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Milford Center

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Reviews
Overall Rating 1.0 / 5.0 ★★★★★

  • ★★★★★ 10 months ago

    Three weeks ago our family decided Milford rehab would be better than driving further south for a facility we preferred so our grandmother was admitted for rehab. We made it very clear in the treatment team meeting that she has 24/7 care at home when she is done with rehab. So they keep her the entire 21 days that Medicare pays for while saying, if she leaves early it will be against medical advice. Then when her days are up saying "she has six months left to live" thinking that will scare our family into leaving her there. We told them six or more times, we already had hospice come and evaluate her at home, we are fully aware of where this disease goes. She went to the neurologist who started her on Namenda. Dr. Wagner the primary doctor at Milford Genesis decided that it would be wise since she was vomiting and more lethargic a day after starting Namenda to decrease Tramadol and her fentanyl patch which she had been on for a long period of time. I was told by a nurse well Dr. Wagner doesn't like to mess with a specialists medications. Later that day the Namenda was discontinued. We had three other concerns: 1) Every time our family visited in the morning 8am-1pm she was still in bed and we would find her laying in bed in the afternoons often as well. We complained for a week until finally they either got use to the times they were visiting and made sure she was up by then or they put her higher in the rotation of patients they helped in the morning. 2) They kept putting briefs/diapers on her. We told them repeatedly but they kept doing it until the day before she left. 3) While I was visiting, my grandmother needed to use the bathroom, I pressed the button to wait for help since they had asked we did not help her up or to the bathroom. A CNA came in and started getting her ready, she was very friendly and was chatting. Then we realized her roommate was in the bathroom with two staff members. One of the CNA's that came out of the bathroom said, "Just put her on a bed pan." I was confused and inquired why. She said something like that she talked to physical therapy and they have an understanding that when she is working that she doesn't feel comfortable getting her to the bathroom. I really didn't say anything, other than why a few times. So then she left and the original CNA helped her to the bathroom and it took less than 5 minutes. So I went to speak to the Assistant Director of Nursing about what happened with the CNA. After I told her what happened she said she would look into it. So when she got back to me the only thing she had to say was she apologized for the way she spoke to me. I told her repeatedly, it isn't the way she spoke to me it is the action. If I had not been there she would of made my grandmother use a bed pan, even after she said she didn't want to use a bed pan but this supervisor did not understand what I was saying. I get the feeling this happens a lot. A few positive things: 1) When we spoke to the nurse, our entire family really liked her. She was friendly and informative even though we could tell how busy she was. 2) The few really good CNAs. I know I met two that I think seemed to be outstanding but they just didn't make up for the worst of the worst. 3) My grandmother seemed to like the food. She isn't picky but she ate most of it. 4) Physical and Occupational therapy staff were very friendly and informative. I went to a few PT/OT sessions mostly to see what equipment they were using so we could buy it for her at home and continue using it but the rehab room was the 'spot to be.' Patients socialized in there and for people there for rehab they waited around until it was their turn. There is an activities calendar in the room but I never saw bingo or anyone participate in the activities. Overall, it seemed like if you had any issues you had to tell about 4 people before anything was even attempted to be changed. Then even when you are assured that "that is changed" it is only for 8 hours until other staff come on. Big lack of communication in this facility.

About Milford Center

General Information

Legal Business Name700 Marvel Road Operations LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 30, 1969 ()
Capacity136
Residents125
Percent Occupied92%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsNone
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Milford Center

Milford Center
was reviewed by to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Delaware Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

December 29, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

September 9, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
BSomePotential for Minimal HarmHealth InspectionProvide housekeeping and maintenance services.

May 12, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

July 31, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

May 12, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaintDevelop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Milford Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 15min
2hr 30min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
55min
1hr
ReportedExpected
RN
3hr 55min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.1%
98.2%
98.2%
98.2%
96.7%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
99.0%
99.0%
96.2%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
33.3%
28.9%
45.2%
44.2%
48.9%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of low risk long-stay residents who lose control of their bowels or bladder
25.0%
29.4%
27.6%
26.0%
25.5%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who received an antianxiety or hypnotic medication
24.1%
22.9%
23.2%
29.5%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents whose ability to move independently worsened
11.1%
12.7%
15.3%
17.5%
13.3%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who received an antipsychotic medication
9.8%
20.8%
24.7%
19.0%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents whose need for help with daily activities has increased
9.6%
4.6%
4.0%
3.7%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who self-report moderate to severe pain
7.1%
5.9%
6.2%
10.8%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who lose too much weight
2.6%
1.3%
2.6%
3.6%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of high risk long-stay residents with pressure ulcers
1.0%
3.1%
2.2%
8.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who have depressive symptoms
6.0%
3.9%
0.0%
1.0%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents with a urinary tract infection
5.0%
2.9%
3.1%
4.8%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents experiencing one or more falls with major injury
3.4%
4.4%
2.2%
1.9%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.0%
3.9%
2.0%
1.9%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

95.5%
97.3%
98.0%
97.0%
85.6%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.7%
90.2%
90.2%
90.2%
85.5%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
70.1%
67.4%
72.2%
78.1%
70.2%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents who made improvements in function
18.9%
20.3%
14.0%
14.5%
13.8%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
1.8%
2.7%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents who newly received an antipsychotic medication
1.3%
1.2%
0.4%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents with pressure ulcers that are new or worsened



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