F
    Conduct testing and exercise requirements.
    E 39 · October 30, 2023 · Corrected (the home has a date of correction)
  16. F
    Implement emergency and standby power systems.
    E 41 · October 30, 2023 · Corrected (the home has a date of correction)
  17. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 30, 2023 · Corrected (the home has a date of correction)
  18. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 30, 2023 · Corrected (the home has a date of correction)
  19. F
    Have elevators that firefighters can control in the event of a fire.
    K 531 · October 30, 2023 · Corrected (the home has a date of correction)
  20. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 30, 2023 · Corrected (the home has a date of correction)
  21. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 30, 2023 · Corrected (the home has a date of correction)
  22. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 30, 2023 · Corrected (the home has a date of correction)
  23. E
    Meet other general requirements that are deficient.
    K 300 · October 30, 2023 · Corrected (the home has a date of correction)
  24. C
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 30, 2023 · 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 homeIndianaUnited States
All nursing staff (RN, LPN and aides)4.443.693.86
Registered nurses1.020.670.69
All nursing staff on weekends3.723.253.42
Nurse aides2.25
Licensed practical nurses1.16
Nursing staff turnover (share who left in a year)45.2%45.9%45.8%
Registered nurse turnover50.0%40.3%42.9%
Administrators who left0

CMS expects 4.12 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 4.73 on weekdays and 3.72 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.76 in April to June 2025 to 4.44 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.441.024.733.72 0.4%0 of 9029
Oct to Dec 20254.630.894.953.80 0.2%0 of 9228
Jul to Sep 20255.010.865.234.44 0.0%0 of 9224
Apr to Jun 20255.761.066.114.89 0.0%1 of 9123
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%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 homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.211.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.93.2
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 with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.73.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.313.615.4

Owners and operators

Legal business name: PULASKI MEMORIAL HOSPITAL. CMS links this home to Sterling Healthcare, a group of 5 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Frazier, JonathanW-2 managing employeeIndividual09/12/2016
Loy, KathleenW-2 managing employeeIndividual02/18/2016
Barry, CaitlinCorporate officerIndividual11/30/2020
Malott, GreggCorporate officerIndividual12/01/2016
Milton Home Nursing Home and RehabilitationOperational/managerial controlOrganization12/01/2016
Pulaski Memorial HospitalOperational/managerial controlOrganization12/01/2016
Malott, GreggOperational/managerial controlIndividual12/01/2016

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 3 problems in this area, most recently on January 5, 2026: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on October 18, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 5, 2026: "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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 18, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

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

Common questions

What is Milton Home, the's Medicare star rating?
CMS rates Milton Home, the 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 Milton Home, the get at its last inspection?
2 health deficiencies at the standard inspection on January 5, 2026. The Indiana average is 7.2.
Has Milton Home, the been fined?
CMS lists no fines in the last three years.
Does Milton Home, the 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 Milton Home, the?
CMS lists 7 owners and managers, and links the home to Sterling Healthcare. Legal business name: PULASKI MEMORIAL HOSPITAL.

Sources

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