Home / Pennsylvania / Milton
Milton Rehabilitation and Nursing Center
743 Mahoning Street, Milton, PA 17847 · Northumberlnd County · (570) 742-2681
138 certified beds, about 124 residents a day · For profit - Corporation · Medicare and Medicaid since 1983
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395570 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 6, 2024, inspectors cited 9 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 38 health citations since January 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 3.37 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
50.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
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.
1301/23
1412/23
911/24
103/25
103/26
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 38 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
25D
11E
1F
Potential for minimal harm
0A
1B
0C
March 15, 2026Complaint inspection · 1 citation
- E 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 review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to notify the resident representative/responsible party of changes in condition or care for three of seven residents reviewed (Resident R1, R2, and R3).
March 28, 2025Complaint inspection · 1 citation
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to accommodate resident needs regarding the accessibility of a call bell for three of six residents reviewed (Resident 1, 2, and 3).
November 6, 2024Standard inspection · 9 citations
- 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 staff interview, it was determined the facility failed to store food and maintain food service equipment in a safe and sanitary manner and prevent the potential for food borne illness in the facility's main kitchen.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding physician ordered weights for three of nine residents reviewed (Residents 22, 51, and 84) and appropriate positioning for meals for one of nine residents reviewed for nutritional concerns (Resident 105).
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review, and staff and resident interview, it was determined that the facility failed to provide dental services to meet the needs of residents for three of four residents reviewed (Residents 36, 46, and 63).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and resident and staff interview, it was determined that the facility failed to ensure that care and services were provided in a manner that enhanced resident dignity for one of 24 residents sampled (Resident 57).
- D 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 observations and staff interview, it was determined that the facility failed to provide a clean, comfortable, homelike environment on one of two nursing units (West Side Nursing Unit).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure assessments accurately reflected residents' status for four of 24 residents reviewed (Residents 63, 84, 113, and 115).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to provide bathing support for a resident requiring staff assistance for one of two residents sampled for activities of daily living (Resident 57).
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to identify triggers related to a resident's diagnosis of Post-Traumatic Stress Disorder, to provide culturally, competent, trauma-informed care, and to eliminate or mitigate re-traumatization for one of two residents reviewed for mood/behavior (Resident 25).
- 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.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to properly secure and account for resident medications and biologicals on one of two nursing units (West Side Nursing Unit).
December 15, 2023Standard inspection · 14 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 observations and staff interviews, it was determined that the facility failed to provide a clean, comfortable, home-like environment on two of two nursing units (East Nursing Unit and [NAME] Nursing Unit; Residents 4, 7, 25, 52, 99, and 110).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to provide appropriate respiratory care and services for five of five residents reviewed (Residents 6, 25, 29, 44, and 69).
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on review of select facility policies, observation, clinical record review, and staff interview, it was determined that the facility failed to ensure a medication error rate below five percent (Residents 17 and 52).
- 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 staff interview, it was determined that the facility failed to store food in a manner to prevent the potential spread of foodborne illness in the main kitchen and one of two nursing units (East Nursing Unit).
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of employee personnel records, select facility policy review, and staff interview, it was determined that the facility failed to adequately implement its established abuse prohibition policy for two of five employees reviewed (Employees 7 and 8).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure assessments accurately reflected resident status for two of 23 residents reviewed (Residents 12 and 58).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of select facility policy and procedures, clinical record review, and staff interview, it was determined that the facility failed to maintain an acceptable parameter of nutritional status for one of six residents reviewed for nutrition concerns (Resident 58).
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on review of facility policies, clinical record review, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding physician ordered pain medications for one of three resident reviewed (Resident 83).
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on clinical record review and staff and resident interview, it was determined that the facility failed to identify triggers related to a resident's diagnosis of Post-Traumatic Stress Disorder, to provide culturally, competent, trauma-informed care, and to eliminate or mitigate re-traumatization for one of five residents reviewed for mood/behavior (Resident 18).
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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 and cognitive loss displayed by one of one resident reviewed (Resident 52).
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to assist a resident to obtain routine dental services for one of two residents reviewed for dental concerns (Resident 18).
- D Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Inspectors wroteBased on closed clinical record review and staff interview, it was determined that the facility failed to provide and arrange appointments for outside services for one of 24 residents reviewed (Resident 115).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to ensure an environment free from the potential spread of infection regarding transmission-based precautions and linen containment on one of two nursing units (East Nursing Unit, Resident 110).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to ensure a resident received the pneumococcal immunization for one of five residents reviewed for immunization concerns (Resident 107).
January 10, 2023Standard inspection · 13 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined the facility failed to provide activities of daily living assistance for resident's dependent on staff assistance for three of four residents reviewed for activity of daily living concerns (Residents 35, 37, and 162).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, select facility policy review, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding physician ordered interventions for one of 23 residents reviewed (Resident 59), assessment and treatments of non-pressure wounds for one of three residents reviewed (Resident 48), and glucose monitoring and insulin administration for two of three residents reviewed (Residents 35 and 48).
- E 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 review of select facility policies, clinical record review, and staff interview, it was determined that the facility failed to provide physician ordered services to maintain a resident's range of motion for two of four residents reviewed (Residents 43 and 57).
- 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 clinical record review and staff and resident interview, it was determined that the facility failed to implement interventions to care for and monitor a resident's urinary catheter for one of three residents reviewed (Resident 162) and care for and monitor a resident's colostomy for one of two residents reviewed (Resident 162).
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident and/or their responsible party received written notice of the facility bed hold policy at the time of transfer for two of 11 residents reviewed for hospitalization concerns (Residents 68 and 92).
- 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 clinical record review and resident and staff interview, it was determined that the facility failed to promote resident involvement with care plan development for one of one resident reviewed (Resident 48).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to provide the highest practicable care to promote optimal pressure ulcer healing for one of six residents reviewed for pressure ulcer concerns (Resident 35).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to administer supplemental oxygen consistent with professional standards of practice for three of six residents reviewed (Residents 26, 36, and 94) and failed to store supplemental oxygen equipment per professional standards of practice for two of six residents reviewed (Residents 26 and 36).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide care consistent with professional standards of practice, for a resident who required dialysis services for one of one resident reviewed for dialysis concerns (Resident 26).
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on review of staff education records and staff interview, it was determined that the facility failed to ensure 12 hours of nurse aide in-service education was achieved for one of three employees reviewed (Employee 2).
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to provide a physician ordered therapeutic diet for one of 23 residents reviewed (Resident 26)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and responsible party and staff interviews, it was determined that the facility failed to implement an infection control program to prevent the potential spread of infection for one of one resident reviewed (Resident 9).
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and staff and resident interview, it was determined that the facility failed to notify a resident and responsible party in writing of a transfer to the hospital for four of 11 residents reviewed (Residents 68, 95, 7, and 92).
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.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.37 | 3.89 | 3.86 |
| Registered nurses | 0.46 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.15 | 3.53 | 3.42 |
| Nurse aides | 1.92 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 50.9% | 44.5% | 45.8% |
| Registered nurse turnover | 40.0% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.07 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 3.46 on weekdays and 3.15 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.37 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 | 3.37 | 0.46 | 3.46 | 3.15 | 24.7% | 0 of 90 | 124 |
| Oct to Dec 2025 | 3.42 | 0.42 | 3.53 | 3.16 | 22.0% | 0 of 92 | 121 |
| Jul to Sep 2025 | 3.41 | 0.35 | 3.50 | 3.16 | 23.0% | 0 of 92 | 123 |
| Apr to Jun 2025 | 3.41 | 0.39 | 3.52 | 3.12 | 23.9% | 0 of 91 | 120 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 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.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.5 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.3 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.3 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.9 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.8 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.2 | 1.8 |
Owners and operators
Legal business name: MI OPERATING, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kuster, Leslie | 5% or greater indirect ownership interest | Individual | 60% | 06/01/2025 |
| Epstein, Joel | Managing control - governing body | Individual | 06/01/2025 | |
| Kuster, Leslie | Managing control - governing body | Individual | 06/01/2025 | |
| Passi, Vikas | Managing control - governing body | Individual | 06/01/2025 | |
| Wagner, Amy | Managing control - governing body | Individual | 06/01/2025 | |
| Kuster, Leslie | Operational/managerial control | Individual | 06/01/2025 | |
| Passi, Vikas | Operational/managerial control | Individual | 06/01/2025 | |
| Wagner, Amy | Operational/managerial control | Individual | 06/01/2025 | |
| Crestview 360 Holdings LLC | Adp of the SNF | Organization | 06/01/2025 | |
| Crestview 720 Trust | Adp of the SNF | Organization | 06/01/2025 | |
| Focus Health Network LLC | Adp of the SNF | Organization | 06/01/2025 | |
| Pa8 Master Tenant LLC | Adp of the SNF | Organization | 10/08/2025 | |
| Bleier, Jonathan | Adp of the SNF | Individual | 06/01/2025 | |
| Bleier, Sorah | Adp of the SNF | Individual | 06/01/2025 | |
| Epstein, Joel | Adp of the SNF | Individual | 06/01/2025 | |
| Kuster, Leslie | Adp of the SNF | Individual | 06/01/2025 | |
| Passi, Vikas | Adp of the SNF | Individual | 06/01/2025 | |
| Wagner, Amy | Adp of the SNF | Individual | 06/01/2025 |
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 17 problems in this area, most recently on November 6, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- 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 March 15, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 November 6, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 6, 2024: "Ensure each resident receives an accurate assessment."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Buffalo Valley Lutheran Villag Lewisburg, 4.8 mi · 3 of 5 stars · 38 citations
- Oak Glen Healthcare and Rehabilitation Center Lewisburg, 4.8 mi · 2 of 5 stars · 30 citations
- Watsontown Rehabilitation and Nursing Center Watsontown, 5.6 mi · 2 of 5 stars · 56 citations
- Nottingham Village Northumberland, 7.4 mi · 3 of 5 stars · 31 citations
- Sunbury Skilled Nursing and Rehabilitation Center Sunbury, 10.8 mi · 3 of 5 stars · 29 citations
- Nursing and Rehabilitation at the Mansion Sunbury, 10.9 mi · 3 of 5 stars · 32 citations
- Manor at Penn Village, the Selinsgrove, 13.1 mi · 2 of 5 stars · 65 citations
- Emmanuel Center for Nursing Danville, 13.6 mi · 2 of 5 stars · 43 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. 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: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Milton Rehabilitation and Nursing Center's Medicare star rating?
- CMS rates Milton Rehabilitation and Nursing Center 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Milton Rehabilitation and Nursing Center get at its last inspection?
- 9 health deficiencies at the standard inspection on November 6, 2024. The Pennsylvania average is 10.
- Has Milton Rehabilitation and Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does Milton Rehabilitation and Nursing 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 Milton Rehabilitation and Nursing Center?
- CMS lists 18 owners and managers. Legal business name: MI OPERATING, 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.