POLARIS HEALTHCARE AND REHABILITATION CENTER
21 W CLARKE AVENUE, MILFORD, DE 19963 · CCN 085058
SFF Candidate
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 100
- Avg residents/day
- 91.0
- Phone
- 3025037650
Inspection history vs Delaware & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Delaware avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-28 | 32 | 13.5 | 9.5 | +18.5 worse |
| 2 | 2024-04-11 | 28 | 13.6 | 9.8 | +14.4 worse |
| 3 | 2022-10-18 | 29 | 12.6 | 9.3 | +16.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 9 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 3 |
| Resident rights | 7 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Administration | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.19 | 70.5% |
| RN staffing (reported) | 0.83 | 69.4% |
| Total nurse staffing (adjusted) | 3.58 | — |
Fines & penalties
- Total fines
- $127,199
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- NATIONWIDE HEALTHCARE SERVICES
- Facilities in chain
- 7
- Chain avg overall
- 2.40 / 5
Inspection citations (89)1 immediate jeopardy2 actual harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-08-11 · Health · corrected 2025-09-11
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-08-11 · Health · corrected 2025-09-11
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0567Honor the resident's right to manage his or her financial affairs.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0585Honor 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.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-28 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-01-28 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0625Notify 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.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0688Provide 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.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-01-28 · Health · corrected 2025-03-18
Actual harm
- DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- KF0760Ensure that residents are free from significant medication errors.2025-01-28 · Health · corrected 2025-03-18
Immediate jeopardy
- DF0761Ensure 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.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-28 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0946Provide training in compliance and ethics.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-01-28 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-07-09 · Health · corrected 2024-08-26
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-07-09 · Health · corrected 2024-08-26
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- BF0584Honor 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.2024-04-11 · Health · corrected 2024-06-03
Potential for minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-11 · Health · corrected 2022-10-24
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-11 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-10 · Health · corrected 2023-03-29
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-10 · Health · corrected 2023-03-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-10 · Health · corrected 2023-03-29
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- EF0584Honor 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.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- EF0585Honor 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.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-10-18 · Health · corrected 2022-12-01
Potential for minimal harm
- EF0625Notify 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.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2022-10-18 · Health · corrected 2022-12-01
Potential for minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- EF0761Ensure 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.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
- DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2022-10-18 · Health · corrected 2022-12-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GELLEY, MEIR | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 95% | 2019-05-20 |
| GELLEY, LEAH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2019-05-20 |
| NATIONWIDE HEALTHCARE SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| GELLEY, MEIR | Individual | W-2 MANAGING EMPLOYEE | — | 2019-05-20 |
Other facilities in MILFORD
| Name | Overall | Beds |
|---|---|---|
| DELAWARE VETERANS HOME | ★★★★★ | 144 |
| MILFORD CENTER | — | 136 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.